Prehypertension

Prehypertension
Other namesHigh normal blood pressure, borderline hypertensive (BH)
SpecialtyCardiology

Prehypertension, also known as high normal blood pressure and borderline hypertensive (BH),[1] is a medical classification for cases where a person's blood pressure is elevated above optimal or normal, but not to the level considered hypertension (high blood pressure). Prehypertension is now referred to as "elevated blood pressure" by the American College of Cardiology (ACC) and the American Heart Association (AHA).[2] The ACC/AHA define elevated blood pressure as readings with a systolic pressure from 120 to 129 mm Hg and a diastolic pressure under 80 mm Hg,[3] Readings greater than or equal to 130/80 mm Hg are considered hypertension by ACC/AHA and if greater than or equal to 140/90 mm Hg by ESC/ESH.[4] and the European Society of Hypertension defines "high normal blood pressure" as readings with a systolic pressure from 130 to 139 mm Hg and a diastolic pressure 85-89 mm Hg.[5]

Classification of blood pressure is based upon two or more readings at two or more separate occasions, and compared to out-of-office blood pressure readings if possible.[6][7]

  1. ^ Logan, Carolynn M.; Rice, M. Katherine (1987). Logan's Medical and Scientific Abbreviations. J. B. Lippincott and Company. p. 58. ISBN 0-397-54589-4.
  2. ^ Whelton, Paul K.; Carey, Robert M.; Aronow, Wilbert S.; Casey, Donald E.; Collins, Karen J.; Dennison Himmelfarb, Cheryl; DePalma, Sondra M.; Gidding, Samuel; Jamerson, Kenneth A.; Jones, Daniel W.; MacLaughlin, Eric J.; Muntner, Paul; Ovbiagele, Bruce; Smith, Sidney C.; Spencer, Crystal C. (June 2018). "2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines". Hypertension. 71 (6): 1269–1324. doi:10.1161/HYP.0000000000000066. ISSN 1524-4563. PMID 29133354. S2CID 207581793.
  3. ^ Bakris, George; Ali, Waleed; Parati, Gianfranco (2019-06-18). "ACC/AHA Versus ESC/ESH on Hypertension Guidelines: JACC Guideline Comparison". Journal of the American College of Cardiology. 73 (23): 3018–3026. doi:10.1016/j.jacc.2019.03.507. ISSN 1558-3597. PMID 31196460. S2CID 189814197.
  4. ^ Whelton, Paul K.; Carey, Robert M.; Mancia, Giuseppe; Kreutz, Reinhold; Bundy, Joshua D.; Williams, Bryan (2022-09-13). "Harmonization of the American College of Cardiology/American Heart Association and European Society of Cardiology/European Society of Hypertension Blood Pressure/Hypertension Guidelines: Comparisons, Reflections, and Recommendations". Circulation. 146 (11): 868–877. doi:10.1161/CIRCULATIONAHA.121.054602. ISSN 1524-4539. PMID 35950927. S2CID 251494382.
  5. ^ Mancia, Giuseppe; Kreutz, Reinhold; Brunström, Mattias; Burnier, Michel; Grassi, Guido; Januszewicz, Andrzej; Muiesan, Maria Lorenza; Tsioufis, Konstantinos; Agabiti-Rosei, Enrico; Algharably, Engi Abd Elhady; Azizi, Michel; Benetos, Athanase; Borghi, Claudio; Hitij, Jana Brguljan; Cifkova, Renata (2023). "2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA)". Journal of Hypertension. 41 (12): 1874–2071. doi:10.1097/HJH.0000000000003480. hdl:11379/603005. ISSN 0263-6352.
  6. ^ Whelton, Paul K.; Carey, Robert M.; Aronow, Wilbert S.; Casey, Donald E.; Collins, Karen J.; Dennison Himmelfarb, Cheryl; DePalma, Sondra M.; Gidding, Samuel; Jamerson, Kenneth A.; Jones, Daniel W.; MacLaughlin, Eric J.; Muntner, Paul; Ovbiagele, Bruce; Smith, Sidney C.; Spencer, Crystal C. (June 2018). "2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines". Hypertension. 71 (6): e13–e115. doi:10.1161/HYP.0000000000000065. ISSN 1524-4563. PMID 29133356. S2CID 34986818.
  7. ^ Williams, Bryan; Mancia, Giuseppe; Spiering, Wilko; Agabiti Rosei, Enrico; Azizi, Michel; Burnier, Michel; Clement, Denis L.; Coca, Antonio; de Simone, Giovanni; Dominiczak, Anna; Kahan, Thomas; Mahfoud, Felix; Redon, Josep; Ruilope, Luis; Zanchetti, Alberto (2018-09-01). "2018 ESC/ESH Guidelines for the management of arterial hypertension". European Heart Journal. 39 (33): 3021–3104. doi:10.1093/eurheartj/ehy339. ISSN 1522-9645. PMID 30165516.