The threshold values

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Average blood pressure in adult patients

As an interpreter you are required to compare the average blood pressure as displayed in the report and the recommended cut-off point. We found 5 references where these points are recommended (see table).

Abr
Reference Definition 24-h Day time

Nigt time

IDACO Kikuya M, HansenTW, ThijsL, et al; on behalf of the International Database on Ambulatory blood pressure monitoring in relation to Cardiovascular Outcomes (IDACO) Investigators. Diagnostic thresholds for ambulatory blood pressure monitoring based on 10-year cardiovascular risk. Circulation 2007; 115:2145–2152
[1]

optimal

normal

ambulatory hypertension

<115/75

<125/75

>130/80

<120/80

<130/85

>140/85

<100/65

<110/70

>120/70

ESH 2003 O'Brien E, Asmar R, Beilin L, et al on behalf of the European Society of Hypertension Working Group on Blood Pressure Monitoring. European Society of Hypertension recommendations for conventional, ambulatory and home blood pressure measurement. J Hypertens. 2003 May;21(5):821-48.
[2]

optimal

normal

abnormal

<130/80

<135/85

>140/90

<115/65

<120/70

>125/75

ESH-ESC 2007 Mancia G, De Backer G, Dominiczak A, et al on behalf of The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). 2007 Guidelines for the management of arterial hypertension. Eur Heart J. 2007 Jun;28(12):1462-536. Epub 2007 Jun 11.
[3]
hypertension >130/80 >135/85 >120/70
AHA 2005 Pickering TG, Hall JE, Appel LJ, et al; Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Hypertension. 2005;45:142–161
[4]

optimal

normal

abnormal

<125/75

<130/80

>135/85

<130/80

<135/85

>140/90

<115/65

<120/70

>125/75

JNC7 The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. NIH Publication No. 03-5233 December 2003
[5]
hypertension >135/85 >120/7

Average blood pressure in children and adolescents

In case of children and adolescents it is required to compare obtained average blood pressure with special cut-off point, 95th percetile. 95th Percentile of Mean Daytime and Nighttime Ambulatory Systolic and Diastolic BP, Stratified According to Gender and Height can be found in the tables, if you download (pdf).

<tbody>
Abr
Reference Definition 24-h Day time

Nigt time

Soergel/AHA 2008 Elaine Urbina, Bruce Alpert, Joseph Flynn, et al Ambulatory Blood Pressure Monitoring in Children and Adolescents: Recommendations for Standard Assessment: A Scientific Statement From the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the Council on Cardiovascular Disease in the Young and the Council for High Blood Pressure Research. Hypertension. 2008;52:433-451.
[6]

normal

ambulatory hypertension

<95th percentile

>95th percentile

<95th percentile

>95th percentile

<95th percentile

>95th percentile

See also