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FREE CLINICAL TOOL · ESH 2023 / ESC 2024 DUAL GUIDELINE · SALT SATYAGRAHA

Hypertension Risk
Calculator.

ESH/ESC evidence-based hypertension risk scoring with personalised DASH sodium targets, Salt Satyagraha pledge integration, and South Asian-calibrated BMI & waist cutoffs.

ESH 2023 / ESC 2024 Dual Guideline
DASH-Sodium Precision Targets
Salt Satyagraha Pledge Module
South Asian IDF Cutoffs · ICMR 2024

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26-point ESH/ESC scoring · Results update live as you answer

Calculated locally, no data stored or shared. Average of 3 readings, 2-minute intervals preferred.
Guideline: High Normal 130–139 mmHg
Sex & Age Used for waist circumference risk cutoffs and SCORE2 age-band interpretation
Sex
Blood Pressure Reading Office BP: average of 3 readings, 2-minute intervals, patient seated for 5 minutes. If using Home BP (HBPM): average of ≥3 days, 2 readings/day.
Home/Ambulatory BP (HBPM): optional for white coat check
📌 White Coat HTN flag: Office ≥140/90 + Home <135/85 → classified as White Coat (risk not elevated)
Sodium Intake Assessment 5-part clinical sodium audit · max 10 points · drives DASH prescription
🧂 a. Added table salt at meals
🥫 b. Processed / packaged foods chips, namkeen, pickles, papad, sauces, instant noodles
🍳 c. Estimated daily cooking salt
🍽️ d. Restaurant / outside food frequency
🔍 e. Hidden sodium sources MSG, baking soda, preservatives, sodium benzoate
Anthropometric Measurements South Asian BMI cutoffs (≥23 overweight, ≥27.5 obese) · IDF waist cutoffs for visceral adiposity
📌 IDF South Asian · ♂: <90 low · 90–100 moderate · >100 high  |  ♀: <80 low · 80–88 moderate · >88 high
Physical Activity Level WHO recommends ≥150 min/week moderate activity for BP control. Each session reduces SBP −4 to −9 mmHg acutely.
Psychological Stress Level ESH 2023 lists psychosocial stress as a modifiable CVD risk factor. Stress activates sympathetic NS → catecholamine elevation → sustained BP rise.
Family History of Hypertension / CVD First-degree = parent, sibling, child. Premature = men <55 yrs, women <65 yrs at time of diagnosis.
Comorbidities & Risk Amplifiers Select all that apply. Comorbidity contribution capped at 5 pts total. Each amplifies RAAS activation and hypertensive target organ damage risk.

ESH 2023 · ESC 2024 · DASH-Sodium Trial · SSaSS · SPRINT · ICMR-NIE 2024 · Salt Satyagraha

HYPERTENSION RISK SCORE (ESH/ESC)
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BP CATEGORY
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Na SCORE
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Sodium risk

WHAT YOU GET

26-Point Risk ScoreESH/ESC 2023/2024 dual guideline
DASH Sodium TargetPersonalised mg/day prescription
10-Part Sodium AuditIAPEN MNT-grade sodium quantification
Salt Satyagraha PledgeLSS recommendation + commitment tool
BP TargetESH 2023 / ESC 2024 SBP goal
MNT ProtocolTier-specific dietitian referral flags

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Our clinical dietitian will build a personalised DASH sodium plan, review your processed food intake, and create a 30-day salt reduction roadmap.

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EVIDENCE BASE

ESH 2023J Hypertens, 41(12):1874–2071
ESC 2024Eur Heart J: new Elevated BP category
DASH-Sodium 2001NEJM, 344:3–10 (−20 mmHg in SBP≥150: Juraschek, JACC 2017)
SSaSS 2021NEJM · LSS: stroke −14%, CVD −13%
SPRINT 2015NEJM: SBP<120 → 25% CVD reduction

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⚕️ This tool uses ESH 2023 / ESC 2024 risk factor criteria for hypertension risk stratification. It does not replace office BP measurement, 24-hr ABPM, or clinical examination. Elevated scores require physician confirmation before pharmacotherapy initiation. For CKD patients: low-sodium salt substitutes (KCl) are contraindicated, sodium reduction via diet alone is advised. Designed for adults aged 18–90.

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