Provides standardized definitions for staging hypertension in adults in primary care based on clinic and ambulatory/home blood pressure monitoring.
Prioritizes ambulatory monitoring for hypertension diagnosis in primary care; extends evidence-based staging and treatment algorithms for clinicians and researchers.
Box 1. Hypertension stages Stage 1 hypertensionClinic blood pressure ≥140/90 mmHg and subsequent ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring (HBPM) average blood pressure ≥135/85 mmHg Stage 2 hypertensionClinic blood pressure ≥160/100 mmHg and subsequent ABPM or HBPM average blood pressure ≥150/95 mmHg Severe hypertensionClinic systolic blood pressure ≥180 mmHg, or clinic diastolic blood pressure ≥110 mmHg
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McCormack et al. (2012) conducted a review in Hypertension. 2011 NICE hypertension guideline recommendations was evaluated. The 2011 NICE guideline recommends ambulatory blood pressure monitoring for diagnosing hypertension and updates the treatment algorithm to emphasize calcium-channel blockers.
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