Blood Pressure Target for Hypertensive Patients with Concomitant Coronary Heart Disease

For hypertensive patients with concomitant coronary artery disease, the blood pressure (BP) target should be adjusted according to each patient's specific condition. The basic BP target is to maintain blood pressure below 130/80 mmHg, a standard aimed at effectively reducing the risk of adverse cardiovascular events such as myocardial infarction, stroke, and heart failure.

For certain special populations, such as elderly patients or those with severe comorbidities, to avoid potential adverse effects caused by excessively rapid or aggressive BP reduction and considering their possible risk of atherosclerosis, the BP target may be appropriately adjusted to 140/90 mmHg. This adjustment aims to slow the progression of coronary artery disease while ensuring patient safety.

In actual clinical practice, the patient's age, renal function status, presence of diabetes, and other potential comorbidities should be evaluated to ensure the treatment plan is targeted and effective. Antihypertensive therapy not only includes pharmacological treatment but should also emphasize positive lifestyle modifications, such as promoting healthy dietary habits, regular physical activity, strict smoking cessation, and alcohol consumption limitation.