Cardiovascular Medicine Book


  • Hypertension Criteria

Information Resources


Hypertension Criteria

Aka: Hypertension Criteria, Hypertension Reduction Goal, High-Normal Blood Pressure, Stage 1 Hypertension, Stage 2 Hypertension, Stage 3 Hypertension, Stage 4 Hypertension
  1. See Also
    1. Medication Causes of Hypertension
    2. Pregnancy Induced Hypertension
    3. Hypertension
    4. Hypertension Evaluation
    5. Hypertension Evaluation History
    6. Hypertension Causes
    7. Evaluation Exam
    8. Hypertension Evaluation Labs
    9. Isolated Systolic Hypertension
    10. Hypertension Management
    11. Hypertension Risk Stratification
    12. Resistant Hypertension
    13. Antihypertensive Selection
    14. Hypertension Management for Specific Comorbid Diseases
    15. Hypertension Management for Specific Populations
    16. Hypertension Management for Specific Emergencies
    17. Hypertension in Children
    18. Hypertension in Infants
    19. Hypertension in Pregnancy
    20. Hypertension in Athletes
    21. Hypertension in the Elderly
  2. Criteria: Hypertension in Adults
    1. Background
      1. The Running tally of goal BP changes to guidelines every few years is listed below
      2. Are these goal changes sound?
    2. ACC/AHA Guidelines 2017 (AAFP and ADA recommend JNC-8 guidelines)
      1. BP <120/80 (normal)
        1. Goal ideal Blood Pressure
      2. BP >=120/80 (elevated)
        1. Lifestyle changes and evaluate for Medication Causes of Hypertension
      3. BP >=130/80 (Stage 1 Hypertension)
        1. Start antihypertensives in cardiovascular disease, Diabetes Mellitus, Chronic Kidney Disease, >10% CV risk
      4. BP >140/90 (Stage 2 Hypertension)
        1. Start antihypertensives if not already started
      5. References
    3. JNC-8 Blood Pressures goals (modified as of 2013)
      1. Renal Insufficiency: <140/90 mmHg
      2. Diabetes Mellitus: <140/90 mmHg
        1. ADA recommends <140/80 mmHg
        2. Age >80 years: <150/90 mmHg
      3. No Diabetes Mellitus or renal disease
        1. Age <60 years: <140/90 mmHg
        2. Age >60 years: <150/90 mmHg
      4. References
        1. James (2014) JAMA 311(5):507-20 [PubMed]
    4. Goal Blood Pressures for Hypertensive Patients (JNC-7 Guidelines)
      1. Hypertension without Co-morbidity: <140/90
      2. Diabetes Mellitus: <130/80
      3. Congestive Heart Failure: <130/80
      4. Renal Insufficiency: <130/80
      5. Renal Failure and >1g Proteinuria/24 hours: <125/75
    5. JNC-7 Blood Pressure definitions
      1. Optimal Blood Pressure: <115/80
      2. Normal Blood Pressure: <120/80
      3. Pre-Hypertension: 120-139/80-89
      4. Stage 1 Hypertension: 140-159/90-99
      5. Stage 2 Hypertension: >160/100
    6. Stages eliminated in JNC-7
      1. Stage 3 Hypertension: 180-209/110-119
      2. Stage 4 Hypertension: >210/120
    7. Isolated Systolic Hypertension
      1. Systolic Blood Pressure: >140 mmHg
      2. Diastolic Blood Pressure: <90 mmHg
  3. Criteria: Hypertension in Children and Adolescents (based on age, height, gender over at least 3 values)
    1. Normal Blood Pressure
      1. Blood Pressure <90% for age, height, gender or
      2. Blood Pressure <120/80 for age 13 years or older
    2. Elevated Blood Pressure or Prehypertension
      1. Blood Pressure 90% to 95% for age, height, gender or
      2. Blood Pressure >120/80 mmHg for age 13 years or older
    3. Stage I Hypertension
      1. Blood Pressure 95 to 99% plus 12 mm Hg for age, height, gender or
      2. Blood Pressure >130/80 mmHg for age 13 years or older
    4. Stage II Hypertension
      1. Blood Pressure >99% plus 12 mm Hg for age, height, gender or
      2. Blood Pressure >140/90 mmHg for age 13 years or older
    5. Hypertensive Urgency
      1. Systolic Blood Pressure more than 30 mmHg above 95th percentile or
      2. Systolic Blood Pressure >180/120 mmHg for age 13 years or older
    6. References
      1. Flynn (2017) Pediatrics 140(3): e20171904 [PubMed]
  4. Criteria: Hypertension in Adolescents
    1. Age 16-18 years
      1. Significant Hypertension: BP> 142/92
      2. Severe Hypertension: BP> 150/98
    2. Age: 13-15 years
      1. Significant Hypertension: BP> 136/86
      2. Severe Hypertension: BP> 144/92
  5. Criteria: Hypertension in Children
    1. Age 10-12 years
      1. Significant Hypertension: BP> 126/82
      2. Severe Hypertension: BP> 134/90
    2. Age 6-9 years
      1. Significant Hypertension: BP> 122/78
      2. Severe Hypertension: BP> 130/86
    3. Age 3-5 years
      1. Significant Hypertension: BP> 116/76
      2. Severe Hypertension: BP> 124/84
    4. Age 1 month to 2 years
      1. Significant Hypertension: BP> 112/74
      2. Severe Hypertension: BP> 118/82
    5. Age 8-30 days
      1. Significant Hypertension: SBP> 104
      2. Severe Hypertension: SBP> 110
    6. Age <7 day old
      1. Significant Hypertension: SBP> 96
      2. Severe Hypertension: SBP> 106
  6. Resources
    1. http: // /hbp/hbp_ped.pdf
  7. Reference
    1. (1987) Pediatrics 79(1):1-25 [PubMed]
    2. (1997) Arch Intern Med 157:2413-46 [PubMed]
    3. (2000) NKF Consensus Report

