37
1
Initiate antihypertensive medications to
lower BP and reduce CVD risk if average
SBP ≥130 mm Hg or DBP ≥80 mm Hg for
secondary prevention of CVD
1
Initiate antihypertensive medications to
lower BP and reduce CVD risk if average
SBP ≥130 mm Hg or DBP ≥80 mm Hg for
primary prevention of CVD
YES
YES
1
Initiate antihypertensive medications to
lower BP and reduce CVD risk for
primary or secondary prevention of CVD
YES
* In older adults who may be frail or have a limited life expectancy, a clinician-patient
assessment of potential benefits and harms of BP lowering should be pursued to align care
with patient goals.
†
Increased short-term or 10-year risk is defined as a 10-year predicted risk for CVD events of
≥7.5% using PREVENT.
CHD, coronary heart disease; HF, heart failure; and PREVENT, Predicting Risk of cardiovascular
EVENTs.
