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. 2019 Apr 23;9:6382. doi: 10.1038/s41598-019-42809-3

Table 1.

Blood pressure levels used for hypertension definition, recommended anti-hypertensive medication and treatment goal according to the 2017 ACC/AHA guideline, the JNC7 guideline and the JNC8 panel member report.

Definition of hypertension
2017 ACC/AHA JNC7 JNC8a
General population
SBP ≥130 ≥140 ≥140
DBP ≥80 ≥90 ≥90
Recommended anti-hypertensive medication
General population
  SBP ≥140 ≥140 ≥140
  DBP ≥90 ≥90 ≥90
Diabetes or CKD
  SBP ≥130 ≥130 ≥140
  DBP ≥80 ≥80 ≥90
High cardiovascular disease risk
  SBP ≥130
  DBP ≥80
Age ≥65 years
  SBP ≥130
  DBP ≥80
Age ≥60 years without diabetes or CKD
  SBP ≥150
  DBP ≥90
Treatment goal among those on anti-hypertensive medication b
General population
  SBP <130 <140 <140
  DBP <80 <90 <90
Diabetes or CKD
  SBP <130 <130 <140
  DBP <80 <80 <90
High cardiovascular disease riskc
  SBP <130
  DBP <80
Age ≥65 years
  SBP <130
  DBP <80
Age ≥60 years without diabetes or CKD
  SBP <150
  DBP <90

- The same approach as other thresholds should be applied.

aDefinitions of hypertension and prehypertension not addressed in JNC8; the same approach as JNC7 should be applied.

bTo achieve treatment goal, both SBP and DBP goals have to be met.

cHigh cardiovascular disease risk is defined as 10-year predicted cardiovascular risk ≥10% using pooled cohort risk equation or prevalent of CVD.

2017ACC/AHA guideline: 2017 American College of Cardiology/American Heart Association Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults.

JNC7 guideline: The Seventh Report. Of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.

JNC8 guideline: Panel member report- 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults.

SBP: systolic blood pressure; DBP: diastolic blood pressure; CKD: chronic kidney disease;