Hypertension & High blood pressure guideline redefined in November 2017.


ہای بلڈ پریشر کی جدید تعریف – نومبر2017

Within last 40 years, the hypertensive population has doubled.  Currently, more than one billion (13%) people are living with High Blood Pressure.

130mm/Hg or higher systolic pressure will be referred as High Blood Pressure

By Mahmood Hussain, Monday 11th February 2018, write articles and blogs to be published in www.babyfirst.com.pk BABY FIRST PAKISTAN and also on Facebook/babyfirstPakistan and other social media such as LinkedIn, Twitter and so on. The writer is from Karachi, Pakistan Currently he is in Philadelphia, USA.

The American Heart Association and American College of Cardiology provided new high blood pressure guidelines in November 2017. They redefined new guidelines for Hypertension after prolong gap of 14 years. Now, 130mm/Hg or higher systolic (upper) pressure will be referred as high blood pressure in common term.

Below listed are the few features to adjudge and label the patient condition.

If any patient having systolic/diastolic blood pressure 130 and above and diastolic 80mm/Hg and higher will be labeled as hypertension patient. Previously it was 140/90mm/Hg or higher were referred as patient with high blood pressure.

With this new guideline and lowering the limit of high blood pressure by experts and concern Association they gave the explanation for early intervention, the objective is to prevent further increase of blood pressure patients in later years. Also, avoid complication associated with it.

“High Blood Pressure is labeled as Silent Killer”. It is the real evil and culprit. If proper care is not exercised this may lead to various metabolic disorders such cardiovascular disease, arteriosclerosis, high cholesterol level, also may involve Kidney, lead to stroke, eye or vision problem, diabetes and much more can be listed.

ClassificationSystolic Blood PressureDiastolic Blood Pressure
Elevated120 to 129 mm/hg80mm/Hg or less
Stage 1130 to 139mm/Hg80 to 89mm/Hg
Stage 2149mm/Hg and above 90mm/HG and above
Severe Hypertension180 mm/Hg or above120mm/Hg and above

To live healthily and enjoy life, please exercise following whether you are hypertensive or not

  • Eat the healthy diet and in shape of small meals.
  • Regular physical work out of at least 30 minutes per day
  • No smoking or stop it immediately and avoid alcohol
  • Good and sound sleep of 7-8 hours per day.
  • Regular medical checkup, at least once a year.
  • Keep an eye on your blood pressure after you cross the age of 30.

In 2016, it is reported one billion people worldwide are living with high blood pressure, out of approximately 7.5 billion inhabitants in the world, which translate nearly to 13%. This was the news published by Blood Pressure UK on 5th February 2017. They also stated that the UK has the lowest rate among the western Europe countries.

If we see the current global data, within last 40 years number of the patient living with high blood pressure has doubled. As per new research published by The Lancet in November 2016 issue, the incidence of high blood pressure is shifting from developed countries (that comprises mostly of Western Europe, North America, Canada and Australia) towards more in the developing and underdeveloped countries. The study was conducted to globally assess ’the blood pressure among adult within 200 countries, while they engage the total of 19 million people. It was a huge study to assess the overall situation.

Current initiating and define starting range of Hypertension is 130mm/Hg or above for systolic recording is provided by American Heart Association and American College of Cardiology on 13th November 2017.

With this new guideline about 14 percent, more people will be diagnosed with high blood pressure within the USA. They need counseling for lifestyle modification to manage their arising issue which can be overcome by having the healthy diet, regular physical exercises, such as jogging or cardiac exercise which will lead to having Quality of Life (QOL).

Following the new guidelines of systolic pressure of 130mm/Hg there will only be very little increase in those people who will be prescribed medication by the physician. Rest assure following the new guidelines will be used as preventive measures which are better than treatment in later stage and raised blood pressure level.

Risk factors associated with high blood pressure are listed below: With carrying few medical conditions and bad habits there is likely increases chance of having hypertension, which is such as:

  • Diabetes
  • Smoking that is tobacco and shisha,
  • Prehypertensive factors
  • Food consumption with high sodium content and low in potassium.
  • Obesity or overweight
  • Lack of exercise or very little physical activity on daily basis
  • Excess consumption of Alcohol and if use on regular basis

WHO in its report mentioned that raised blood pressure will lead to coronary heart disease, ischemic heart disease and stroke. It further mentioned the raised blood pressure level are mostly related to the coronary heart disease and stroke.

Raised blood pressure if not controlled will lead to:

  • Peripheral vascular disease
  • Heart disease or cardiac failure.
  • Effect on Kidney function which is term as renal impairment or insufficiency.
  • Eyes are affected in shape of retinal hemorrhage.
  • Vision impairment.
  • Stroke

What is needed and workout that both the patient and physician will have to work to normalize the blood pressure to the level of 120/80mmHg or still better if levels are maintained at 115/75mm/Hg.  This will result in the reduction of cardiovascular complication and others condition as mentioned above. Will enjoy the healthy lifestyle which means enjoying Quality of Life (QOL).

It is reported due raised or uncontrolled blood pressure 7.5million death are reported worldwide annually, which translate into 13% of all deaths. Source WHO

As per recent guidelines for blood pressure assessment, now we can classify into the following categories such as:

  • Normal blood pressure level is less than 120/80mm Hg,
  • Elevated blood pressure level as where the systolic pressure (upper reading) ranges between 120 to 129 and diastolic which remains less than 80mm/Hg.
  • Stage one of Hypertensive is labeled as to where the systolic pressure range in 130-139mm/HG and lower level (diastolic) remain in the range of 80-89mm/Hg.
  • Stage 2 where systolic reading is 140 and above and diastolic reading is 90 or above,
  • Severe Hypertension, which is also referred as the hypertensive crisis when the systolic reading exceeds above 180mm/Hg and lower reading recorded above 120mm/Hg.


In case of severe hypertension, this is the crisis situation which needs immediate attention. A patient needs to immediately consult his / her physician to manage and bring down the raised blood pressure within the normal range at the earliest. If the condition prevails immediate hospitalization is needed to manage it. Secondly also need monitoring and assessment of vital organs of the body, are they functioning normal or they are at elevated levels, which also needs to be taken care beside managing hypertension.


Article is written by Mahmood Hussain for Baby First Pakistan website, Facebook, Twitter, LinkedIn and other popular social media

About Mahmood Hussain

Professional Experience More than 36 years work experience in Healthcare & Pharmaceutical sectorDirector & General Manager Baby First (Pvt.) Ltd Pakistan March 2011 – till to date I have been associated with Baby First (Pvt) Ltd for more than 5 years. It is advisory, community and social interaction medium for parents 16-38 years and babies 0-6 years.General Manager Aga Khan Health Service Pakistasn December 2005 – December 2007 (2 years 1 month)Based at Karachi Pakistan Worked as General Manager managing Karachi & Baluchistan Health care services of AKHSP which includes primary and secondary health care centers and diagnostic centers on all areas nearly 102 centers which include three leading hospitals in Karachi.General Manager Janssen Cilag (Johnson & Johnson) February 1998 – January 2005 (7 years)Education MBA, Marketing 1995 – 1996, Preston University MSc, Biochemistry 1970 – 1974, Karachi University

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