The examination starts with full history and physical examination to confirm a diagnosis of blood pressure, screen for cardiovascular disease risk factors , and screen for secondary causes of blood pressure. Now New android sphygmomanometers devices come for blood pressure measurement because of old devices with hazards of mercury toxicity. The initial assessment is required systemically in every blood pressure patient such as renal, endocrine, metabolic, and others. Treatment of blood pressure Lifestyle modification of blood pressure patient It has surely had a role in the prevention and treatment of hypertension and recommended for pre-hypertensive and adjuvant therapy . Modification ought to address cardiovascular risks, although these changes do not produce significant blood pressure reduction to cut down therapy. Weight reduction Maintain BMI<25 kg/m2 Salt reduction <6 g NaCl/day DASH diet More fruits, vegetables , low fat dairy product alcohol ...