Do Very Low Home Blood Pressure Targets Have Long-Term Cardiovascular Benefit?

Achieving a home systolic blood pressure level below 125 mm Hg (vs. 135 or lower) was associated with a reduced 10-year risk for stroke.

The 2019 Japanese Society of Hypertension guidelines recommend targeting office blood pressure (BP) <130/80 mm Hg and home systolic BP (SBP) <125/75 mm Hg, while the 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend a BP target of <130/80 mm Hg for both office and home. The current study was performed to evaluate whether the home SBP target of <125 mm Hg is protective against future cardiovascular disease.

Using data from a prospective, observational study conducted in Japan, which included 4310 outpatients with at least one cardiovascular disease risk factor, investigators compared rates of an incident cardiovascular event (stroke, coronary artery disease, congestive heart failure, or aortic disse…

Reviewing Author

Karol E. Watson, MD, PhD, FACC

Disclosures

Consultant/Advisory BoardBoehringer Ingelheim; Amgen; Novartis; Lilly; Amarin

Speaker’s BureauBoehringer Ingelheim

Grant/Research SupportNIH

Editorial BoardsCirculation (Associate Editor)