Hypertension antihypertensive treatment goals

The goal of blood pressure lowering in hypertension is to control blood pressure below 120/80 mmHg, which should be at least below 140/90 mmHg. However, for elderly patients, especially those over 80 years of age, systolic blood pressure control below 150 mmHg is sufficient. However, it can be lowered to below 140mmHg if tolerated. However, it is important not to pursue lowering systolic blood pressure excessively because hypertension in the elderly is characterized by a large pulse pressure difference, and excessively lowering systolic blood pressure can also lower diastolic blood pressure. When the diastolic blood pressure is below 60 mmHg or less, the benefit from lowering the systolic blood pressure is reduced. The target blood pressure reduction for patients with diabetes, chronic kidney disease, and heart failure is to lower it to below 130/80 mmHg.