Below 130/80 mmHg? Yes
bp-at-goalNo one has reached this rule yetContinue current approach; monitor periodically
No clinician has signed off this rule yet. It reflects our reading of the guidelines cited below, which has not been independently checked.
Word for word, as generated for the example person below. Figures in the text are theirs.
You're at goal without medication — continue lifestyle measures and monitor periodically.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
Your reported reading (118/74 mmHg) is already below the 130/80 target.
ACC/AHA (US)
Not a separate graded recommendation. It follows from the blood pressure goal. For people on treatment, home monitoring to guide dose changes is Class 1, Level A.
2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation and… · Recommendation behind this rule · carried over from an earlier review, not yet re-read
Promising, but not in the guidelines yet.
The <130/80 universal target itself was the frontier position a few years ago. It is now current guideline, not a step ahead of it.
Expert guidelinesOfficial guidelines recommend it, based on trials plus expert judgment.
The <130/80 universal target and the lower drug-initiation threshold for higher-risk groups were themselves the 'frontier' position as recently as a few years ago; they are now current guideline.
“Low risk, nothing flagged” — an illustrative profile, not a real user.
Cited by the recommendations above.
For practising clinicians. Endorse it, propose a change, or dispute it. We verify every reviewer before a review is shown, and a review stays attached to the version of the rule you saw — if the rule changes, the page says so. You'll be asked to declare any relevant interests; they're shown with your review.
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Runs in lib/engine/bpPathway.ts as bp-at-goal.