High normal blood pressure - clinical fact or myth?

Abstract

During last decade, an increased interest in the clinical significance of high normal blood pressure has arisen. Its prevalence is estimated at around 30% and is associated with increased cardiovascular risk. Other cardiovascular risk factors, including metabolic syndrome, are also related to high normal blood pressure values. According to ESH/ /ESC guidelines, lifestyle modifications alone should be implemented in patients with high normal blood pressure, unless it coexists with renal or cardiovascular diseases. Current data regarding the necessity of pharmacotherapy in patients with high normal blood pressure and low cardiovascular risk are unconvincing.