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Guidelines for High Blood Pressure in Adults

2021 USPSTF Recommendation: Screening for Hypertension in Adults

In 2021, the US Preventative Services taskforce issued a new recommendation statement on screening for hypertension in adults. The statement reaffirms the 2015 USPSTF recommendation concluding with high certainty that screening for hypertension in adults has substantial net benefit.

2021 Hypertension Guideline Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force


Review and Patient Information

2018 ESC/ESH Guideline

In 2018 the ESC/ESH published a guideline which retains the 140/90 threshold definition of hypertension, including for patients with chronic kidney disease (CKD), and emphasizes lifestyle interventions as primary treatment, with consideration of antihypertensive drug therapy only in adults at very high risk, eg with established CVD. In many other respects the 2018 guideline is similar to the 2017 ACC/AHA guideline.


2017 ACC/AHA Hypertension Guideline

In 2017 the ACC/AHA and 9 other specialty organizations published an updated hypertension guideline which, among many changes, redefined elevated blood pressure to lower BP levels, enlarging the population considered potential candidates for monitoring and treatment. Learn more here.

Research, Reviews, and Commentary


2014 Guideline

In 2014, panel members of the Eighth Joint National Committee published the results of their evidence review and deliberations about the prevention, detection, evaluation, and treatment of high blood pressure.

The 2014 guideline offers recommendations for the management of hypertension in:

  • People older or younger than age 60 years
  • People aged ≥18 years with chronic kidney disease
  • People aged ≥18 years with diabetes
  • Black and nonblack populations
2014 Hypertension Guideline 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)

Treatment Algorithm


Past JNC Reports: JNC 7 | JNC 6 | JNC 5 | JNC 4 | JNC 3 | JNC 2 | JNC 1

Research, Reviews, and Commentary

Audio and Video

The JAMA Report: Proportion of US Adults Potentially Affected by the 2014 Hypertension Guideline
Author Interview: Proportion of US Adults Potentially Affected by the 2014 Hypertension Guideline

JAMA Patient Pages