BP Target Post-ACS — RACP Adult Medicine MCQ

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EasyCardiologyBP Target Post-ACSRACP Adult Medicine

A 70-year-old man with stable angina and CKD stage 3 is on aspirin, atorvastatin, and amlodipine. His blood pressure is 135/82 mmHg. According to the 2025 Australian ACS guidelines, what is the recommended blood pressure target for secondary prevention post-ACS?

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Correct answer: A — <130/80 mmHg

The 2025 Australian ACS guideline recommends a blood pressure target of <130/80 mmHg for secondary prevention following ACS, consistent with the ESC and ACC/AHA guidelines. This more intensive target is based on evidence from the SPRINT trial (for non-diabetic patients) and multiple meta-analyses showing reduced cardiovascular events with lower BP targets. ACE inhibitors or ARBs are preferred first-line agents given their additional cardioprotective benefits.

Reference: NHF/CSANZ – 2025 – Australian ACS Guideline; NHF – 2016 – Hypertension Guidelines