What indicates the optimal intended effect of hydrochlorothiazide therapy in a patient with hypertension?

The optimal intended effect of hydrochlorothiazide therapy in a patient with hypertension is indicated by the blood pressure reading of 128/86. In the management of hypertension, the goal is typically to achieve and maintain blood pressure within a target range that significantly reduces cardiovascular risk and associated complications.

A reading of 120/80 is often considered the ideal blood pressure; however, the reading of 128/86 shows that the patient is below the threshold of 130/80, which is the target for hypertension management according to current guidelines. This range indicates a positive response to antihypertensive therapy, demonstrating that the medication is effectively lowering blood pressure while balancing the need to avoid hypotension and possible side effects.

It's important to note that while the other readings show various levels of blood pressure, they do not reflect an optimal therapeutic outcome. Blood pressures above 130 systolic or 80 diastolic would suggest that the blood pressure is still considered hypertensive, indicating that further adjustments to the treatment regimen may be necessary. Therefore, the reading of 128/86 clearly demonstrates the best outcome under hydrochlorothiazide therapy for a hypertensive patient.