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In a study of 265 patients with blood pressure readings of 160/80 mm Hg and higher who took three or more hypertension medications, the device produced systolic pressures of 140 mm Hg or less in 41 percent after six months and in 54 percent after 12 months.
Blood pressure values in the range of 130/85 to 139/89 mm Hg are associated with a more than 2-fold increase in cardiovascular disease risk compared with values below 120/80 mm Hg.
The task force strongly recommended blood pressure screening of adults aged 18 and older, and treatment for those who have a systolic blood pressure (SBP) of 140 mm Hg or above or a diastolic blood pressure (DBP) of 90 mm Hg or above.
The results represent the first time researchers have proved that mild hypertension -- defined as blood pressure between 140/90 millimeters of mercury (mm Hg) and 159/99 mm Hg -- or moderate hypertension -- between 160/100 mm Hg and 179/109 mm Hg -- in fact impairs kidney function.
The difference in blood pressure reduction between 20 mg and 80 mg was modest (5 mm Hg/3 mm Hg less in those receiving 80 mg, compared with 20 mg).
SAN FRANCISCO -- Treating patients with high-risk hypertension to bring systolic blood pressure below 140 mm Hg but no lower than 130 mm Hg appeared to be the best therapeutic target in a prespecified analysis of data on 10,705 patients from the ACCOMPLISH trial.
Lowering diastolic blood pressure (DBP) to <90 mm Hg in hypertensive individuals of all ages decreases the risk of cardiovascular events including myocardial infarction (MI), heart failure, and sudden death (strength of recommendation [SOR]: A, based on systematic review of randomized controlled trials).
In a bold move that has sparked considerable debate, JNC 7 defines an entirely new class of "prehypertension" that applies to patients with a systolic blood pressure of 120-139 mm Hg or a diastolic blood pressure of 80-89 mm Hg.
The four-month investigation involved 99 non-obese, mildly hypertensive men and women, with systolic blood pressures of 140 to 180 millimeters of mercury (mm Hg) and diastolic blood pressures of 90 to 105 mm Hg.
NEW ORLEANS -- The key message of the SPRINT trial--that aggressive antihypertensive therapy to a target systolic blood pressure (SBP) of less than 120 mm Hg reduces all-cause mortality, compared with a target SBP under 140 mm Hg--is not broadly applicable as a routine strategy in managing hypertension, experts declared at the American Heart Association scientific sessions.
3% per year in patients with a target systolic blood pressure of less than 130 mm Hg and 2.
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