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i will talk today about the hypertension treatment targets in both the acc and the european guidelines as well as a comparison this slide sums up both guidelines its from my book the second edition of my book basically in the american guidelines the target blood pressure is less than 130 over 80 in all patients and medications are initiated for blood pressure of 130 over 80 or more in most cases except the lowest risk profile patient whose 10-year cardiovascular risk is less than 10 percent and where medications are initiated at a blood pressure over 140 over 90. the latter have still a blood pressure goal of less than 130 over 80 but you just wait to initiate medication until 140 over 90. conversely the european in the european guidelines the target blood pressure is a split according to age not so much according to the risk profile as such the target blood pressure is less than 130 over 80 in patients less than 65 years even if they dont have any cad diabetes heart failure and the
