Current Atherosclerosis Reports

, Volume 12, Issue 2, pp 134–139

Evidence for Aggressive Blood Pressure–Lowering Goals in Patients with Coronary Artery Disease

Authors

  • Monisankar Roy
    • Mount Sinai School of MedicineJames J. Peters VA Medical Center
  • Noman Mahmood
    • Mount Sinai School of MedicineJames J. Peters VA Medical Center
    • Mount Sinai School of MedicineJames J. Peters VA Medical Center
Article

DOI: 10.1007/s11883-010-0094-7

Cite this article as:
Roy, M., Mahmood, N. & Rosendorff, C. Curr Atheroscler Rep (2010) 12: 134. doi:10.1007/s11883-010-0094-7

Abstract

Lowering blood pressure (BP) reduces the risk of major cardiovascular mortality and morbidity. Current consensus targets for BP reduction are less than 140/90 mm Hg in uncomplicated hypertension and less than 130/80 mm Hg in those patients with diabetes, chronic kidney disease, and coronary artery disease or in those who are at high risk for developing coronary artery disease (defined as a Framingham risk score of ≥ 10%). There is solid epidemiologic evidence for lower BP targets, supported by some clinical studies with surrogate end points. On the other hand, there are meager data from clinical trials using hard end points, and there is a concern that overly aggressive BP lowering, especially of diastolic BP, may impair coronary perfusion, particularly in patients with left ventricular hypertrophy and/or coronary artery disease. This review evaluates the evidence for the benefit of lower BP targets in hypertension management.

Keywords

BP goalsCoronary artery diseaseHypertensionBlood pressureJ curve

Copyright information

© Springer Science+Business Media, LLC 2010