What is the goal blood pressure for most patients according to hypertension treatment principles?

The goal blood pressure for most patients, particularly those with hypertension or at risk for cardiovascular diseases, is typically targeted to be less than 140/90 mmHg. This threshold is supported by various clinical guidelines and research studies that focus on reducing cardiovascular risk and preventing complications associated with elevated blood pressure.

Setting the goal at less than 140/90 creates a balance that allows for effective management of hypertension, particularly in older adults, while minimizing the risk of over-treatment or adverse effects associated with more aggressive lowering of blood pressure. It recognizes the need for a practical approach that can be sustained by patients in real-world settings, given that blood pressure control is often a lifelong endeavor.

Other options may represent goals for specific populations or conditions but are not the standard target for the general population. For example, the option of less than 130/60 mmHg may represent a more stringent target that could lead to risks of hypotension, particularly in elderly patients. Similarly, aiming for less than 120/80 mmHg is often ideal for optimal heart health, but may not be realistic or necessary for all patients, particularly those significantly older or with certain comorbidities.