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Contemporary Hypertension Management

1. Calculate absolute CVD risk (eg, w Framingham or Pooled Cohort Risk Equations).

2. At higher risk (eg 7.5-10%) treat to SBP < 130 mm Hg

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3. At lower risk (eg < 7.5%) treat to SBP < 150 mm Hg

4. Lifestyle changes first, drugs as needed; lower BPs are generally better if patients tolerate treatment

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