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High Blood Pressure - Merck Supported

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16 Evaluation and Diagnosis Table 9. Blood Pressure Categories Based on Office and Out-of-Office Blood Pressure Measurements BP category High BP in the office setting? High BP outside of the office setting?* Among individuals not taking antihypertensive medication Sustained normotension No No Sustained hypertension Yes Yes Masked hypertension No Yes White-coat hypertension Yes No Among individuals taking antihypertensive medication Controlled hypertension No No Uncontrolled hypertension Yes Yes Masked uncontrolled hypertension No Yes White-coat effect Yes No * Please refer to Table 7 for office BP and out-of-office BP thresholds used to define high BP. High out-of-office BP is defined as SBP ≥130 mm Hg or DBP ≥80 mm Hg when using awake BP and SBP ≥125 mm Hg or DBP ≥75 mm Hg when using 24-hour BP. ese BP thresholds correspond to an office SBP ≥130 mm Hg or DBP ≥80 mm Hg. Out-of-office BP is primarily based on mean awake BP or mean 24-hour BP. It remains unclear whether asleep BP should be used to determine high out-of-office BP as the prevalence and reproducibility of isolated nocturnal hypertension (high asleep BP without high awake BP) are both low. Further, there is no high-quality RCT evidence to indicate that lowering asleep BP reduces CVD risk. Modified with permission from Whelton et al. Copyright © 2018 American College of Cardiolog y Foundation and American Heart Association, Inc.

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