Initiate drug tx if SBP ≥140 or DBP ≥90 [A][E];¹⁰ goal <140/90 [A][E]¹⁰

¹⁰ [A] applies only to DBP goal in 30-59 yo pts, [E] applies to SBP goal, and DBP goal in 18-29 yo pts.<br><br>¹¹ All 4 drug classes yield comparable effects on overall mortality & CV/cerebrovasc/kidney outcomes; however, for HF outcomes, initial thiazide tx more effective than CCB or ACEI, and ACEI more effective than CCB.<br><br>
¹² If goal BP cannot be reached, drugs from non-recommended classes may be used; consultation w/ a HTN specialist may be indicated [E].