What is the optimal blood pressure to be lowered to?

Hypertension needs to be treated and controlled to a certain level, but the ideal level for lowering blood pressure varies by age, and the choice of blood pressure target should be based on the underlying pathology. There is no “one size fits all”. In fact, when the hypertension guidelines were being developed, the expert panel also went through a war of words over and over again before reaching a consensus opinion, which focused on the opinions of the nation’s top cardiovascular experts, so it is important to understand. The authors use the guidelines as a standard to learn with you. The 2010 Chinese guidelines for the prevention and treatment of hypertension regarding the blood pressure target for hypertension treatment are as follows: 1. The blood pressure target for general hypertensive patients is <140/90mmHg This is for most people, this is the standard blood pressure, beyond this value, is hypertensive, general hypertensive patients are hypertensive patients without serious vascular disease, if there is atherosclerosis and other vascular damage blood pressure target value should If there is atherosclerosis and other vascular damage blood pressure target value will change. The blood pressure target for patients with hypertensive coronary artery disease is <130/80mmHg Hypertension is a risk factor for myocardial infarction, sudden cardiac death and heart failure. For general coronary heart disease patients with stable disease, aggressive antihypertensive therapy is beneficial. Controlled elevated blood pressure levels are beneficial in preventing complications such as myocardial infarction. General coronary heart disease patients blood pressure target <130/80mmHg, but the blood pressure target for severe vascular lesions or elderly people can be relaxed to <140/90mmHg, diastolic blood pressure is generally not less than 60mmHg; because the elderly people have a heavier degree of vascular sclerosis and weakened elasticity, drop too low, the systolic blood pressure is up to the standard, but the diastolic blood pressure drops even lower, the heart, brain, kidney and other important organs will be aggravated as a result Ischemia, resulting in myocardial infarction, cerebral infarction and other risks greatly increased, so the elderly should not lower the blood pressure too low. 3. The blood pressure target for hypertension with chronic kidney disease is <130/80 mmHg Hypertension is a risk factor for the occurrence of cardiovascular disease in patients with chronic kidney disease (CKD), and it is beneficial to reduce the blood pressure level in patients with CKD. However, the guideline relaxes the blood pressure target to <140/90mmHg for people with end-stage renal disease - renal dialysis. 4. The blood pressure target for hypertension with diabetes is <130/80mmHg There is no expert consensus on this target, so it is for reference only. 5. The ideal blood pressure target for blood pressure after cerebrovascular disease is <130/80mmHg; the general target is <140/90mmHg Elevated high blood pressure can cause serious complications such as cerebral hemorrhage and cerebral infarction, so those who have a history of cerebral infarction must control their blood pressure, not only to achieve the blood pressure value, but also the blood pressure fluctuation should not be too large, so as to reduce the occurrence of cerebrovascular disease. 6. The blood pressure target for elderly hypertension (>65 years old) is <150/90mmHg If tolerated, it can be further reduced to <140/90mmHg.