59
5.3.2. Obesity and Metabolic Syndrome
COR LOE
Recommendations
2b B-R
1. In adults with hypertension who also have overweight or
obesity with a BMI ≥27 kg/m
2
, incretin mimetics (eg, GLP-
1RA) when used for weight management may be effective as
an adjunct to lower BP.
2b B-R
2. In adults with hypertension who have obesity with a BMI
≥35.0 kg/m
2
, bariatric surgery (when considered for weight
loss) in combination with behavioral interventions and
antihypertensive therapies may be effective at lowering BP.
5.3.4. Prevention of Heart Failure in Adults With Hypertension
COR LOE
Recommendations
1 B-R
1. In adults with hypertension, treating SBP to <130 mm Hg is
recommended to lower the risk of developing HF.
1 B-NR
2. In adults with hypertension, treating DBP to <80 mm Hg is
recommended to lower the risk of developing HF.
