. Author manuscript; available in PMC: 2019 Apr 23.

Published in final edited form as: Nat Rev Dis Primers. 2018 Mar 22;4:18014. doi: 10.1038/nrdp.2018.14

Table 4.

Blood pressure targets recommended by various guidelines

Guideline	Population	Goal BP (mmHg)
2010 Chinese Guidelines²⁰⁸	Adults < 65 years	< 140/90
	Adults 65 years and older	<150/90 (<140/90 if tolerated)
	Adults with diabetes, CHD or renal disease	<130/80
2013 ESH/ESC⁷⁷	Non frail adults < 80 years	< 140/90
	Adults > 80 years	< 150/90
	Adults with diabetes	< 140/85
	Adults with CKD without proteinuria	< 140/90
	Adults with CKD with overt proteinuria	< 130/90
	Adults with CHD	< 140/90
2013 ASH/ISH²⁰⁹	Adults 55–80 years	< 140/90
	Young adults	< 130/80
	Elderly > 80 years	< 150/90
2014 Hypertension guideline¹⁰⁶ (formerly known as JNC 8)	Adults < 60 years	< 140/90
	Adults ≥ 60 years	< 150/90
	Adults with diabetes	< 140/90
	Adults with CKD	< 140/90
2014 South African Guidelines²¹⁰	Most adults	< 140/90
2014 South African Guidelines²¹⁰	Adults > 80 years	SBP 140–150
2014 Japanese Guidelines²¹¹	Most adults	< 140/90
	Late phase elderly patients	<150/90 (<140/90 if tolerated)
	Adults with diabetes or CKD	< 130/80
	Adults with CHD or CVD	< 140/90
CHEP 2016²¹²	Adults < 80 years	< 140/90
	Adults ≥ 80 years	< 150
	High-risk adults ≥ 50 years	≤ 120^*
2016 Australian guidelines²¹³	Adults at high CV risk without diabetes mellitus, including CKD patients and those >75 years	< 120
	Adults with diabetes in whom prevention of stroke is priority	< 120
ADA²¹⁴	Adults with diabetes	< 140/90
	Adults with diabetes and high risk for CVD	< 130/80
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA¹¹⁰	Adults with known CVD or 10-year ASCVD event risk ≥ 10%	< 130/80
	Adults without additional markers of increased CVD risk	< 130/80
	Older adults ≥ 65 years of age, noninstitutionalized, ambulatory	< 130/80
	Older adults ≥ 65 years of age, with comorbidities and limited life expectancy	Individualized goal based on clinical judgement and patient preference

The 2013 ASH/ISH guidelines were written to provide information for practitioners in low-income and middle-income countries as well as in developed countries.

should be guided by automated office BP measurement. BP, blood pressure; ESH, European Society of Hypertension; ESC, European Society of Cardiology; CKD; chronic kidney disease; CHD, coronary heart disease; CHEP, Canadian Hypertension Education Program; ADA, American Diabetes Association; CVD, cardiovascular disease. ACC, American College Cardiology; AHA, American Heart Association; AAPA, American Academy of Physician Assistants; ABC,; ACPM, American College of Preventive Medicine; AGE; AGS, American Geriatric Society; APhA, American Public Health Association; ASCVD, atherosclerotic cardiovascular disease; ASH, American Society of Hypertension; ASPC, American Society of Preventive Cardiology; NMA, National Medical Association; PCNA, Preventive Cardiovascular Nurses Association.