{"id":5005,"date":"2018-10-12T22:02:02","date_gmt":"2018-10-12T22:02:02","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1306"},"modified":"2026-02-10T18:57:00","modified_gmt":"2026-02-10T18:57:00","slug":"2018-esc-esh-classification-of-arterial-hypertension","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/2018-esc-esh-classification-of-arterial-hypertension\/","title":{"rendered":"2018 ESC\/ESH Classification of Arterial Hypertension"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>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.<!--more--><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Classification of office blood pressure\u00b9 and definitions of hypertension grade<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 37.3287%;\"><strong>Category<\/strong><\/td>\n<td style=\"width: 25.0001%; text-align: center;\"><strong>Systolic (mmHg)<\/strong><\/td>\n<td style=\"width: 12.6712%;\"><\/td>\n<td style=\"width: 25%;\"><strong>Diastolic (mmHg)<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Optimal<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">&lt;120<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and<\/td>\n<td style=\"width: 25%; text-align: center;\">&lt;80<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Normal<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">120\u2013129<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and\/or<\/td>\n<td style=\"width: 25%; text-align: center;\">80\u201384<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">High normal<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">130\u2013139<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and\/or<\/td>\n<td style=\"width: 25%; text-align: center;\">85\u201389<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Grade 1 hypertension<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">140\u2013159<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and\/or<\/td>\n<td style=\"width: 25%; text-align: center;\">90\u201399<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Grade 2 hypertension<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">160\u2013179<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and\/or<\/td>\n<td style=\"width: 25%; text-align: center;\">100\u2013109<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Grade 3 hypertension<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">\u2265180<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and\/or<\/td>\n<td style=\"width: 25%; text-align: center;\">\u2265110<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Isolated systolic hypertension\u00b2<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">\u2265140<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">and<\/td>\n<td style=\"width: 25%; text-align: center;\">&lt;90<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>BP = blood pressure; SBP = systolic blood pressure.<br \/>\n\u00b9\u00a0BP category is defined according to seated clinic BP and by the highest level of BP, whether systolic or diastolic.<br \/>\n\u00b2\u00a0Isolated systolic hypertension is graded 1, 2, or 3 according to\u00a0systolic\u00a0BP values in the ranges indicated.<br \/>\nThe same classification is used for all ages from 16 years.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; Authors\/Task Force Members. 2018 ESC\/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension.\u00a0J Hypertens. 2018 Oct;36(10):1953-2041. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30234752\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; ESC Scientific Document Group.\u00a02018 ESC\/ESH Guidelines for the management of arterial hypertension.\u00a0Eur Heart J. 2018 Sep 1;39(33):3021-3104.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30165516\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kreutz R, Brunstr\u00f6m M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, Tsioufis K, de Pinho RM, Albini FL, Boivin JM, Doumas M, Nemcsik J, Rodilla E, Agabiti-Rosei E, Algharably EAE, Agnelli G, Benetos A, Hitij JB, C\u00edfkov\u00e1 R, Cornelissen V, Danser AHJ, Delles C, Huelgas RG, J\u00e1rai Z, Palatini P, Pathak A, Persu A, Polonia J, Sarafidis P, Stergiou G, Thomopoulos C, Wanner C, Weber T, Williams B, Kjeldsen SE, Mancia G. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension. Eur J Intern Med. 2024 Aug;126:1-15. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38914505\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Oct 11, 2018.<br \/>\nUp-date Feb 10, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[389,384,166,167,388,386,387,67,66],"class_list":["post-5005","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-389","tag-arterial","tag-clasificacion","tag-classification","tag-esc","tag-esc-esh","tag-esh","tag-hipertension","tag-hypertension"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=5005"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5005\/revisions"}],"predecessor-version":[{"id":10653,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/5005\/revisions\/10653"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=5005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=5005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=5005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}