Version July 2025
| 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 6 months) | X | X | – | – | – | – |
| Third measurement (repeat in 6 months) | X | – | X | X | – | X |
| Stage 1 HTN | ||||||
| Initial measurement | X | – | – | – | – | – |
| Second measurement (repeat in 1 to 2 weeks) | X | X | – | – | – | – |
| Third measurement (repeat in 3 months) | X | – | X | X | X | X |
| Stage 2 HTNΔ | ||||||
| Initial measurement | X | X | – | – | – | – |
| Second measurement (repeat, refer to specialty care within 1 week) | X | – | X | X | X | X |
ABPM: ambulatory blood pressure monitoring; BP: blood pressure; HTN: hypertension.
* ABPM is done to confirm HTN before initiating a diagnostic evaluation.
¶ Treatment may be initiated by a primary care provider or subspecialist.
Δ If the patient is symptomatic or BP is >30 mmHg above the 95th percentile (or >180/120 mmHg in an adolescent), send to an emergency department.