Table 1

BP Levels Used to Define Hypertension, Recommend Antihypertensive Medication, and Treatment Goal According to the 2017 ACC/AHA Guideline, the JNC7 Guideline, and the JNC8 Panel Member Report

2017 ACC/AHAJNC7JNC8 Panel Member Report
Guideline definition of hypertension
 SBP, mm Hg
  General population≥130≥140≥140
  ≥60 yrs of age without diabetes or CKD≥150
 DBP, mm Hg
  General population≥80≥90≥90
Guideline–recommended antihypertensive medication
 SBP, mm Hg
  General population≥140≥140≥140
  Diabetes or CKD≥130≥130≥140
  High cardiovascular disease risk≥130
  Age ≥65 yrs≥130
  ≥60 yrs of age without diabetes or CKD≥150
 DBP, mm Hg
  General population≥90≥90≥90
  Diabetes or CKD≥80≥80
  High cardiovascular disease risk≥80
Guideline treatment goal among those taking antihypertensive medication
 SBP, mm Hg
  General population<130<140<140
  Diabetes or CKD<130<130<140
  Age ≥65 yrs<130
  ≥60 yrs of age without diabetes or CKD<150
 DBP, mm Hg
  General population<80<90<90
  Diabetes or CKD<80<80

SBP and DBP levels should be based on multiple measurements taken at 2 or more visits. In the National Health and Nutrition Examination Survey, BP was measured 3 times at a single visit. In the top section, adults with SBP or DBP above the levels listed and those taking antihypertensive medication are considered to have hypertension. In the middle section, adults with SBP or DBP above the levels listed and those taking antihypertensive medication are recommended for antihypertensive medication. In the bottom section, to achieve treatment goals, both the SBP and DBP goals have to be met.

ACC/AHA = American College of Cardiology/American Heart Association; BP = blood pressure; CKD = chronic kidney disease; DBP = diastolic blood pressure; JNC7 = Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure; JNC8 = Eighth Joint National Committee; SBP = systolic blood pressure.

  • No specific BP threshold is provided in the guideline for this population. The other thresholds listed from the guideline should be applied, as appropriate.

  • High cardiovascular risk is defined as a history of cardiovascular disease or 10-year predicted cardiovascular disease risk ≥10% using the Pooled Cohort risk equations.