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Classification and Management of Blood Pressure
BP Classification Systolic BP, mm Hg* Diastolic BP, mm Hg*Normal
< 120 and < 80
Prehypertension 120-139 or 80-89
Stage 1 hypertension 140-159 or 90-99
Stage 2 hypertension 160 or 100
Treatment Goals All hypertensives: < 140/90 mm Hg
Patients with diabetes: < 130/80 mm HgPatients with chronic
kidney failure: < 130/80 mm Hg
*Treatment determined by highest BP category.
Adapted from Chobanian AV, Bakris GL, Black HR, et al. The
Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation, and Treatment of
High Blood Pressure. The JNC 7
Report. JAMA.2003;289:2561.
Hypertension Guidelines
8/14/2019 National Guidelines and Tools for Cardiovascular
Reduction Preventive Cardiovascular Nurses Association
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Recommendations for Follow-up Based on InitialBlood Pressure
Measurements for Adults Without AcuteEnd-Organ Damage
Initial Blood Pressure,
mm Hg*
Follow-up Recommended
Normal Recheck in 2 y
Prehypertension Recheck in 1 y
Stage 1 hypertension within 2 mo
Stage 2 hypertension Evaluate or refer to source of care within
1 mo.
For those with higher pressures (eg, > 180/110 mm Hg),
evaluate and treat immediately or within 1 wk depending
on clinical situation and complications.
* systolic and diastolic categories are different, follow
recommendations for shorter time follow-up(eg, 160/86 mm Hg should
be evaluated or referred to source of care within 1 mo).
Modify the scheduling of follow-up according to reliable
information about past BP measurements,
other cardiovascular risk factors, or target organ disease.
Provide advice about lifestyle
Adapted from Chobanian AV, Bakris GL, Black HR, et al. The
Seventh Report of the Joint National
Committee on Prevention, Detection, Evaluation, and Treatment of
High Blood Pressure. The JNC 7
Report. Hypertension.2003;42:1213.
If
Hypertension Guidelines
