Preventive healthcare

Epidemiology

Family medicine

Disease

Blood pressure

Internal medicine

Public health

Pathology

Medicine

Gerontology

Hypertension

E levated blood pressure (BP) is a causal risk factor for cardiovascular disease (CVD).Epidemiological analyses have established the graded and continuous association between higher BP and CVD.Moreover, randomized clinical trials among individuals with hypertension have demonstrated, in aggregate, a reduction in CVD events by 20%, coronary heart disease (CHD) by 17%, stroke by 27%, and heart failure by 28% for every 10 mm Hg systolic BP (SBP) lowering with medical therapy. 1 Therefore, prevention, detection, treatment, and control of elevated BP, and its clinical correlate hypertension, is an important public health priority and a primary target for CVD prevention.4][5] Hypertension guidelines, however, have instead relied solely on isolated BP thresholds and BP goals to guide treatment initiation and intensity.In this review, we provide a rationale for incorporating global CVD risk assessment in BP treatment decision-making and propose a framework to guide its implementation in future CVD prevention guidelin...

Global Risk Assessment to Guide Blood Pressure Management in Cardiovascular Disease Prevention