The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. This includes more details on the rationale of the recommendation, including benefits and harms, supporting evidence, and recommendations of others. Visit the USPSTF website to read the full recommendation statement. These recommendations are available at Where to read the full recommendation statement? Screening for high blood pressure in children and adolescents.
Aspirin use to prevent cardiovascular disease and colorectal cancer. Statin use for the primary prevention of cardiovascular disease in adults. In adults without known cardiovascular risk factors. In adults with cardiovascular risk factors. Behavioral counseling interventions to promote a healthy diet and physical activity for cardiovascular disease prevention:. Screening for atrial fibrillation with electrocardiography. Risk assessment for cardiovascular disease with nontraditional risk factors. The USPSTF has several recommendations addressing cardiovascular health: What are other relevant USPSTF recommendations? Screening less frequently (ie, every 3 to 5 years) as appropriate for adults aged 18 to 39 years not at increased risk for hypertension and with a prior normal blood pressure reading. Screening for hypertension every year in adults 40 years or older and in adults at increased risk for hypertension (such as Black persons, persons with high-normal blood pressure, or persons who are overweight or obese). Blood pressure measurements should be taken at the brachial artery (upper arm) with a validated and accurate device in a seated position after 5 minutes of rest.Īlthough evidence on optimal screening intervals is limited, reasonable options include:. Measurements are taken much less frequently than with ambulatory blood pressure monitoring (eg, 1 to 2 times a day or week, although they can be spread out over more time). Home blood pressure monitoring: patients measure their own blood pressure at home with an automated device. Ambulatory blood pressure monitoring: patients wear a programmed portable device that automatically takes blood pressure measurements, typically in 20- to 30-minute intervals over 12 to 24 hours while patients go about their normal activities or are sleeping. Ways to measure blood pressure outside of the clinical setting include: Confirm: Take blood pressure measurements outside of the clinical setting to confirm a hypertension diagnosis before starting treatment. Screen: Measure blood pressure with an office blood pressure measurement. The USPSTF continues to recommend screening for hypertension in adults 18 years or older. This recommendation is consistent with the 2015 USPSTF recommendation. 
Adults 18 years or older without known hypertension.
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