Screening for High Blood Pressure in Adults.

A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to the blood pressure monitoring machine at his gym, his blood pressure has ranged from 150 to 160 over 90 to 100 mm Hg over several weeks. Your clinic's technician, using a manual sphygmomanometer on the left arm, measures his blood pressure as 167/95 mm Hg.