The diagnostic criteria for hypertension are found in blood pressure readings.
When measured at a medical institution, hypertension is diagnosed when the upper blood pressure is 140 mmHg or higher and the lower blood pressure is 90 mmHg or higher. When measured at home, hypertension is defined as an upper blood pressure of 135 mmHg or higher and a lower blood pressure of 85 mmHg or higher. The “Guidelines for the Treatment of Hypertension” provide “antihypertensive goals (how far blood pressure should be lowered in people with high blood pressure)” to prevent cerebrovascular diseases such as stroke and myocardial infarction, based on the results of various studies to date.
Adults under 75 years old
Patients with cerebrovascular disease (without bilateral carotid artery stenosis or main cerebral artery occlusion)
Patients with coronary artery disease
Patients with chronic kidney disease (positive proteinuria)
Patients with diabetes mellitus
Patients on antithrombotic drugs
Blood pressure (mmHg) measured at home is 125/75 or less
Elderly patients over 75 years old
Patients with cerebrovascular disease (bilateral carotid artery stenosis or main cerebral artery occlusion, or not yet evaluated)
Patients with chronic kidney disease (negative proteinuria)
Blood pressure (mmHg) measured at home is 135/85 or less
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