Chronic hypertension classification
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Hypertension Main page |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor-In-Chief: Yazan Daaboul, Serge Korjian
Overview
Blood pressure values for adults have been classified in 2004 according to the Seventh Report of the Joint National Committee (JNC 7) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure into normal, prehypertension, stage 1 hypertension and stage 2 hypertension.[1] In Europe, a different classification of blood pressure has been conducted in 2007 by “The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)”.[2] The classification excludes JNC 7’s pre-hypertension category, but includes 3 different grades of hypertension, in contrast to JNC 7’s two-stage classification of hypertension.
Classification
JNC 7 Classification of Blood Pressure
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure[3] has classified blood pressure as the following:
| Blood Pressure Classification | Systolic (mm Hg) | Diastolic (mm Hg) | |
| Normal | < 120 | and | < 80 |
| Pre-Hypertension | 120-139 | or | 80-89 |
| Stage 1 Hypertension | 140-159 | or | 90-99 |
| Stage 2 Hypertension | >160 | or | >100 |
European Classification of Blood Pressure
In Europe, a different classification of blood pressure has been conducted in 2007 by The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). According to the 2007 Guidelines for the Management of Arterial Hypertension, the blood pressure classification is as follows: [2]
| Blood Pressure Classification | Systolic (mm Hg) | Diastolic (mm Hg) | |
| Optimal | < 120 | and | < 80 |
| Normal | 120-129 | and/or | 80-84 |
| High Normal | 130-139 | and/or | 85-89 |
| Grade 1 Hypertension | 140-159 | and/or | 90-99 |
| Grade 2 Hypertension | 160- 179 | and/or | 100-109 |
| Grade 3 Hypertension | ≥ 180 | and/or | ≥ 110 |
| Isolated Systolic Hypertension | ≥ 140 | and | <90 |
References
- ↑ Cuddy ML (2005). "Treatment of hypertension: guidelines from JNC 7 (the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure 1)". J Pract Nurs. 55 (4): 17–21, quiz 22-3. PMID 16512265.
- ↑ 2.0 2.1 Bonny A, Lacombe F, Yitemben M, Discazeaux B, Donetti J, Fahri P; et al. (2008). "The 2007 ESH/ESC guidelines for the management of arterial hypertension". J Hypertens. 26 (4): 825, author reply 825-6. doi:10.1097/HJH.0b013e3282f857e7. PMID 18327095.
- ↑ Chobanian AV; et al. (2003). "The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report". JAMA. 289: 2560–72. PMID 12748199.