The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure
Abstract
THE PURPOSE of the "Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" (JNC VI) is to provide guidance for primary care clinicians. The committee recognizes that the responsible clinician's judgment of the individual patient's needs remains paramount. Therefore, this national guideline should serve as a tool to be adapted and implemented in local and individual situations. Using evidence-based medicine and consensus, the report updates contemporary approaches to hypertension control. Among the issues covered are the important need for prevention of high blood pressure by improving lifestyles, the cost of health care, the use of self-measurement of blood pressure, the role of managed care in the treatment of high blood pressure, the introduction of new combination antihypertensive medications and angiotensin II receptor blockers, and strategies for improving adherence to treatment. The JNC VI report places more emphasis than earlier reports on absolute
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Blood pressure classification differed between the two studies, the former using an arbitrary classification and the latter using the JNC-VI classification.
“First, blood pressure classification differed between the studies, the former using an arbitrary classification and the latter using the JNC-VI classification (21).”
From Hypertensive left ventricular hypertrophy: relation to peripheral sympathetic drive (2001) · cites this paper as [21]
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Effectiveness of Aldosterone Blockade in Patients With Diabetic Nephropathy
Sato, A., Hayashi, K., Naruse, M., & Saruta, T. (2003) · Hypertension · doi:10.1161/01.hyp.0000044937.95080.e9 · Cited by 466 · see citing works
Blood Pressure Response During Treadmill Testing as a Risk Factor for New-Onset Hypertension
Singh, J. P., Larson, M. G., Manolio, T. A., O’Donnell, C. J., Lauer, M. S., Evans, J. C., & Levy, D. A. (1999) · Circulation · doi:10.1161/01.cir.99.14.1831 · Cited by 460 · see citing works
Natural History of Fabry Renal Disease
Branton, M. H., Schiffmann, R., Sabnis, S. G., et al. (2002) · Medicine · doi:10.1097/00005792-200203000-00003 · Cited by 463 · see citing works
JCS Joint Working Group (2014) · Circulation Journal · doi:10.1253/circj.cj-66-0098 · Cited by 460 · see citing works
Asmar, R. G., London, G. M., O'Rourke, M., Safar, M. E., & for the REASON Project coordinators and investigators (2001) · Hypertension · doi:10.1161/hy1001.095774 · Cited by 448 · see citing works
Estimación del riesgo coronario en España mediante la ecuación de Framingham calibrada
Marrugat, J., Solanas, P., D’Agostino, R. B., SULLIVAN, L. M., Ordovás, J. M., Cordón, F., Ramos, R., Sala, J., Masiá, R., Rohlfs, I., et al. (2003) · Revista Española de Cardiología · doi:10.1016/s0300-8932(03)76861-4 · Cited by 457 · see citing works
Mellen, P. B., Gao, S. K., Vitolins, M. Z., & Goff, D. C. (2008) · Archives of Internal Medicine · doi:10.1001/archinternmed.2007.119 · Cited by 444 · see citing works
Preeclampsia Is Associated With Persistent Postpartum Cardiovascular Impairment
Melchiorre, K., Sutherland, G. R., Liberati, M., & Thilaganathan, B. (2011) · Hypertension · doi:10.1161/hypertensionaha.111.176537 · Cited by 425 · see citing works
The unruptured intracranial aneurysm treatment score
Etminan, N., Brown, R. D., Beseoglu, K., Juvela, S., Raymond, J., Morita, A., Torner, J. C., Derdeyn, C. P., Raabe, A., Mocco, J., et al. (2015) · Neurology · doi:10.1212/wnl.0000000000001891 · Cited by 424 · see citing works
Differential Control of Systolic and Diastolic Blood Pressure
Lloyd‐Jones, D. M., Evans, J. C., Larson, M. G., O’Donnell, C. J., Roccella, E. J., & Levy, D. A. (2000) · Hypertension · doi:10.1161/01.hyp.36.4.594 · Cited by 419 · see citing works
Antioxidant Activities and Oxidative Stress Byproducts in Human Hypertension
Redón, J., Oliva, M. R., Tormos, C., Giner, V., Chaves, F. J., Iradi, A., & Sáez, G. T. (2003) · Hypertension · doi:10.1161/01.hyp.0000068370.21009.38 · Cited by 417 · see citing works
The quantitative relationship between road traffic noise and hypertension
van Kempen, E., & Babisch, W. (2012) · Journal of Hypertension · doi:10.1097/hjh.0b013e328352ac54 · Cited by 415 · see citing works
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 1997-11-24
- Volume
- 157
- Issue
- 21
- Pages
- 2413
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W3022929210
- Cited by
- 3,777
- References
- 0
- Citations by year
- 2026: 9 · 2025: 24 · 2024: 18 · 2023: 26 · 2022: 21 · 2021: 28 · 2020: 27 · 2019: 25 · 2018: 49 · 2017: 51 · 2016: 39 · 2015: 49 · 2014: 68 · 2013: 60 · 2012: 78
- FWCI
- 158.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Internal Medicine (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Nursing › Nutrition and Dietetics › Sodium Intake and Health
- Keywords
- hypertension, JNC VI guidelines, blood pressure control, hypertension prevention, lifestyle modification, self-measured blood pressure, managed care, combination antihypertensive drugs, angiotensin receptor blockers, medication adherence, health care costs, primary care
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