In which patient populations is a blood pressure of 130/80 mmHg or higher considered hypertension?

A blood pressure of 130/80 mmHg or higher is classified as hypertension specifically in patients with diabetes and chronic kidney disease (CKD) due to the heightened risk of both cardiovascular complications and kidney deterioration associated with these conditions. In these populations, even slightly elevated blood pressure can lead to significant adverse outcomes; thus, stringent management of blood pressure is advised to minimize the risk of further complications.

For individuals with diabetes, the risk of developing heart disease is already increased, and poor blood pressure control can exacerbate this risk. Likewise, CKD is a condition where control of blood pressure is essential to slow disease progression and reduce the likelihood of cardiovascular events. Research supports that maintaining blood pressure at lower targets in these patients can help preserve kidney function and decrease the overall morbidity associated with diabetes and kidney disease.

Other patient populations listed may also experience risks associated with hypertension, but the established guidelines emphasize the need for more stringent blood pressure control, specifically for those with diabetes and CKD, to prevent further health complications.