What is the recommended BP goal for patients with CKD and a 10-year ASCVD risk of 10%?
The recommended BP goal for patients with CKD and a 10-year ASCVD risk of 10% is 130/80 mm Hg. Most patients with CKD have a 10-year ASCVD risk 10%, requiring the initiation of antihypertensive drug therapy at BP 130/80 mm Hg. Meta-analyses and systematic reviews of trials that compare more intensive BP reduction to standard BP reduction report that more intense BP lowering significantly reduces the risk of stroke, coronary events, major cardiovascular events, and cardiovascular mortality. Achieving an additional 10 mmHg reduction in SBP reduced CVD risk when compared with an average BP of 158/82 to 143/76 mmHg, 144/85 to 137/81 mmHg, and 134/79 to 125/76 mmHg.