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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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“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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Dahlöf, B., Devereux, R. B., Julius, S., Kjeldsen, S. E., Beevers, G., Fairé, U. D., Fyhrquist, F., Hedner, T., Ibsen, H., Kristianson, K. J., et al. (1998) · Hypertension · doi:10.1161/01.hyp.32.6.989 · Cited by 294
Is Prehypertension a Risk Factor for Cardiovascular Diseases?
Qureshi, A. I., Suri, M. F. K., Kirmani, J. F., Divani, A. A., & Mohammad, Y. M. (2005) · Stroke · doi:10.1161/01.str.0000177495.45580.f1 · Cited by 294
Whelton, P. K. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.12.1401 · Cited by 290
Rationale for Fixed-Dose Combinations in the Treatment of Hypertension
Sica, D. A. (2002) · Drugs · doi:10.2165/00003495-200262030-00003 · Cited by 293
Heckbert, S. R., Post, W., Pearson, G. D. N., Arnett, D. K., Gomes, A. S., Jerosch-Herold, M., Hundley, W. G., Lima, J. A., & Bluemke, D. A. (2006) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2006.03.072 · Cited by 292
Blumenthal, J. A., Sherwood, A., Gullette, E. C. D., Babyak, M., Waugh, R., Georgiades, A., Craighead, L. W., Tweedy, D., Feinglos, M., Appelbaum, M., et al. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.13.1947 · Cited by 289
Nighttime blood pressure dipping: the role of the sympathetic nervous system
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Prehypertension and Cardiovascular Disease Risk in the Women’s Health Initiative
Hsia, J. A., Margolis, K. L., Eaton, C. B., WENGER, N. K., Allison, M., Wu, L., LaCroix, A. Z., & Black, H. R. (2007) · Circulation · doi:10.1161/circulationaha.106.656850 · Cited by 288
McEniery, C. M., Yasmin, Y., Wallace, S. M. L., Maki-Petaja, K. M., McDonnell, B. J., Sharman, J. E., Retallick, C., Franklin, S. S., Brown, M. J., Lloyd, R., et al. (2005) · Hypertension · doi:10.1161/01.hyp.0000165310.84801.e0 · Cited by 284
Metadata
- 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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