Long-term blood pressure patterns amongst men (n = 2207) and women (n = 3315) participants included in the incident cardiovascular disease analyses. SBP trajectories in men: Trajectory 1—borderline stable optimal SBP, Trajectory 2—rising normal/high normal SBP, Trajectory 3—rising grade 1 hypertension, Trajectory 4—grade 1 hypertension → high-normal SBP, Trajectory 5—grade 2 → grade 1 hypertension. SBP trajectories in women: Trajectory 1—stable optimal SBP, Trajectory 2—rising normal/high normal SBP, Trajectory 3—high-normal SBP → grade 1 hypertension, Trajectory 4—decreasing grade 1 hypertension, Trajectory 5—grade 1 → grade 2 hypertension. DBP trajectories: Trajectory 1—low optimal DBP, Trajectory 2—high optimal DBP, Trajectory 3—normal/high-normal DBP, Trajectory 4—grade 1 hypertension → normal DBP, Trajectory 5—stable grade 1/grade 2 hypertension. 95% confidence intervals are represented as dashed grey lines.