A 42-year-old man who smokes about half a pack of cigarettes daily presents to your clinic with a two-week history of headaches, irritability, and neck pain. He is otherwise healthy. On examination, blood pressure is 168/104 mmHg, heart rate is 90 beats per minute, respiratory rate is 12 breaths per minute, and temperature is 98°F (36.7°C). He returns one week later for a confirmatory blood pressure check, which remains elevated at 162/100 mmHg, meeting criteria for a diagnosis of hypertension.
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What is the guideline-based criterion for diagnosing hypertension in a non-pregnant adult?
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