National Guidelines - Meritus Medical Center
2017 National Blood Pressure Guidelines
Classification and Management of Blood Pressure for Adults
BP
Classification
|
Systolic*
BP | |
Diastolic*
BP |
Lifestyle
Modification |Initial Drug Therapy
Without
Compelling
Indications** |Initial Drug Therapy
With
Cardio-Vascular risk factors** |
Referral and
Follow-Up | |
Normal
|
less than 120 |
and |
less than 80 |
Encourage |
None |
None |
Re-asses in 1 yr. | |
Elevated
|
120-129 |
and |
less than 80
|
Yes |
Possible
BP lowering medications
|Possible BP Lowering medications are recommended if cardio-vascular risk factors** are present. |Refer to physician if cardio-vascular risk factors** are present (re-assess in 1 month). Otherwise, re-assess in 3-6 months. Document follow-up. | |
Stage 1
Hypertension |
130-139
|
or
|
80-89 |
Yes |
Possible BP lowering medications are recommended |BP lowering medications are recommended if
cardio-vascular risk factors** are present. |Refer to physician.
If cardio-vascular risk factors** are present, re-assess in 1 month. Otherwise, re-assess in 3-6 months. Document follow-up. | |
Stage 2
Hypertension
|
140 or higher |
or
|
90 or higher |
Yes |BP lowering medications are recommended |BP lowering medications are recommended |Refer to physician.
Re-assess in 1 month.
Document follow-up. | |Hypertensive Crisis |
higher than 180 |
and/
or |
higher than 120 |
Yes | | |See physician immediately | |
*Treatment is based on ≥2 careful readings on ≥2 occasions. Individuals with SBP and DBP in 2 categories should be designed to higher BP category.
**Cardio-vascular risk factors include: coronary artery disease, heart failure, diabetes, kidney disease, stroke or TIA.
College of Cardiology and American Heart Association Blood Pressure Guidelines, Published November 2017, , search Know Your Numbers
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