The Living Guidelines: UA/NSTEMI Recommendations for Blood Pressure Control Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) Blood pressure control according to JNC 7 guidelines is recommended (i.e., blood pressure <140/90 mmHg or <130/80 mmHg if the patient has diabetes mellitus or chronic kidney disease). (Level of Evidence: A)  Additional measures recommended to treat and control blood pressure include the following:
 * a. Patients should initiate and/or maintain lifestyle modifications, including weight control, increased physical activity, alcohol moderation, sodium reduction, and emphasis on increased consumption of fresh fruits, vegetables, and low-fat dairy products. (Level of Evidence: B)
 * b. For patients with blood pressure ≥140/90 mmHg (or ≥130/80 mmHg for individuals with chronic kidney disease or diabetes mellitus), it is useful to add blood pressure medication as tolerated, treating initially with beta blockers and/or ACE inhibitors, with addition of other drugs such as thiazides as needed to achieve target blood pressure. (Level of Evidence: A)