. Author manuscript; available in PMC: 2020 Mar 1.

Published in final edited form as: Pediatr Nephrol. 2018 Mar 28;34(3):405–412. doi: 10.1007/s00467-018-3946-y

Table 2.

Definition of normotension and hypertension

	European Guidelines		US Guidelines
	<16 years	≥16 years		<13 years	≥13 years
Normotension	<90th %ile	<130/85	Normotension	<90^th %ile^*	<120/80
High-normal BP	≥90th %ile–<95th %ile	130–139/85–90	Elevated BP	≥90^th%ile^*–<95^th %ile	120–130/80
Grade I HTN	≥95th %ile–99th %ile + 5mmHg	140–159/90–99	Stage I HTN	≥95^th %ile–<95^th %ile +12mmHg^£	130/80–139/89
Grade II HTN	>99th %ile + 5mmHg	160–179/100–109	Stage II HTN	≥95^th%ile + 12mmHg^€	≥140/90
Isolated Systolic HTN	SBP>95^th% ile and DBP < 90^th %ile	SBP >140 and DBP<90	Isolated Systolic HTN	Not addressed	Not addressed
Immediate Referral to ED	Severe HTN^± associated with life threatening condition.	Severe HTN^± associated with life threatening condition.	Immediate Referral to ED	>95^th %ile + 30mmHg^¥	>180/120^¥

or 120/80, whichever lower;

^£

or 130/80–139/89, whichever lower;

^€

or 140/90, whichever lower;

^±

Defined by some as 20% above Grade II limit

^¥

Or stage II with symptoms

US=United States; BP=blood pressure; SBP=systolic blood pressure; DBP=diastolic blood pressure; HTN=hypertension; ED=emergency department