BP screening schedule | Lifestyle counseling (weight and nutrition) | Check upper and lower extremity BP | ABPM* | Diagnostic evaluation¶ | Initiate treatment | Consider subspecialty referral |
Normal BP |
Annual | X | – | – | – | – | – |
Elevated BP |
Initial measurement | X | – | – | – | – | – |
Second measurement (repeat in six months) | X | X | – | – | – | – |
Third measurement (repeat in six months) | X | – | X | X | – | X |
Stage 1 HTN |
Initial measurement | X | – | – | – | – | – |
Second measurement (repeat in one to two weeks) | X | X | – | – | – | – |
Third measurement (repeat in three months) | X | – | X | X | X | X |
Stage 2 HTNΔ |
Initial measurement | X | X | – | – | – | – |
Second measurement (repeat, refer to specialty care within one week) | X | – | X | X | X | X |