Hypertension classification

BP Classification	Systolic BP, mm Hg		Diastolic BP, mm Hg	Management
				Lifestyle Modification	Initial Drug Therapy
					Without Compelling Indication	With Compelling Indications
Normal	< 120	and	< 80	Encourage
Prehypertension	120–139	or	80–89	Yes	No antihypertensive drug indicated	Drugs for the compelling indications
Stage 1 hypertension	140–159	or	90–99	Yes	Thiazide-type diuretics for most; may consider ACE inhibitor, ARB, -blocker, CCB, or combination	Drug(s) for the compelling indications
						Other antihypertensive drugs (diuretics, ACE inhibitor, ARB, -blocker, CCB) as needed
Stage 2 hypertension	160	or	100	Yes	Two-drug combination for most (usually thiazide-type diuretic and ACE inhibitor or ARB or -blocker or CCB)	Drug(s) for the compelling indications
						Other antihypertensive drugs (diuretics, ACE inhibitor, ARB, -blocker, CCB) as needed