The Army National Guard Health Promotion Program (NGR 600-63, Chapter 2)

11. Hypertension Identification
a. The early identification of hypertension includes all intiatives to identify those with a positive family history and to identify the following health risk factors:
(1) High blood pressure
(2) Tobacco use
(3) Elevated cholestrol level
(4) Obesity
(5) Poor nutrition
(6) Inactivity
(7) Stress
(8) Alcohol and drug abuse.

b. These initiatives include early identification, information regarding control and lifestyle factors, and treatment referral. Health care providers will --
(1) Inform soldiers during the periodic physical examination about the effects on hypertension of cholestrol, weight, blood pressure, family history and lifestyle habits.
(2) Maintain protocols for referring individuals identified with significant health risk factors to appropriate health specialists for further care.
(3) Conduct a cardiovascular screening program for soldiers age 40 and over as prescribed in AR 40-501, NGR 40-501 and separate directives.
(4) Provide basic information materials on hypertension suitable for use by commanders, supervisors or counselors outside the health care setting.
(5) Develop and implement procedures to provide annual blood pressure measurement for soldiers and selected family members. As a minimum, hypertension screening is provided as part of all medical examinations, and the health risk appraisal. Individuals with abnormal screening results will receive appropriate medical referrals.