Three medical organizations – the American Heart Association, the American College of Cardiology, and the American Society of Hypertension – have jointly issued a statement on treating high blood pressure in patients who have been diagnosed with coronary heart disease, stroke, or other forms of heart disease.
The scientific statement reinforces the target of <140/90mmHg to reduce the risk of stroke and heart attack. A target of <130/80mmHg may be appropriate in some individuals with heart disease who have already experienced a stroke, heart attack, or a transient ischemic attack, or who have other cardiovascular conditions (eg, narrowing of leg arteries, abdominal aortic aneurysm).
Clinicians are further recommended to lower blood pressure slowly in patients with coronary artery blockages; a diastolic blood pressure <60mmHg should be avoided especially in patients >60 years old. The statement also includes evidence-based recommendations and contraindications to aid clinicians in selecting antihypertensives in patients with various types of heart disease.
For more information visit Heart.org.