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The 2024 ESC guidelines recommends lifestyle therapy for all individuals with elevated BP defined as SBP 120 to 139 mm Hg or diastolic BP (DBP) 70 to 89 mm Hg and initiation of pharmacological therapy for most adults with SBP 130 to 139 or DBP 80 to 89 mm Hg after 3 months of lifestyle therapy in a broader population
A systolic blood pressure (SBP) of 120139 mm Hg and a diastolic blood pressure (DBP) 8089 mm Hg is now termed pre-hypertension. Hypertension is now classified into two stages: stage 1: 140159/9099 mm Hg, and stage 2: 160/100 mm Hg.
Patients should be treated to a target systolic pressure of less than 150 mm Hg and a target diastolic pressure of less than 90 mm Hg. Treatment does not need to be adjusted if it results in a systolic pressure lower than 140 mm Hg, as long as it is not associated with adverse effects on health or quality of life.
Outcome definitions Based on JNC8, we considered individuals with systolic blood pressure (SBP) 140 mmHg or diastolic blood pressure (DBP) 90 mmHg as hypertensive; whereas, based on 2017 ACC/AHA, those with SBP 130 mmHg or DBP 80 mmHg [4] were considered hypertensive.
Recommendations on Target Blood Pressure Recommends a target blood pressure treatment goal of 140/90 mmHg in all patients with hypertension without comorbidities. Recommends a target systolic blood pressure treatment goal of

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ing to JNC 7, the general BP goal is to lower systolic BP to less than 140 mm Hg and diastolic BP to less than 90 mm Hg. This recommendation is supported by many clinical trials. A more aggressive goal of less than 130/80 mm Hg is advised for patients with diabetes or chronic kidney disease.

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