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. 2021 Mar 3;116(3):516–658. [Article in Portuguese] doi: 10.36660/abc.20201238

Chart 9.1. – Onset of treatment with lifestyle interventions and pharmacological treatment according to blood pressure, age, and cardiovascular risk.

Status Scope Recommendation Class Level of evidence
Onset of lifestyle interventions All stages of hypertension and blood pressure 130-139/85-89mm Hg To diagnosis I A
Onset of pharmacological treatment Stage 2 and 3 hypertensive patients To diagnosis I A
Stage 1 hypertensives at moderate to high cardiovascular risk To diagnosis I B
Stage 1 hypertensives and low cardiovascular risk Individuals with BP 130-139/85-89 mm Hg and preexisting CVD or at high cardiovascular risk Wait 3 months for effects of lifestyle interventions IIa B
Frail older adults and/or oldest old hypertensives SBP ≥ 160 mm Hg I B
Healthy older hypertensive patients SBP ≥ 140mm Hg I A
Individuals with BP 130-139/85-89 mm Hg without preexisting CVD and at low to moderate cardiovascular risk Not recommended III