AHA / ACC
2025 · USOffice treatment goal
<130 / <80
mmHg · systolic / diastolic
Hypertension threshold · office≥130 or ≥80mmHg · systolic or diastolic
TWO GUIDELINES. ONE PATIENT.
Blood pressure
target finder
Compare the goal. Understand the difference.
A learning tool for clinicians
Nonpregnant adults with hypertension
Nonpregnant adults with hypertension
01
Synthetic patient
Try a preset, then adjust the profile.
Enter a whole-number age from 18 to 110.
Compare targets ↓No identifiers. Nothing entered is stored or sent. Risk scores are not calculated.
02 / COMPARE GUIDANCE
Age 55 · typical adult
ESC
2024 · EUROPEOffice treatment target
120–129 / 70–79
mmHg · systolic / diastolic
Hypertension threshold · office≥140 or ≥90mmHg · systolic or diastolic
03
Different thresholds. Overlapping goals.
How to read this · sources & limits
A threshold defines hypertension; a treatment goal describes BP sought during treatment. Neither is a medication prescription. Both numbers must satisfy a goal; either number can meet a diagnostic threshold. Use averaged, standardized measurements.
The US guideline also encourages systolic BP below 120 in appropriate patients; tolerability and shared decisions matter. ESC prioritizes systolic 120–129 if tolerated; diastolic 70–79 has weaker evidence. Home values are not obtained by automatically subtracting 5 mmHg.
This simplified comparison does not cover pregnancy, acute illness, dialysis, advanced CKD (eGFR <30), or condition-specific treatment. CKD stage, organ damage, PREVENT and SCORE2/SCORE2-OP are not evaluated. Frailty flags prompt review, not a calculated alternative target.
Source anchors: AHA/ACC §5.2.7 and Table 7; ESC §7.3 and Table 5. Educational summary checked 6 Nov 2026; not clinically validated.