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Alg Treat MTH PR Tens
Alg Treat MTH PR Tens
Set Blood Pressure Goal and Initiate Blood Pressure Lowering Medication Based on
Age, Diabetes, and CKD
Age >60 years and No Age <60 years and No All Ages with Diabetes
All Ages with CKD
Diabetes and No CKD Diabetes and No CKD and No CKD
Goal SBP <150 mm Hg Goal SBP <140 mm Hg Goal SBP <140 mm Hg Goal SBP <140 mm Hg
Goal DBP <90 mm Hg Goal DBP <90 mm Hg Goal DBP <90 mm Hg Goal DBP <90 mm Hg
Initiate thiazide-type diuretic or Initiate thiazide-type diuretic or ACEI Initiate ACEI or ARB alone or in
CCB alone or in combination or ARB or CCB alone or in combination combination with other class
NO
Reinforce medication and lifestyle adherence
For strategies A and B, add and titrate thiazide-type diuretic or ACEI or ARB or CCB (use
medication class not previously selected, and avoid combined use of ACEI and ARB)
For strategy C, titrate doses of initial medications to maximum
Continue Current
At Goal Blood Pressure? YES Treatment and
Monitoring
NO
Reinforce medication and lifestyle adherence
Add and titrate thiazide-type diuretic or ACEI or ARB or CCB (use medication class not
previously selected, and avoid combined use of ACEI and ARB)
NO