CLINIC BLOOD PRESSURE AT SCREENING | RESPONSE |
---|---|
NORMAL | |
 SBP < 110 & DBP < 70 | Complete screening & exclude from trial |
POSSIBLE PRE-HYPERTENSION | |
 110 ≤ SBP ≤ 139 &/or 70 ≤ DBP ≤ 89 | Complete screening & conduct 24-h ABP monitoring as appropriate |
POSSIBLE STAGE I HYPERTENSION | |
 140 ≤ SBP ≤ 159 &/or ≤ 90 DBP ≤ 99 | In all cases: check for signs of end organ damage (resting 12 lead ECG, urinary spot analysis, retinal imaging) if signs of end organ damage exist, exclude from trial and refer for further assessment As appropriate: -complete screening & exclude from trial -complete screening & refer for further assessment -complete screening & conduct 24-h blood pressure monitoring Note: If subsequent 24-h awake ABP > 135/85, review case and consider referral for further assessment |
POSSIBLE STAGE II HYPERTENSION | |
 SBP > 159 | Exclude from trial & refer for further assessment |
 DBP > 99 | Exclude from trial & refer for further assessment |