RT Book, Section
A1 Yamout, Hala
A1 Bakris, George L.
A2 Lerma, Edgar V.
A2 Rosner, Mitchell H.
A2 Perazella, Mark A.
SR Print(0)
ID 1149115240
T1 Primary (Essential) Hypertension
T2 CURRENT Diagnosis & Treatment: Nephrology & Hypertension, 2e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259861055
LK accessmedicine.mhmedical.com/content.aspx?aid=1149115240
RD 2024/04/24
AB ESSENTIALS  OF  DIAGNOSISPrimary  hypertension  in  adults  aged  18  years  and  older  is  defined  as  blood  pressure  of  140/90  mm  Hg  or  more,  based  on  an  average  of  two  or  more  properly  measured  seated  blood  pressure  (BP)  readings  at  each  of  two  or  more  clinic  visits.Normal  BP  is  a  systolic  BP  (SBP)  <120  mm  Hg  and  diastolic  BP  (DBP)  <80  mm  Hg.Prehypertension  is  defined  as  an  SBP  of  120–139  mm  Hg  or  DBP  of  80–89  mm  Hg.Stage  1  hypertension  is  defined  by  an  elevation  in  either  SBP  140–159  mm  Hg  or  diastolic  BP  of  90–99  mm  Hg.Stage  2  hypertension  is  defined  by  an  elevation  in  either  SBP  of  ≥160  mm  Hg  or  DBP  of  ≥100  mm  Hg.The  BP  should  be  measured  properly  (see  text)  and  on  at  least  two  separate  occasions  before  confirming  the  diagnosis.  It  should  also  interpreted  in  the  context  of  the  overall  cardiovascular  risk  of  the  patient,  which  is  most  easily  estimated  by  evaluating  other  concomitant  disorders  and  target-organ  damage  (TOD)  and  using  the  lifetime  risk  equation  (http://clincalc.com/cardiology/ascvd/pooledcohort.aspx  or  http://professional.heart.org/professional/GuidelinesStatements/Prevention_Guidelines/UCM_457698_Prevention-Guidelines.jsp)