When treating hypertension, physicians, patients, and clinical guidelines focus on reducing systolic blood pressure. Diastolic blood pressure tends to be a secondary concern, as it usually decreases when systolic pressure is reduced.
But when diastolic pressure is too low�in general, less than 70 mm Hg�it is associated with increased cardiovascular events (including mortality), especially in older patients and those with established coronary artery disease and diabetes. Now, a new study adds chronic kidney disease to the list of conditions that appear to be adversely affected by low diastolic pressure (Kovesdy CP et al. Ann Intern Med. 2013;159[4]:233-242).
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