Guidelines & Protocols Advisory Committee
Hypertension – Diagnosis and Management
Effective Date: March 1, 2015
Scope
This guideline provides recommendations on how to diagnose and manage hypertension (HTN) in adults aged ≥ 19 years.
Outside the scope of this guideline is the management of secondary causes of HTN,
*
accelerated HTN, acute HTN in emergency
settings, and in pregnant adults. The amount of randomized controlled trials informing care of the elderly with raised blood
pressure is limited.
For an algorithm of this guideline, refer to Appendix A: Diagnosis and Management of Hypertension Algorithm.
Key Recommendations
†, 1
• 140/90 or lower is the desirable blood pressure reading for an adult with no co-morbid conditions, diabetes, chronic kidney
disease or other target organ damage.
2
[Level 2, amended 2015]
• When taking office blood pressure readings, the use of an automated office blood pressure measuring electronic device
is recommended.
3
[Level 2, new 2015]
• Consider 24-hour ambulatory blood pressure monitoring or home blood pressure monitoring to confirm a hypertension
diagnosis.
4
[Level 1, new 2015]
• Instigate pharmaceutical management in context of the patient’s overall cardiovascular risk and not solely on their blood
pressure.
5
[Level 1, amended 2015]
• Lifestyle management is recommended for those with mild hypertension (average blood pressure = 140 – 159/90 – 99),
low-risk for cardiovascular disease and no co-morbidities.
6
[Level 1, 2008]
Definition
An elevated blood pressure (BP) is defined as a systolic blood pressure (SBP) > 140 mm Hg or diastolic blood pressure
(DBP) > 90 mm Hg or both.
Detection
In patients aged ≥ 45 years, BP should be recorded at least once every 5 years. This recording should be the average of several
measurements.
Ensure standardized technique (e.g., patient in a seated position, selecting the arm with the higher BP) and equipment are
being used (refer to Appendix B: Recommended Me
2015+BC指南：高血压诊断和管理（全文）.pdf