Cardiology guidelines suggest a target of 130 mm Hg systolic, but others say 140 mm Hg is good enough. Chris Labos reviews today's controversy and the history of conflicting bloodpressure guidelines. MedTwitter
This puts the AAFP guideline in conflict with theissued jointly by the American College of Cardiology , American Heart Association , and nine other groups, which recommended a target of 130/80 mm Hg for pretty much everyone. Though they say > 140/90 mm Hg should be the threshold for low-risk patients or for starting therapy poststroke, we often forget those nuances.
The AAFP guideline concedes that more aggressive control will result in fewer myocardial infarctions but warn that it comes with more adverse events. Treating 1,000 patients to this lower target would theoretically prevent four MIs, possibly prevent three strokes, but result in 30 adverse events. In the end, what we are seeing here is not so much a debate over the evidence as a debate over priorities. The AAFP's main focus is all-cause mortality; the ACC/AHA's is cardiovascular events. Interventions that don't improve mortality can be questioned in terms of their cost effectiveness. But you probably don't want to have a heart attack . And you certainly don't want to have a stroke. However, lower blood pressure targets inevitably require more medications.
Argentina Últimas Noticias, Argentina Titulares
Similar News:También puedes leer noticias similares a ésta que hemos recopilado de otras fuentes de noticias.
US sets record pace for mass killings so far this yearIn six months, the U.S. has had 28 mass killings and 140 victims.
Leer más »
Death Valley visitors drawn to the hottest spot on Earth during ongoing US heat waveThis weekend, the temperatures could climb past 130 F, but that likely won't deter some willing to brave the heat.
Leer más »
Hottest temperature ever? California’s Death Valley nearing ‘rare’ heightsTemperatures at or above 130 degrees have only been recorded on Earth a handful of times, mostly in Death Valley.
Leer más »
Here’s How Scott Evans Feels About Chris Evans’ Relationship With Alba BaptistaProtect big bro at all costs!
Leer más »
Union takeaways: Chris Donovan helps Union secure victory, Andre Blake makes return to lineupThe Union extended their regular season unbeaten streak at Subaru Park to 21-straight matches Saturday, after defeating New York City FC, 2-1.
Leer más »