Evidence-based antihypertensive selection based on patient characteristics
For most adults, the ACC/AHA recommends a target of <130/80 mmHg. For older adults (≥65) or those with frailty, a slightly higher target (e.g., <140/90 mmHg) may be appropriate to prevent falls.
Many patients require two or more medications with different mechanisms of action to achieve blood pressure control. This often allows for lower doses of each, reducing side effects.
This occurs when blood pressure readings are high in a medical setting but normal at home. Home blood pressure monitoring is essential to confirm the diagnosis and avoid overtreatment.