The Living Guidelines: Blood Pressure Control Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines
Goal: <140/90 mmHg or <130/80 mmHg if patient has diabetes or chronic kidney disease


 * 1) For patients with blood pressure ≥140/90 mmHg (or ≥130/80 mmHg for patients with diabetes or chronic kidney disease), it is recommended to initiate or maintain lifestyle modification (weight control; increased physical activity; increased consumption of fresh fruits, vegetables, and low-fat dairy products). (Class I Level of Evidence: B)
 * 2) For patients with blood pressure ≥140/90 mm Hg (or ≥130/80 mmHg for patients with diabetes or chronic kidney disease), it is useful as tolerated, to add blood pressure medication, with the addition of other drugs such as thiazides as needed to achieve goal blood pressure. (Class I Level of Evidence: A)