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Use 130/80 As Default Target
- Use 130/80 mmHg as the default diagnostic and treatment threshold for most adults.
- Discuss individualized goals with patients before intensifying therapy.
Two Dominant Mechanisms Of Hypertension
- Essential hypertension is usually a mix of volume (RAS) and sympathetic mechanisms.
- Fixed-dose combinations work well because they target multiple mechanisms at once.
Treat Anxiety To Help BP Control
- Ask patients about anxiety and consider treating it as part of BP management.
- Consider sertraline for labile, anxiety-linked hypertension when appropriate.