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Table 2 Responses to clinic blood pressure at screening

From: Trial of Exercise to Prevent HypeRtension in young Adults (TEPHRA) a randomized controlled trial: study protocol

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