Chapter 119: Hypertension
DEFINITION
Chronic elevation in blood pressure (bp), as defined by 2017 Hypertension Guidelines (Table 119-1). Hypertension is major contributor to cardiovascular diseases and complications; etiology is unknown in 80–95% of pts (“essential hypertension”). Always consider a secondary correctable form of hypertension, especially in pts aged ≤30 or those who become hypertensive after 55. Isolated systolic hypertension (systolic ≥140, diastolic <90) most common in elderly pts, due to reduced vascular compliance.
CATEGORY | SYSTOLIC PRESSURE (mmHg) | DIASTOLIC PRESSURE (mmHg) | |
---|---|---|---|
Normal | <120 | and | <80 |
Elevated | 120−129 | and | <80 |
Stage 1 Hypertension | 130−139 | or | 80−89 |
Stage 2 Hypertension | ≥140 | or | ≥90 |
Source: Whelton PK, Carey RM, Aronow WS, et al: 2017 Guideline for the prevention, detection, evaluation, and management of high blood pressure in adults. J Am Coll Cardiol 71:e127−e248, 2018.
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Citation
Kasper, Dennis L., et al., editors. "Chapter 119: Hypertension." Harrison's Manual of Medicine, 20th ed., McGraw Hill Inc., 2020. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623031/all/Chapter_119:_Hypertension.
Chapter 119: Hypertension. In: Kasper DLD, Fauci ASA, Hauser SLS, et al, eds. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623031/all/Chapter_119:_Hypertension. Accessed December 21, 2024.
Chapter 119: Hypertension. (2020). In Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (Eds.), Harrison's Manual of Medicine (20th ed.). McGraw Hill Inc.. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623031/all/Chapter_119:_Hypertension
Chapter 119: Hypertension [Internet]. In: Kasper DLD, Fauci ASA, Hauser SLS, Longo DLD, Jameson JLJ, Loscalzo JJ, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. [cited 2024 December 21]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623031/all/Chapter_119:_Hypertension.
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