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. Author manuscript; available in PMC: 2020 Apr 5.
Published in final edited form as: Curr Hypertens Rep. 2019 Apr 5;21(5):35. doi: 10.1007/s11906-019-0943-x

Table 1.

Definition of hypertension (HTN) based on the 2017 AAP CPG, 2016 ESH Guidelines, and the 2004 Fourth Report

2017 AAP CPG
2016 ESH Guidelines
2004 Fourth Report
< 13 years ≥ 13 years < 16 years ≥ 16 years
Normal BP < 90th percentile < 120/<80 < 90th percentile < 130/85 < 90th percentile
Elevated BP* ≥ 90th to < 95th percentile or 120–129/< 80 120–129/< 80 ≥ 90th to < 95th percentile 130–139/85–89 ≥90th to < 95th percentile or > 120/80
Stage 1 HTN ≥ 95th to < 95th percentile + 12 mmHg or 130/80 to 139/89 130–139/80–89 ≥ 95th to < 99th percentile + 5 mmHg 140–159/90–99 ≥ 95th to < 99th percentile + 5 mmHg
Stage 2 HTN ≥ 95th percentile + 12 mmHg or ≥ 140/90 ≥ 140/90 ≥ 99th percentile + 5 mmHg 160–179/100–109 ≥ 99th percentile + 5 mmHg
*

Referred to as preHTN in the 2004 Fourth Report

Abbreviations: AAP, American Academy of Pediatrics; BP, blood pressure; CPG, clinical practice guideline; ESH, European Society of Hypertension; HTN, hypertension