The Living Guidelines: Chronic Stable Angina Pectoris Recommendations for Blood Pressure Control Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) Patients should initiate and/or maintain lifestyle modifications (e.g., weight control; increased physical activity; moderation of alcohol consumption, limited sodium intake, and maintenance of a diet as high in fresh fruits, vegetables, and low-fat dairy products. Class I (Level of Evidence: B)
 * 2) Blood pressure control according to Joint National Conference VII guidelines is recommended (i.e., blood pressure <140/90 mmHg or <130/80 mmHg for patients with diabetes mellitus or chronic kidney disease). Class I (Level of Evidence: A)
 * 3) For hypertensive patients with well established coronary artery disease, it is useful to add blood pressure medication as tolerated, treating initially with beta blockers and/or ACE inhibitors, with addition of other drugs as needed to achieve target blood pressure. Class I (Level of Evidence: C)