Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure
Abstract
TASK Force I of the National High Blood Pressure Education Program, National Heart, Lung, and Blood Institute, was charged with providing practical recommendations for (1) identifying that segment of the total population with high blood pressure, (2) determining those who could be expected to benefit from antihypertensive therapy, and (3) proposing appropriate therapeutic regimens. In 1973, the task force issued a report entitled "Data Base for Effective Antihypertensive Therapy," which included guidelines for the detection, follow-up, and stepped-care therapy of patients with high blood pressure. The ensuing three years of extensive experience that have been gained in detection and referral techniques and in a simplified approach to therapy indicate that a revision of these recommendations would be useful. This report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure presents a consensus of the organizational representatives serving on the committee. Therapeutic considerations have emphasized treatment
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Randomized controlled trials showed cardiovascular benefits from lowering systolic blood pressure, leading to removal of emphasis on diastolic pressure as the main treatment target.
“The Committee still recommended diastolic blood pressure as the basis for diagnosis and treatment of hypertension, but over the next decade, the emphasis on diastolic blood pressure as the principal treatment target was dropped after randomized controlled trials demonstrated the cardiovascular benefits of systolic blood pressure reduction.46,47”
From The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective (2014) · cites this paper as [46]
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- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1977-01-17
- Volume
- 237
- Issue
- 3
- Pages
- 255
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4255533584
- Cited by
- 334
- References
- 0
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 11 · 2019: 9 · 2018: 14 · 2017: 11 · 2016: 5 · 2015: 4 · 2014: 6 · 2013: 10 · 2012: 17
- FWCI
- 21.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (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, antihypertensive therapy, treatment guidelines, treatment regimens, National High Blood Pressure Education Program
- MeSH terms
- Humans, Hypertension
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