. 2020 Feb 29;50(6):476–484. doi: 10.4070/kcj.2019.0338

Table 2. Comparison of office BP targets in major hypertension guidelines.

Category		KSH 2018	ACC/AHA 2017	ESC/ESH 2018	JSH 2019
General population		<140/90	<130/80	<130/80	<130/80
Elderly (≥65 years of age)^*		<140/90	<130 (SBP)	<140/80	<140/90 (≥75 years)
Diabetes mellitus		<140/85	<130/80	<130/80	<130/80
Chronic kidney disease	Proteinuria (−)	<140/90	<130/80	<140/80	<140/90^§
Chronic kidney disease	Proteinuria (+)	<130/80	<130/80	<140/80	<130/80
Cardiovascular disease	Coronary artery disease	<130/80	<130/80	<130/80	<130/80
Cardiovascular disease	Heart failure	<130/80	<130/80	<130/80^†	<130 (SBP)
Cerebrovascular disease^‡	Stroke/TIA	<140/90	<130/80	<130/80	<130/80
Cerebrovascular disease^‡	Lacunar	<130/80	<130/80	<130/80	<130/80

ACC = American College of Cardiology; AHA = American Heart Association; BP = blood pressure; ESC = European Society of Cardiology; ESH = European Society of Hypertension; JSH = Japanese Society of Hypertension; KSH = Korean Society of Hypertension; SBP = systolic blood pressure; TIA = transient ischemic attack.

^*Office BP thresholds for treatment in very old patients (≥80 years) or frail elderly hypertensives when BP is ≥160/90 mmHg in both KSH and ESH guidelines, whereas BP level to initiate treatment is SBP ≥130 and ≥140/90 mmHg in ACC/AHA and JSH guidelines, respectively; ^†Outcome for patients with heart failure is poor if BP values are low, which suggests that it may be wise to avoid actively lowering BP to <120/70 mmHg, especially in heart failure with reduced ejection fraction; ^‡Recommended BP goals for the secondary stroke prevention. ESH guideline suggests an SBP target range of 120–130 mmHg should be considered in all hypertensive patients with ischemic stroke or TIA; ^§JSH guideline recommends a target BP <140/90mmHg in patients with cerebrovascular disease in whom bilateral carotid artery stenosis and/or cerebral main artery occlusion is present or has not yet been evaluated.