What is the blood pressure goal in CAD risk factor management?

• A. <120/80
• B. <130/85
• C. <140/90
• D. <110/70

Answer: (A)

Lower blood pressure targets in people with coronary artery disease risk factors are chosen to reduce stresses on the heart and vessels and to lower the chance of ischemic events. A target around 120/80 mmHg represents aggressive control that has been associated with fewer major cardiovascular events, including heart attack and stroke, by decreasing both the heart’s workload and the force exerted on atherosclerotic plaques. This level supports better diastolic coronary perfusion and helps prevent progression of vascular disease, which is particularly important in patients at high risk for CAD complications. In practice, reaching this goal typically involves a combination of lifestyle changes and appropriate medications (such as ACE inhibitors or ARBs, beta-blockers, diuretics, or calcium channel blockers) with careful monitoring to maintain safety and tolerability. While guidelines vary and some ecosystems accept slightly higher targets depending on comorbidities, the described goal reflects a protective, lower-pressure target used in comprehensive CAD risk management.