Organisation | Year | Diagnostic threshold | Treatment threshold |
---|---|---|---|
UK National Institute for Health and Care Excellence (NICE) | 2011 | OBPM diagnostic threshold: ≥140/90 mmHg (ABPM/HBPM diagnostic threshold: ≥135/85 mmHg) | All patients under 80 yrs: OBPM < 140/90 mmHg (ABPM/HBPM: <135/85 mmHg) |
OBPM Stage 2 Hypertension ≥160/100 mmHg (ABPM/HBPM: ≥150/95 mmHg) | Diabetes : OBPM <140/80 mmHg (or <130/80 mmHg if complications present) | ||
Older ≥80 yrs: OBPM <150/90 mmHg (ABPM/HBPM <145/85 mmHg) | |||
European Society of Hypertension (ESH) | 2013 | OBPM: ≥140 and/or ≥90 | All patients under 80 yrs OBPM <140/90 mmHg |
(ABPM Daytime (or awake): ≥135 and/or ≥85 mmHg, ABPM Night-time (or asleep): ≥120 and/or ≥70 mmHg, ABPM 24-h: ≥130 and/or ≥80 mmHg, HBPM: ≥135 and/or ≥85 mmHg) | Diabetes: OBPM <140/85 mmHg | ||
High Risk Patients: OBPM <130/80Â mmHg | |||
Older ≥80 yrs: OBPM <150/90 mmHg | |||
Joint National Committee on Prevention, Detection, Evaluation and Treatment of Blood Pressure (JNC 7) | 2004 | Stage 1 hypertension diagnosis should be confirmed within 2 months after initial elevated OBPM ≥140/90 mmHg | Non-diabetic patients: OBPM <140/90 mmHg |
Diabetic/CKD patients: OBPM <130/80Â mmHg | |||
Stage 2 hypertension should be confirmed within 1Â m | |||
≥180/110 mm Hg evaluate and treat immediately | |||
(ABPM Daytime (or awake): ≥135/85 mmHg, ABPM Night-time (or asleep): ≥120/75 mmHg) | |||
Routine blood pressure measurements should be taken | |||
− at least once every 2 years for adults with <120/80 mmHg | |||
− every year for adults with 120-139/80-89 mmHg | |||
Joint National Committee on Prevention, Detection, Evaluation and Treatment of Blood Pressure (JNC 8) | 2014 | • Guidelines did not address diagnostic thresholds of hypertension. | Age <60 yrs: OBPM <140/90 mmHg |
Diabetes No CKD: OBPM <140/90Â mmHg | |||
• The supplementary material recommends averaging 2–3 measurements at each visit to establish a diagnosis of hypertension. | CKD present with or without diabetes: OBPM <140/90 mmHg | ||
Older ≥60 years: OBPM <150/90 mmHg | |||
• Thresholds for pharmacological treatment were defined. | |||
• HBPM and ABPM were not included. | |||
Canadian Hypertension Education Program (CHEP) | 2015 | ABPM Daytime (or awake): ≥135/85 mmHg | All ages <80 yrs: OBPM <140/90 mmHg |
ABPM 24-h: ≥130/80 mmHg | Diabetes: OBPM <130/80 mmHg | ||
HBPM diagnostic threshold: ≥135/85 mmHg) | Older ≥80 yrs: OBPM <150 mmHg | ||
OBPM diagnostic threshold: | |||
≥140/90 mmHg averaged across two visits; | |||
≥160/110 mmHg averaged across three visits; | |||
or if ≥140/90 mmHg averaged across five visits |