Appropriate therapeutic targets can be set only after comprehensive evaluation of the patient. The minimum therapeutic goal for those with uncomplicated hypertension is <140/90 mmHg. However, a minimum BP of <130/85 mmHg should be the therapeutic goal in hypertensive patients with renal insufficiency, diabetes mellitus, and/or CHF.

When proteinuria exceeds 1 g/24 h, the appropriate BP target is even lower at <125/75 mmHg. Gradual attainment of these BP levels over many weeks to months is preferable to more rapid BP normalization if overmedication and treatment-related side effects are to be avoided.

DR.NITIN SHAKYA