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HYPERTENSIONDetection, Evaluation and Non-pharmacologic Intervention Misbah Keen, MD, FAAFP Act. Asst. Professor Family Medicine University of Washington School of Medicine Seattle WA Problem Magnitude Hypertension( HTN) is the most common primary diagnosis in America. 35 million office visits are as the primary diagnosis of HTN. 50 million or more Americans have high BP. Worldwide prevalence estimates for HTN may be as much as 1 billion. 7.1 million deaths per year may be attributable to hypertension. Definition A systolic blood pressure ( SBP) 139 mmHg and/or A diastolic (DBP) 89 mmH