We recommend screening adults for elevated blood pressure periodically. Strong for Not Reviewed, Amended b. Measurement Techniques 2. We suggest using attended or unattended, fully automated office blood pressure measurement (programmed to wait five minutes and record the average of three measurements separated by at least 30 seconds). Weak for Reviewed, New-added 3. When fully automated blood pressure measurement is not available, we suggest measurement of blood pressure using standard technique and a properly calibrated and validated sphygmomanometer. Weak for Reviewed, New-replaced 4. We suggest using out-of-office blood pressure monitoring methods (ambulatory 24-hour monitoring or home blood pressure measurements) to inform the diagnosis and management of hypertension. Weak for Reviewed, New-replaced c. Monitoring 5. Among patients treated for hypertension, we suggest offering home blood pressure self-monitoring with co-interventions for lowering systolic and diastolic blood pressure. Weak for Reviewed, New-added Treatment Goals and General Approaches to Hypertension Management a. Blood Pressure Goals 6. For all patients, including those with type 2 diabetes, we suggest treating to a systolic blood pressure goal of <130 mm Hg. Weak for Reviewed, New-added 7. For patients 60 years and over, we recommend treating to a systolic blood pressure goal of <150 mm Hg with added benefit to lowering systolic blood pressure further for those between 130 mm Hg and 150 mm Hg. Strong for Reviewed, Amended 8. For patients 60 years and over with type 2 diabetes, we recommend treating to a systolic blood pressure goal of <140 mm Hg with added benefit to lowering systolic blood pressure further for those between 130 mm Hg and 140 mm Hg. Strong for Reviewed, Amended 9. For patients 30 years and over, we recommend treating to a diastolic blood pressure goal of <90 mm Hg. 