AHA High Blood Pressure Toolkit-Pharmacists

13 TREATMENTS For the following comorbidities: • Diabetes mellitus • Chronic kidney disease • After renal transplantation • Heart failure • Stable ischemic heart disease • Peripheral artery disease BP Threshold ≥ 130/80 mm Hg BP Goal < 130/80 mm Hg For secondary stroke prevention BP Threshold ≥ 140/90 mm Hg BP Goal < 130/80 mm Hg Resistant Hypertension Studies have found that patients with resistant hypertension are at high risk for cardiovascular complications. The prevalence of resistant hypertension has been identified as anywhere from 3%-30% of patients who required at least three or more medications to reach blood pressure control. The guideline defines treatment resistance and offers recommendations for evaluating and treating patients. Algorithm for Diagnosis, Evaluation and Treatment When setting BP thresholds and goals of pharmacologic therapy, you should consider your clients’ comorbidities. Treatment of Hypertension in Patients With Comorbidities The guideline also includes several recommendations for specific antihypertensive medications according to these comorbidities as well as others, such as acute intracerebral hemorrhage, atrial fibrillation, valvular heart disease and aortic disease.