Should blood pressure goals be changed in hypertension treatment?

• Published in: Hipertension y riesgo vascular Vol. 34 Suppl 1; p. 15
• Main Author: Camafort-Babkowski, M
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.01.2017
• Subjects: Antihypertensive Agents - therapeutic use; Blood Pressure; Blood Pressure Determination; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - etiology; Cardiovascular Diseases - prevention & control; Combined Modality Therapy; Diabetes Complications - physiopathology; Goals; Humans; Hypertension - complications; Hypertension - drug therapy; Hypertension - therapy; Meta-Analysis as Topic; Middle Aged; Practice Guidelines as Topic; Randomized Controlled Trials as Topic; Reference Values; Treatment Outcome; Hypertension; Guías de práctica clínica; Control; Objetivos; Blood pressure control; Presión arterial; Antihypertensive treatment; Hipertensión; Practice guidelines; Tratamiento; Blood pressure; Goals
• ISSN: 1989-4805
• DOI: 10.1016/S1889-1837(18)30058-8

Which have to be the most suitable goal for blood pressure has been an object of a debate since the publication of different guidelines of managing of arterial hypertension. Later to the publication of the last guides, the results of the SPRINT study have been known. SPRINT analyzes the differences in cardiovascular morbidity and mortality of different systolic blood pressure goals. The above mentioned study shows that a reduction to 121 mmHg in SBP is better than a SBP < 140 mmHg. Nevertheless, this study has included a low number of diabetic patients and a limited number of patients with cardiovascular disease, therefore, probably, the results are not applicable than to a limited number of hypertensive patients. In this article we analyze some of the available information with regard to this interesting aspect.