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. Author manuscript; available in PMC: 2016 Nov 3.
Published in final edited form as: Ann Intern Med. 2015 Oct 13;163(9):691–700. doi: 10.7326/M15-1270

Table 1.

Blood pressure thresholds for ambulatory blood pressure monitoring (top panel) and home blood pressure monitoring (bottom panel) recommended by different scientific societies

Recommended systolic/diastolic blood pressure thresholds for ABPM
2005 AHA Scientific Statement (1)
Optimal Normal Elevated
Daytime <130/80 mmHg <135/85 mmHg >140/90 mmHg
Nighttime <115/65 mmHg <120/70 mmHg >125/75 mmHg
24-hour <125/75 mmHg <130/80 mmHg >135/85 mmHg
2005 ESH Practice Guidelines (37)
Optimal Normal Elevated
Daytime <130/80 mmHg <135/85 mmHg >140/90 mmHg
Nighttime <115/65 mmHg <120/70 mmHg >125/75 mmHg
24-hour -- -- --
2008 ASH Position Paper (38)
Optimal Normal Elevated
Daytime -- -- ≥135/85 mmHg
Nighttime -- -- ≥120/75 mmHg
24-hour -- -- ≥130/80 mmHg
2013 ESH Position Paper (4)
Optimal Normal Elevated
Daytime -- -- ≥135/85 mmHg
Nighttime -- -- ≥120/70 mmHg
24-hour -- -- ≥130/80 mmHg
Recommended systolic/diastolic blood pressure thresholds for HBPM
2008 AHA/ASH/PCNA Call to Action (5)
Normal Elevated
-- ≥135/85 mmHg
2008 ASH Position Paper (38)
Normal Elevated
-- ≥135/85 mmHg
2010 ESH Guidelines (39)
Normal Elevated
<130/80 mmHg ≥135/85 mmHg
2013 ESH/ESC Guidelines (2)
Normal Elevated
-- ≥135/85 mmHg

The different guidelines, position papers, and scientific statements use terms like “abnormal”, “limit”, “threshold”, “goal”, “hypertension”, or “elevated” to designate when a diagnosis of hypertension is made or when treatment should be titrated. In this table, we use the term “elevated”.

-- Thresholds were not reported.

AHA = American Heart Association

AHA/ASH/PCNA = American Heart Association/ American Society of Hypertension/Preventive Cardiovascular Nurses Association

ASH = American Society of Hypertension

ESH = European Society of Hypertension

ESH/ESC = European Society of Hypertension/European Society of Cardiology

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