Table 3.

BP Goals According to Guidelines

	ESH/ESC 20136	ASH/ISH 20137	JNC 8 20138	CHEP 20149	NICE 201110	AHA/ACC/CDC 201312
BP goal in the elderly – general population	In fit elderly patients younger than 80 years: SBP <140 mm Hg if treatment is well tolerated (IIb, C) In patients 80 years and older: SBP between 150 mm Hg and 140 mm Hg, if they are in good physical and mental condition (I, B)	For most patients: BP <140/90 mm Hg In patients 80 years and older: BP <150/90 mm Hg who do not have CKD or DM; (in case of DM or CKD, BP <140/90 mm Hg can be considered)	SBP <150 mm Hg DBP <90 mm Hg (strong recommendation, grade A)	For patients 80 years and older who do not have DM or TOD: SBP <150 mm Hg (grade C)	For patients younger than 80 years: BP <140/90 mm Hg For patients 80 years and older: BP <150/90 mm Hg	BP ≤139/89 mm Hg
BP goal in patients with DM	SBP goal <140 mm Hg (I, A) DBP goal <85 mm Hg (I, A)	BP <140/90 mm Hg	SBP <140 mm Hg and DBP <90 mm Hg (expert opinion, grade E)	SBP <130 mm Hg (grade C) and DBP <80 mm Hg (grade A)	NS	NS, but a BP <140/90 mm Hg could be considered
BP goal for patients with predialysis CKD	<140 mm Hg should be considered (IIa, B) When overt proteinuria is present, SBP values <130 mm Hg may be considered, provided that changes in eGFR are monitored (IIb, B)	BP <140/90 mm Hg	SBP <140 mm Hg and DBP <90 mm Hg (expert opinion, grade E)	BP <140/90 mm Hg (grade A)	NS	NS, but a BP <140/90 mm Hg could be considered

ESH/ESC 20136

ASH/ISH 20137

JNC 8 20138

CHEP 20149

NICE 201110

AHA/ACC/CDC 201312

BP goal in the elderly – general population

In fit elderly patients younger than 80 years: SBP <140 mm Hg if treatment is well tolerated (IIb, C)

In patients 80 years and older: SBP between 150 mm Hg and 140 mm Hg, if they are in good physical and mental condition (I, B)

For most patients: BP <140/90 mm Hg

In patients 80 years and older: BP <150/90 mm Hg who do not have CKD or DM; (in case of DM or CKD, BP <140/90 mm Hg can be considered)

SBP <150 mm Hg

DBP <90 mm Hg

(strong recommendation, grade A)

For patients 80 years and older who do not have DM or TOD: SBP <150 mm Hg (grade C)

For patients younger than 80 years: BP <140/90 mm Hg

For patients 80 years and older: BP <150/90 mm Hg

BP ≤139/89 mm Hg

BP goal in patients with DM

SBP goal <140 mm Hg

(I, A)

DBP goal <85 mm Hg

(I, A)

BP <140/90 mm Hg

SBP <140 mm Hg and DBP <90 mm Hg

(expert opinion, grade E)

SBP <130 mm Hg (grade C) and DBP <80 mm Hg (grade A)

NS, but a BP <140/90 mm Hg could be considered

BP goal for patients with predialysis CKD

<140 mm Hg should be considered

(IIa, B)

When overt proteinuria is present, SBP values <130 mm Hg may be considered, provided that changes in eGFR are monitored

(IIb, B)

BP <140/90 mm Hg

SBP <140 mm Hg and DBP <90 mm Hg

(expert opinion, grade E)

BP <140/90 mm Hg (grade A)

NS, but a BP <140/90 mm Hg could be considered

Abbreviations: BP, blood pressure; CKD, chronic kidney disease; DBP, diastolic blood pressure; DM, diabetes mellitus; eGFR, estimated glomerular filtration rate; NS, no statement; SBP, systolic blood pressure; TOD, target organ damage. For the ESH/ESC guidelines, the class of recommendation and the level of evidence are stated in parentheses; For the JNC 8 guidelines, the strength of recommendation and its grade are stated in parentheses.