2022-08-28 14:49:18
Although both US and European guidelines focus on assessing
CV risk before pursuing management, both agree that either a RAAS
blocker, CCB, or thiazide-type
diuretic be the initial treatment started
in patients. Moreover, the European guidelines mandate initial therapy
be a combination of a RAAS blocker with either a diuretic or calcium
blocker, while US guidelines recommend single-pill
combinations for
those who are 20/10 mm Hg above the goal BP or higher. Only the
US guidelines define hypertension as ≥130/80 mm Hg. The next closest
group with this goal is the Canadian guidelines, but they reserve
130/80 mm Hg for those with higher CV risk only. All other international
guidelines define hypertension as ≥140/90 mm Hg with a goal to get
to 130/80 mm Hg
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