Table 3.
Summary of Recommended Blood Pressure Targets by Comorbid Conditions and Age and by Guideline Group
| ADA114 (2018) | ACC/AHA6 (2017) | ACP/AAFP135 (2017) | Hypertension Canada136 (2017) | KHA-CARI137 (2013) | ESH/ESC138 (2013) | KDIGO64 (2012) | JNC892 (2014) | VA/DoD139 (2014) | |
|---|---|---|---|---|---|---|---|---|---|
| Most adults | - | <130/80 | <140/90 | <140/90 | - | - | - | <140/90 | <140/90 |
| CKD, no DM | |||||||||
| No proteinuria | - | <130/80 | - | <140/90; SBP < 120 if high CV risk | <140/90 | <140/90 | <140/90 | <140/90 | <140/90 |
| Proteinuria | - | <130/80 | - | <140/90; SBP < 120 if high CV risk | <130/80 | <140/90 | <130/80 | <140/90 | <140/90 |
| CKD and DM | |||||||||
| No proteinuria | <140/90; <130/80 or <120/80 if high CV risk & tolerated | <130/80 | - | <130/80 | <140/90 | <140/85 | <140/90 | <140/90 | <140/85 |
| Proteinuria | <140/90; <130/80 or <120/80 if tolerated | <130/80 | - | <130/80 | <130/80 | <140/85 | <130/80 | <140/90 | <140/85 |
| Kidney transplant recipients | - | <130/80 | - | - | <130/80 <125/75 if proteinuriaa | - | <130/80 | - | - |
| Older population | - | <130/80 | SBP < 150; <140 if h/o stroke or high CV riska | <140/90; SBP < 120 if age ≥ 50 y & high CV risk or if age ≥ 75 y | <150/90 | Individualize | <150/90 | Unable to determine | |
Abbreviations: ACC/AHA, ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines; ACP/AAFP, American College of Physicians/American Academy of Family Physicians; ADA, American Diabetes Association; CKD, chronic kidney disease; CV, cardiovascular; DM, diabetes mellitus; ESH/ESC, European Society of Hypertension and the European Society of Cardiology; h/o, history of; JNC8, Report from the Panel Members Appointed to the Eighth Joint National Committee workgroup; KDIGO, Kidney Disease: Improving Global Outcomes; KHA-CARI, Kidney Health Australia-Caring for Australians With Renal Impairment; SBP, systolic blood pressure; VA/DOD, Veterans Affairs/Department of Defense.
No recommendations regarding diastolic blood pressure.