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Ideas and Opinions |1 November 2016

Getting to Lower Systolic Blood Pressure: Beyond Antihypertensive Therapy

Nadia A. Khan, MD, MSc

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
This article was published at www.annals.org on 16 August 2016.
  • From University of British Columbia, Vancouver, British Columbia, Canada.

    Disclosures: The author has disclosed no conflicts of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-1421.

    Corresponding Author: Nadia A. Khan, University of British Columbia, Center for Health Evaluation and Outcomes Sciences, 570.4B, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada; e-mail, nakhanubc@gmail.com.

    Author Contributions: Conception and design: N.A. Khan.

    Analysis and interpretation of the data: N.A. Khan.

    Drafting of the article: N. Khan.

    Critical revision for important intellectual content: N. Khan.

    Final approval of the article: N. Khan.

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In response to SPRINT (Systolic Blood Pressure Intervention Trial), Hypertension Canada–Canadian Hypertension Education Program guidelines recommend that all patients with hypertension and high cardiovascular risk keep their systolic blood pressure (SBP) at 120 mm Hg or lower (1, 2). As more guidelines are updated, other organizations likely will advocate for more-intensive SBP targets in selected, high-risk patients. Given that the current SBP treatment goal of less than 140 mm Hg is already inadequately met, many clinicians will struggle with how to achieve the newer, more-intensive target in appropriate patients.
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Khan NA. Getting to Lower Systolic Blood Pressure: Beyond Antihypertensive Therapy. Ann Intern Med. 2016;165:661–662. doi: 10.7326/M16-1421

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Published: Ann Intern Med. 2016;165(9):661-662.

DOI: 10.7326/M16-1421

Published at www.annals.org on 16 August 2016

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2016 American College of Physicians
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