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Evidence Supporting a Systolic Blood Pressure Goal of Less Than 150 mm Hg in Patients Aged 60 Years or Older: The Minority View

La reanudación del Diplomado  Atención al Paciente Hipertenso se efectuará  el día viernes 4 de Septiembre, a las 9 am.  y que se efectuará, como está programado,  en el Anfiteatro del Hospital Calixto García. La coordinadora de este módulo de " HTA y cerebro" es la Profesora Dra.  Yamilé Valdés   con la que  puden comunicarse  por: 

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Evidence Supporting a Systolic Blood Pressure Goal of Less Than 150 mm Hg in Patients Aged 60 Years or Older: The Minority View

annals-of-internal-medicinePor: Jackson T. Wright Jr., MD, PhD; Lawrence J. Fine, MD, DrPH; Daniel T. Lackland, PhD; Gbenga Ogedegbe, MD, MPH, MS; y Cheryl R. Dennison Himmelfarb, PhD, RN, ANP.

The “2014 Evidence-Based Guideline for the Management of High Blood Pressure In Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)” recommends several major changes from the JNC 7 report. The 2014 guideline is based on a systematic review of randomized, controlled trials (RCTs) by a multidisciplinary panel using a process informed by Institute of Medicine recommendations for guideline development. Although there was almost unanimous agreement on nearly all recommendations, a minority of the panel (the authors of this commentary) disagreed with the recommendation to increase the target systolic blood pressure (SBP) from 140 to 150 mm Hg in persons aged 60 years or older without diabetes mellitus (DM) or chronic kidney disease (CKD). This target guides both the initiation of therapy and treatment goals