Table 1. Classification of Blood Pressure (BP) for Adults
Age 18 Years and Older
|Category||Systolic BP (mm Hg)||Diastolic
|Recommendations for Follow-up Dental Patients based on Initial BP measurements|
|Normal||<130||<85||Recheck at recall (within 2 years)|
|High Normal||130-139||85-89||Recheck at recall (within 1 years)|
|Stage 1 Hypertension||140-159||90-99||Recheck within 1 month; if still elevated have patient evaluated by physician within 2 weeks|
|Stage 2 Hypertension||160-179||100-109||Recheck within 2 weeks; if still elevated have patient evaluated by physician within 2 weeks|
|Stage 3 Hypertension||180-209||110-119||Have patient evaluated by physician within 1 week|
|Stage 4 Hypertension||=>210||=>120||Have patient evaluated by physician immediately|
Not taking antihypertensive drugs and not acutely ill. When systolic and
diastolic pressures fall into different categories, the higher category
should be selected to classify the individual's blood pressure. Isolated
systolic hypertension is defined as a systolic blood pressure of 140mm
Hg or more and a diastolic blood pressure of less than 90 Hg.
* Based on the average of two or more readings taken at each of two or more visits following an initial screening. Adapted from The Fifth Report of the Joint National Committee on Detection, Education, and Treatment of High Blood Pressure. 1993.