Heart Health

Higher-risk group for blood pressure

Diabetes (incl. by A1c), known CVD, CKD (low eGFR or albuminuria), or 10-yr PREVENT-CVD ≥7.5%? Yes — lower threshold applies (130/80)

Routing stephigher-risk-yesFewer than 5 people have reached this rule so far

Clinical review

All reviewers

No clinician has signed off this rule yet. It reflects our reading of the guidelines cited below, which has not been independently checked.

What someone who reaches this rule is told

This is a routing step: it says nothing itself, and decides which rule applies next. For the example person, that is Higher-risk group above goal.

An example person who reaches it

“Diabetes, already on a statin” — an illustrative profile, not a real user.

54-year-old womanBP 134/84LDL 96diabetes, A1c 7.2%on a statin10-yr PREVENT-ASCVD 5.4%

Their path through blood pressure

  1. Below 130/80 mmHg?No
  2. Diabetes (incl. by A1c), known CVD, CKD (low eGFR or albuminuria), or 10-yr PREVENT-CVD ≥7.5%?Yes — lower threshold applies (130/80) ← this rule
  3. At or above 130/80? (In this group the treatment threshold is the goal, so being above goal means yes.)Yes

Where it sits

Asked after: Blood pressure 130/80 or above

Then asks: At or above 130/80? (In this group the treatment threshold is the goal, so being above goal means yes.)

Review this rule

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 higher-risk-yes.