Hypertensive disease (C0020538)

Definition (MEDLINEPLUS)

Blood pressure is the force of your blood pushing against the walls of your arteries. Each time your heart beats, it pumps out blood into the arteries. Your blood pressure is highest when your heart beats, pumping the blood. This is called systolic pressure. When your heart is at rest, between beats, your blood pressure falls. This is the diastolic pressure.

Your blood pressure reading uses these two numbers, the systolic and diastolic pressures. Usually they are written one above or before the other. A reading of

  • 119/79 or lower is normal blood pressure
  • 140/90 or higher is high blood pressure
  • Between 120 and 139 for the top number, or between 80 and 89 for the bottom number is prehypertension

High blood pressure usually has no symptoms, but it can cause serious problems such as stroke, heart failure, heart attack and kidney failure. You can control high blood pressure through healthy lifestyle habits and taking medicines, if needed.

NIH: National Heart, Lung, and Blood Institute

Definition (NCI_CDISC) Pathological increase in blood pressure defined as one of the following: History of hypertension diagnosed and treated with medication, diet, and/or exercise; On at least 2 separate occasions, documented blood pressure greater than 140 mm Hg systolic and/or 90 mm Hg diastolic in patients without diabetes or chronic kidney disease, or blood pressure greater than 130 mm Hg systolic or 80 mm Hg diastolic in patients with diabetes or chronic kidney disease; Currently on pharmacological therapy for the treatment of hypertension.
Definition (NCI) Blood pressure that is abnormally high.
Definition (NCI_CTCAE) A disorder characterized by a pathological increase in blood pressure; a repeatedly elevation in the blood pressure exceeding 140 over 90 mm Hg.
Definition (NCI_NCI-GLOSS) A blood pressure of 140/90 or higher. High blood pressure usually has no symptoms. It can harm the arteries and cause an increase in the risk of stroke, heart attack, kidney failure, and blindness.
Definition (CSP) persistantly high arterial blood pressure.
Definition (MSH) Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more.
Concepts Disease or Syndrome (T047)
MSH D006973
ICD9 997.91, 401-405.99
ICD10 I10-I15.9, I10, I10-I15
SnomedCT 38341003, 155302005, 194757006, 194760004, 155295004, 194756002, 266287006, 194794002, 195537001
LNC MTHU020789, LA14293-7, LA7444-8
English Hypertension, BLOOD PRESSURE HIGH, HYPERTENSION ARTERIAL, Hypertensive disease NOS, Hypertensive diseases, [X]Hypertensive diseases, Systemic hypertension, Hypertensive disorder, systemic arterial, hyperpiesia, hyperpiesis, systemic HTN, systemic hypertension (diagnosis), systemic hypertension, Hypertension arterial, Blood pressure high, HBP, HT, Hypertension NOS, Surg comp - hypertension, HTN, Hypertension [Disease/Finding], high blood pressure, hypertensive disorder, hypertensive vascular disease, arterial hypertension, arterial hypertension systemic, vascular hypertension, blood high pressure, high blood pressure disorder, systemic arterial hypertension, hypertensive