2017 blood pressure guidelines chart for seniors

In BC, the age standardized prevalence rate for hypertension is 22.5 (per 100) and the age standardized annual incidence rate is 20.2 (per 1000 people over the age of 20) for 2017/18. Management of hypertension based on the classification should be further informed and guided by the patient’s CVD risk, organ damage, and presence of co-morbidities. Masked hypertension refers to untreated patients in whom the BP is normal in the office but is elevated when measured by HBPM or ABPM.īased on the average BP recorded, hypertension is classified as High-Normal, Stage 1, Stage 2, or Stage 3 (Note: Figure 1 lists MOBP values only for Stage 2 and 3 since validated AOBP levels are currently unavailable). White-coat hypertension refers to the untreated condition in which BP is elevated in the office but is normal when measured by ambulatory blood pressure monitoring (ABPM), home blood pressure measurement (HBPM), or both. 12,13 Īn elevated automated office blood pressure (AOBP) is defined as an average systolic blood pressure (SBP) of > 135 mm Hg or an average diastolic blood pressure (DBP) of > 85 mm Hg or both with best available technique. Initiate pharmaceutical management in context of the patient’s overall cardiovascular risk and not solely on their blood pressure.Health behaviour change is recommended as a first step for those with average blood pressure 135-154/85-94 (AOBP), low-risk for cardiovascular disease and no co-morbidities.Achieving an automated blood pressure reading of ≤ 135/85 is associated with the greatest reduction of risk for adults with no co-morbid conditions. A desired blood pressure level should be determined with each adult patient.Consider 24-hour ambulatory blood pressure monitoring, or standardized home blood pressure monitoring, to confirm a hypertension diagnosis in all patients 7.When a manual office blood pressure device (MOBP) is used hypertension is diagnosed at ≥ 140/90. Hypertension is diagnosed in adults when automated office blood pressure reading is ≥ 135/85 in the higher BP arm.

When measuring blood pressure in the office, the use of an automated office blood pressure (AOBP) electronic device is recommended in patients with regular heart rate.

Hypertension is a modifiable risk factor for cardiovascular disease (CVD) and an important public health issue. Management of secondary causes of HTN,* accelerated HTN, acute HTN in emergency settings, and HTN in pregnancy are out of scope.įor an algorithm of this guideline, refer to Appendix A: Diagnosis and Management of Hypertension Algorithm.

This guideline provides recommendations on how to diagnose and manage hypertension (HTN) in adults. Effective Date: ApRecommendations and Topics

2017 blood pressure guidelines chart for seniors