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Last updated: February 8, 2026View editorial policy

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HYPERTENSION INFOGRAPHIC

[PROVIDER]


📊 WHAT IS HYPERTENSION?

Hypertension is defined as persistent systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥80 mmHg 1

  • Affects 116 million adults in the US and over 1 billion adults worldwide 1
  • A major risk factor for heart disease, stroke, heart failure, kidney disease, and death 1, 2
  • Only 44% of US adults with hypertension have their blood pressure controlled to <140/90 mmHg 1

🎯 BLOOD PRESSURE TARGETS

For most adults <65 years: <130/80 mmHg 1

For adults ≥65 years: SBP <130 mmHg 1

For patients with diabetes or chronic kidney disease: <130/80 mmHg 3


💊 FIRST-LINE MEDICATIONS

The three pillars of hypertension drug therapy 1:

  1. Thiazide or thiazide-like diuretics (hydrochlorothiazide, chlorthalidone) 1, 3
  2. ACE inhibitors or ARBs (enalapril, candesartan) 1
  3. Calcium channel blockers (amlodipine) 1

Each 10 mmHg reduction in systolic blood pressure decreases cardiovascular events by 20-30% 1


🏃 LIFESTYLE MODIFICATIONS (ESSENTIAL FOR ALL)

Recommended for everyone with blood pressure >120/80 mmHg 3

  • Weight loss and avoid obesity (waist-to-height ratio <0.5) 4
  • Dietary sodium reduction and potassium supplementation 1, 4
  • Moderate-intensity aerobic exercise 30 minutes on 5-7 days per week 4, 5
  • Limit alcohol: 2 drinks/day for men, 1.5 for women 4
  • Smoking cessation 4
  • Stress reduction through mindfulness or meditation 4
  • Reduce exposure to cold temperature (particularly in winter months) 5, 6

👥 TEAM-BASED CARE APPROACH

A team-based care approach is recommended for all adults with hypertension (Class 1, Level A evidence) 4

Your care team should include 4:

  • Lead clinician: physician or advanced practice nurse 4
  • Clinical support: pharmacist, nurse, physician assistant, medical assistant, or community health worker 4
  • Administrative support: scheduler, receptionist 4
  • Specialist referral system for difficult-to-control cases 4

Team-based care reduces systolic and diastolic blood pressure and improves blood pressure control compared to usual care 4


🏠 HOME BLOOD PRESSURE MONITORING

Follow-up should include home blood pressure monitoring (Class 1, Level A evidence) 4

Key monitoring principles 4:

  • Use validated, automated devices with proper cuff size 4
  • Measure blood pressure at the same time daily 4
  • Take readings after 5 minutes of rest, sitting with back supported 4
  • Record all readings accurately and bring monitors to clinic visits 4
  • Base clinical decisions on average of readings from ≥2 occasions 4

⚠️ WHEN TO INTENSIFY TREATMENT

Add a third medication if blood pressure remains elevated on two drugs 6

Blood pressure 130-160/90-100 mmHg represents Stage 2 hypertension requiring treatment intensification 6

Follow-up within 1 month after medication changes (telephone, telehealth, or clinic visit) 4


🌡️ SEASONAL CONSIDERATIONS

Blood pressure varies with temperature 5:

  • Winter: Blood pressure increases by average 5/3 mmHg (systolic/diastolic) 5
  • Summer: Blood pressure decreases 5
  • Cardiovascular hospitalizations increase substantially during colder periods 5
  • Elderly patients show greater blood pressure variability with temperature changes 5

Maintain appropriate clothing and heating strategies to stabilize body temperature 5


🎯 ADDRESSING SOCIAL FACTORS

Social determinants of health should inform treatment recommendations (Class 1, Level B-NR evidence) 4

Important factors affecting blood pressure control 4:

  • Access to healthy food and safe exercise environments 4
  • Health literacy and educational background 4
  • Age, gender, and race/ethnicity 4
  • Availability of health services 4

Addressing unmet social needs improves blood pressure and lipid management 4


📈 QUALITY IMPROVEMENT

Performance measures should be used to improve hypertension care (Class 2a, Level B-NR evidence) 4

Essential program elements 4:

  • Patient educational materials on hypertension 4
  • Timely follow-up within 1 month of treatment changes 4
  • Medication adherence monitoring using pharmacy fill data 4
  • Provider-specific performance reports 4
  • Regular team meetings (at least quarterly) 4

🚨 COMMON PITFALLS TO AVOID

Do not overlook medication adherence as a common cause of uncontrolled hypertension 6

Do not assume resistant hypertension without optimizing the three first-line medication classes at appropriate doses 7

Consider seasonal blood pressure variations when symptoms of overtreatment appear with temperature rise 5

Screen for secondary causes if clinically indicated (though <10% of cases) 7


For more information, contact [PROVIDER]

References

Research

Vascular effects of systemic hypertension.

The American journal of cardiology, 1992

Research

Systemic hypertension.

Current problems in cardiology, 2007

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Winter Blood Pressure Elevation

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

Hypertension Management and Diagnosis

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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