Ka whakamahia etahi atu paearu (135 mmHg systolic or 85 mmHg diastolic) mena ka ahu mai nga inenga mai i te 24-haora te tirotiro haereere, te tirotiro ranei i te kaainga. Ko nga aratohu haumanu o te ao mo te haumanu i hangaia i raro i te awhe hypertensive hei tohu i te awhe o te tupono me te toto toto teitei ake i te awhe noa. Ko te Tuarima o te Joint National Committee on Prevention, Detection, Evaluation and Treatment of Blood Pressure (JNC7) i whakaputaina i te tau 2003 i runga i te tikanga mo te toto toto nui ake i te paerewa tika (he nui ake i te 129 ki te 139 mmHg systolic, 89 mmHg diastolic i runga ake i te aratohu). Ko etahi atu paearu e whakamahia ana (135 mmHg systolic 85 mmHg diastolic ranei) ka ahu mai i te 24-haora te tirotiro haereere, te tirotiro ranei i te kaainga o te whare. Ko te American Society of Cardiology i whakaputaina i te Huihuinga o te Huihuinga
neke atu i te 179 mmHg, he pēhanga diastolic neke atu i te 109 mmHg