disease, Hypertensive diseases (I10-I15), Complications affecting other specified body systems, not elsewhere classified, hypertension, High Blood Pressure, Hypertensive disease NOS (disorder), Hypertensive disease (disorder), (Hypertensive disease) or (hypertension), (Hypertensive disease) or (hypertension) (disorder), [X]Hypertensive diseases (disorder), hypertension, BLOOD PRESSURE, INCREASED, BLOOD PRESSURE, HIGH, Hypertensive Disorder, HIGH BLOOD PRESSURE, INCREASED BLOOD PRESSURE, HYPERTENSION, PRESSURE, HIGH BLOOD, High blood pressure, Hyperpiesia, Hyperpiesis, Hypertensive vascular degeneration, Hypertensive vascular disease, BP - High blood pressure, High blood pressure disorder, Systemic arterial hypertension, HBP - High blood pressure, BP+ - Hypertension, HT - Hypertension, Hypertensive disorder, systemic arterial (disorder), Hypertensive disorder, HTN - Hypertension, blood pressure; high, high; arterial tension, high; blood pressure, Hypertension, NOS, Hypertensive disease, NOS, Raised blood pressure (disorder), Blood Pressure, High, Blood Pressures, High, High Blood Pressures, Vascular Hypertensive Disorder, Hypertensive disease, HYPERTENSIVE DISEASE
French HYPERTENSION ARTERIELLE, Pression artérielle élevée, PAH, Hypertension SAI, TH, HYPERTENSION, TENSION ARTERIELLE E, Hypertension chronique, Hypertension permanente, Hypertension artérielle, Hypertension
Portuguese HIPERTENSAO, Hipertensão arterial NE, Hipertensão arterial, Pressão arterial alta, HYPERTENSAO ARTERIAL, PRESSAO SANGUINEA ELEVADA, Pressão Arterial Alta, Pressão Sanguínea Alta, Hipertensão
Spanish HIPERTENSION, PRESION SANGUINEA ALTA, Presión sanguínea alta, HTA, Hipertensión NEOM, Hipertensión arterial, HT, HIPERTENSION ARTERIAL, enfermedad hipertensiva, SAI, [X]enfermedades hipertensivas (trastorno), enfermedad hipertensiva, SAI (trastorno), [X]enfermedades hipertensivas, Hypertensive disease NOS, degeneración vascular hipertensiva, enfermedad hipertensiva, enfermedad vascular hipertensiva, hiperpiesia, hiperpiesis, hipertensión arterial (trastorno), hipertensión arterial, presión arterial alta, tensión arterial alta, tensión arterial elevada, Hipertensión, Presión Sanguínea Alta
German HYPERTONIE, Hypertonie, arteriell, Blutdruck, hoch, HBP, HT, Hypertonie NNB, BLUTDRUCK HOCH, HYPERTONIE ARTERIELL, Hypertension, Hypertonie
Dutch hypertensie NAO, hoge bloeddruk, arteriële hypertensie, bloeddruk; hoog, hoog; arteriële druk, hoog; bloeddruk, hypertensie, Bloeddruk, hoge, Hypertensie
Italian Ipertensione (HT), Ipertensione NAS, Pressione del sangue elevata, Ipertensione, Pressione sanguigna alta, Ipertensione arteriosa
Japanese 動脈性高血圧, 高血圧NOS, コウケツアツ, コウケツアツNOS, ドウミャクセイコウケツアツ, 高血圧, 高血圧症
Swedish Högt blodtryck
Czech hypertenze, Arteriální hypertenze, Vysoký krevní tlak, Hypertenze NOS, Hypertenze, vysoký krevní tlak, hypertonie
Finnish Kohonnut verenpaine
Polish Nadciśnienie
Hungarian Arteriás hypertonia, Hypertensio, HT, RR magas, Hypertonia k.m.n., Magas vérnyomás
Norwegian Høyt blodtrykk, Hypertensjon, Hypertoni
Derived from the NIH UMLS (Unified Medical Language System)

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