BP Screening and Follow-up

The BP is a reliable indicator of cardiovascular function and correlates well with a number of other diseases and conditions (secondary causes). The natural history of HTN is well understood and there is evidence that early intervention reduces the morbidity and mortality associated with HTN. BP screening for HTN in oral healthcare settings should be a systematic and ongoing activity. The BP should be recorded on all new patients at the time of initial appointment and at all subsequent appointments. Minimally, follow-up based on initial BP measurements for adults without acute end-organ damage should be based on the recommendations in Table 6.14

Table 6. Recommendations for Minimal Follow-up Based on Initial Blood Pressure Measurements for Adults without Acute End-organ Damage.
Initial BP (mmHg) Follow-up Recommendation
Normal – < 120/80 Provide advice about lifestyle modifications and follow-up in 1 year.
Elevated BP – 120-129/<80 Provide advice about lifestyle modifications and follow-up in 3- 6 months.
Stage 1 HTN – 130-139/80-89 Refer for medical evaluation within 1 month.
Stage 2 HTN – ≥ 140/90 Refer for medical evaluation within 1 month.
Severely elevated HTN – ≥180/110 Refer for medical evaluation within 1 week.