Reduction of diastolic blood pressure: Should hypertension guidelines include a lower threshold target?

doi:10.5494/wjh.v7.i1.1

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World Journal of Hypertension

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2220-3168

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World J Hypertens. Feb 23, 2017; 7(1): 1-9
Published online Feb 23, 2017. doi: 10.5494/wjh.v7.i1.1

Table 4 Hypertension guidelines

Society	Year updated	DBP upper threshold¹	DBP lower threshold¹	Individualized to comorbidities				Discuss
Society				Age	CAD	DM	CKD	J-curve
ACCF/AHA (elderly)	2011	< 90	-	Yes	-	-	-	Yes
ADA	2016	< 90	-	Yes	-	-	-	-
CHEP	2016	< 90 (< 80 in diabetes)	60 in CAD	Yes	Yes	Yes	Yes	Yes
ESH/ESC	2013	< 90 (< 85 in diabetes)	-	Yes	Yes	Yes	Yes	Yes
ESC	2016	< 85	80	Yes	-	Yes	-	Yes
French	2013	< 90	-	Yes	-	-	-	-
JNC8	2014	< 90 (including DM and CKD)	-	-	-	-	-	Yes
KDIGO	2012	≤ 90 ( ≤ 80 if microalbuminuria)	-	Yes	-	Yes	Yes	Yes
NICE	2011	< 85	-	-	-	-	-	-
Renal Association (United Kingdom)	2011	< 90 (< 80 if proteinuria)	-	-	-	-	Yes	-

¹mmHg. ACCF/AHA: American College of Cardiology Foundation and the American Heart Association; ADA: American Diabetes Association; ASH: American Society of Hypertension; CAD: Coronary artery disease; CHEP: Canadian Hypertension Education Program; CKD: Chronic kidney disease; DM: Diabetes mellitus; ESC: European Society of Cardiology; ESH: European Society of Hypertension; JNC8: Eighth Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; KDIGO: Kidney Disease: Improving Global; NICE: National Institute for Health and Clinical Excellence.

Citation: Tringali S, Huang J. Reduction of diastolic blood pressure: Should hypertension guidelines include a lower threshold target? World J Hypertens 2017; 7(1): 1-9
URL: https://www.wjgnet.com/2220-3168/full/v7/i1/1.htm
DOI: https://dx.doi.org/10.5494/wjh.v7.i1.1