Abstract: A wearable device can be used for hypertension monitoring. The wearable device can include a motion sensor and an optical sensor. The data from the sensors can be processed in the wearable device and/or by another device in communication with the wearable device to provide an early screening for undiagnosed hypertension. If the screening estimates undiagnosed hypertension for a user, the user can then be notified to seek a proper hypertension diagnosis. The hypertension monitoring can include a first stage to estimate one or more short-term hypertension scores or parameters. The hypertension monitoring can also include a second stage to estimate a long-term hypertension score using accumulated short-term scores/parameters to estimate hypertension.