What are the target blood pressure values in people taking antihypertensive drugs?

Given its high prevalence and treatment options, the regulation of high blood pressure is considered to be the most important measure in the prevention of stroke, heart failure and some other vascular diseases. But although the importance of treatment is generally known to people with hypertension, the insufficient knowledge of the target blood pressure values ​​ is one of the reasons why many people with hypertension are not treated at all or are not treated properly.

According to the 2018 European guidelines (ESC / ESH), the recommended target values ​​for systolic (“upper”) pressure, which is desirable to achieve with medication are as follows:

Persons younger than 65 years: 120 – 129 mm Hg

Persons 65 years and older: 130 – 139 mm Hg

Lowering the diastolic (“lower”) pressure to values ​​below 80 mm Hg is considered desirable, but the level of this recommendation is slightly lower.

All people taking blood pressure-lowering medications should be aware of the possible occurrence of undesirable side effects, but this is especially important in the elderly. In addition to measuring blood pressure in the sitting and standing positions, it may sometimes be necessary to do a 24-hour measurement to rule out episodes of low pressure.  Although treatment is more demanding in the elderly due to more frequent side effects, regulation of blood pressure in old age is also very useful. For some people, due to the side effects, it is not possible to achieve the targeted blood pressure values, but even a smaller reduction than the optimum has a beneficial effect.

The cited guidelines can be found at the link https://www.eshonline.org/esh-content/uploads/2018/10/Download.pdf

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