11. The diagnosis of hypertension should be based
on office or in-hospital blood pressure
measurements. (II-B)
12. Hypertension in pregnancy should be defined as an
office (or in-hospital) systolic blood pressure
≥ 140 mmHg and/or diastolic blood pressure
≥ 90 mmHg, based on the average of at least 2
measurements, taken at least 15 minutes apart, using
the same arm. (II-2B)
13. Resistant hypertension should be defined as the
need for 3 antihypertensive medications for blood
pressure control at ≥ 20 weeks’ gestation. (III-C)
14. A transient hypertensive effect should be defined as
an office systolic blood pressure ≥ 140 mmHg or
a diastolic blood pressure ≥ 90 mmHg that is not
confirmed after rest, on repeat measurement, on the
same or on subsequent visits. (II-2B)
15. A white-coat hypertensive effect refers to blood
pressure that is elevated in the office (i.e., systolic
≥ 140 mmHg or diastolic ≥ 90 mmHg), but
< 135 mmHg (systolic) and < 85 mmHg
(diastolic) on ambulatory or home blood pressure
monitoring. (II-2B)
16. A masked hypertensive effect refers to blood
pressure that is normal in the office (i.e., systolic
< 140 mmHg and diastolic < 90 mmHg) but
elevated on ambulatory or home blood pressure
monitoring (i.e., systolic ≥ 135 mmHg or diastolic
≥ 85 mmHg). (II-2B)
17. Severe hypertension should be defined, in any
setting, as a systolic blood pressure of ≥ 160 mmHg
or a diastolic blood pressure of ≥ 110 mmHg based
on the average of at least 2 measurements, taken at
least 15 minutes apart, using the same arm. (II-2B)
11. The diagnosis of hypertension should be basedon office or in-hospital blood pressuremeasurements. (II-B)12. Hypertension in pregnancy should be defined as anoffice (or in-hospital) systolic blood pressure≥ 140 mmHg and/or diastolic blood pressure≥ 90 mmHg, based on the average of at least 2measurements, taken at least 15 minutes apart, usingthe same arm. (II-2B)13. Resistant hypertension should be defined as theneed for 3 antihypertensive medications for bloodpressure control at ≥ 20 weeks’ gestation. (III-C)14. A transient hypertensive effect should be defined asan office systolic blood pressure ≥ 140 mmHg ora diastolic blood pressure ≥ 90 mmHg that is notconfirmed after rest, on repeat measurement, on thesame or on subsequent visits. (II-2B)15. A white-coat hypertensive effect refers to bloodpressure that is elevated in the office (i.e., systolic≥ 140 mmHg or diastolic ≥ 90 mmHg), but< 135 mmHg (systolic) and < 85 mmHg(diastolic) on ambulatory or home blood pressuremonitoring. (II-2B)16. A masked hypertensive effect refers to bloodpressure that is normal in the office (i.e., systolic< 140 mmHg and diastolic < 90 mmHg) butelevated on ambulatory or home blood pressuremonitoring (i.e., systolic ≥ 135 mmHg or diastolic≥ 85 mmHg). (II-2B)17. Severe hypertension should be defined, in anysetting, as a systolic blood pressure of ≥ 160 mmHgor a diastolic blood pressure of ≥ 110 mmHg basedon the average of at least 2 measurements, taken atleast 15 minutes apart, using the same arm. (II-2B)
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