Stage of Hypertension

BHS JNC - VII Normal Prehypertension Stage 1 Stage 2 <120/<80 120-139/80-89 140-159/90-99 >160/>100 Optimal Normal High Normal Hypertension Grade 1 Grade 2 Grade 3 Isolated syst. hypertension Grade 1 Grade 2 140-159/<90 >160/<90
1

<120/<80 <130/<85 130-139/85-89

140-159/90-99 160-179/100-109 >180/>110

Chobnian JAMA 2003;289:2560

British Hypertension Society BHS The Seventh Report of the Joint National Committee JNC - VII

Williams BMJ 2004;328;634

Pre hypertension

o If blood pressure is stays in o between 120/80 mmHg to 139/89 mmHg, this cannot be diagnosing as hypertension and is considering as preo hypertension. o This means it is not a high blood pressure but may be likely to develop in the future. You can prevent high blood pressure by adopting a healthy lifestyle.

Stage-1 hypertension
A mildly elevated blood pressure than normal, a BP number between 140/90 to 159/99 mmHg is considering as stage-1 hypertension. It is an early form of high blood pressure, which is considering as mild and need medical treatment with blood pressure monitoring on every doctors visit to avoid progression to stage-2 hypertension.
MILD

Stage-2 hypertension

Stage-3 hypertension

o A severely elevated blood o A moderately elevated pressure, a BP number blood pressure, a BP over 180/110 mmHg is number between 160/100 considering as stage-3 to 179/109 mmHg is hypertension. considering as stage-2 hypertension. o It is the third stage of hypertension, which is o It is second stage of considering as severe and hypertension, which is need urgent stringent considering as moderate medical treatment with and need immediate more frequent monitoring medical treatment with to avoid any hypertension frequent monitoring to complication. avoid its progression to stage-3 hypertension. MILD SEVERE

Stage-1 isolated systolic hypertension Stage-2 isolated systolic hypertension

A mildly elevated systolic BP number between 140 to 159 mmHg, but the diastolic BP number stay lower than 90 mmHg is considering as stage-1 isolated systolic hypertension. This needs medical treatment with blood pressure monitoring on every doctors visit to avoid its progression to stage-2.

A moderately elevated systolic BP number over 160 mmHg, but the diastolic BP number stay lower than 90 mmHg is considering as stage-2 isolated systolic hypertension. This needs immediate medical treatment with frequent blood pressure monitoring to avoid hypertension complications.

General
Early stage of HTN is asymptomatic Morning occipital headache Fatigue Dizziness Palpitation Flushing Blurred vision gradually blindness occur epistaxis

 Mild to moderate: asymptomatic except intermittent risk of BP Moderate to severe: headache with dizziness, flushing, fatigue, vertigo, palpitations. Severe: Morning-throbbing subocipital headache, blurred vision, epistaxis,hematuria, papilledema