, CKD5 , ) Abbreviations: CHF: chronic heart failure; CKD: chronic kidney disease; CPGs: clinical practice guidelines; LVH: left ventricular hypertrophy; MI: myocardial infarction; OSA: obstructive sleep apnea Sidebar 4: Goals for Blood Pressure Systolic Goal (see Recommendations 6 8) <130 mm Hg If less stringent goal is desired per clinical judgment and/or patient preferences, aim for at least: <150 mm Hg for patients age 60 and over <140 mm Hg for patients age 60 and over with type 2 diabetes Diastolic Goal (see Recommendation 9) <90 mm Hg for patients age 30 and over 5 See the VA/DoD Clinical Practice Guideline for the Management of Chronic Kidney Disease. Available at: https://www.healthquality.va.gov/guidelines/CD/CKD/ 6 See the VA/DoD Clinical Practice Guideline for the Management of Dyslipidemia for Cardiovascular Risk Reduction. Available at: https://www.healthquality.va.gov/guidelines/CD/lipids/ 7 See the VA/DoD Clinical Practice Guideline for the Management of Type 2 Diabetes Mellitus in Primary Care. Available at: https://www.healthquality.va.gov/guidelines/CD/diabetes/ 8 See the VA/DoD Clinical Practice Guideline for Screening and Management of Obesity and Overweight. Available at: https://www.healthquality.va.gov/guidelines/CD/obesity/ Sidebar 5: Initiate Drug Therapy General Population: Recommend one or more of the following: Thiazide-type diuretics ACEIs or ARBs* Long-acting CCBs For patients unlikely to achieve goal with monotherapy (e.g.