The accurate measurement of blood pressure (BP) is essential for the diagnosis and management of hypertension. Regardless of who is measuring BP or the method used (eg, auscultatory or oscillometric), the accuracy of the BP readings relies on standardized techniques and appropriate observer training. Continue reading “Principles and Techniques of Blood Pressure Measurement”
The definition of hypertension was recently changed by the American College of Cardiology – American Heart Association to a systolic arterial pressure of more than 130 mm Hg, a diastolic pressure of more than 80 mm Hg, or both. Continue reading “New Diagnostic and Treatment Criteria for Hypertension in Adults”
Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. Patients want to be assured that blood pressure (BP) treatment will reduce their disease burden, while clinicians want guidance on hypertension management using the best scientific evidence. Continue reading “Recommendations for Management of Hypertension (JNC 8)”
The relationship between BP and cardiovascular (CV) and renal events is continuous, making the distinction between normotension and hypertension, based on cut-off BP values, somewhat arbitrary. However, in practice, cut-off BP values are used for pragmatic reasons to simplify the diagnosis and decisions about treatment. Continue reading “2018 ESC/ESH Classification of Arterial Hypertension”
The recommended classification is unchanged from the 2003 and 2007 ESH/ESC guidelines. Hypertension is defined as values >/=140 mmHg systolic blood pressure (SBP) and/or >/=90 mmHg diastolic blood pressure (DBP), based on the evidence from randomized controlled trials (RCTs) that in patients with these blood pressure (BP) values treatment-induced BP reductions are beneficial.
Continue reading “Definitions and Classification of Office Blood Pressure Levels (2013 ESH/ESC)”
In addition to the prediction of cardiovascular risk, ambulatory blood-pressure monitoring, when used in conjunction with clinic blood-pressure assessments, is of potential value in a variety of other clinical conditions. Some of these conditions are:
Continue reading “Recommendations for the Use of Ambulatory Blood-Pressure Monitoring”
The classification is based on the average of two or more properly measured, seated blood pressure readings on each of two or more office visits.
Continue reading “JNC-VII Classification and management of blood pressure for adults”
This classification equates with that of the European Society of Hypertension (ESH) and that of World Health Organization/ International Society of Hypertension (WHO/ISH), and is based on clinic blood pressure values. If systolic blood pressure and diastolic blood pressure fall into different categories, the higher value should be taken for classification. Continue reading “British Hypertension Society Classification of Blood Pressure Levels (BHS-IV)”
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