This should alert the clinician to assess carefully any untoward signs or symptoms, espe- cially those resulting from myocardial ischemia. In patients >80 years of age, a reasonable BP target is <150/80 mmHg, although there are no direct data to support this, or any other specific BP goal, in this age group. 1. The <140/90-mmHg BP target is reasonable for the secondary prevention of cardiovascular events in pa- tients with hypertension and CAD (Class IIa; Level of Evidence B). 2. A lower target BP (<130/80 mmHg) may be appropri- ate in some individuals with CAD, previous MI, stroke or transient ischemic attack, or CAD risk equivalents (carotid artery disease, PAD, abdominal aortic aneu- rysm) (Class IIb; Level of Evidence B). 3. In patients with an elevated DBP and CAD with evidence of myocardial ischemia, the BP should be lowered slowly, and caution is advised in induc- ing decreases in DBP to <60 mmHg in any patient with diabetes mellitus or who is >60 years of age. In older hypertensive individuals with wide pulse pres- sures, lowering SBP may cause very low DBP values (<60 mmHg). This should alert the clinician to assess carefully any untoward signs or symptoms, especially those resulting from myocardial ischemia (Class IIa; Level of Evidence C). 4. Management of Hypertension in Patients With CAD and Stable Angina The management of hypertension in patients with chronic CAD and chronic stable angina is directed toward the prevention of death, MI, and stroke; a reduction in the frequency and duration of myocardial ischemia; and the amelioration of symptoms. Lifestyle changes and the adoption of a heart healthy approach are critical, with the usual attention to diet, sodium intake, mod- eration of alcohol intake, regular exercise, weight loss, smoking cessation, glycemic control, lipid management, and antiplate- let therapy. 