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The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
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hbp7
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
Aram V.
Chobanian
1
and
National Institutes of Health, National Heart, Lung, and Blood Institute, National High Blood Pressure Education Program
Boston University School of Medicine, Boston, MA
National Institutes of Health, National Heart, Lung, and Blood Institute, National High Blood Pressure Education Program
2004
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Table of Contents
Acknowlegements
Foreword
Abstract
Introduction
Methods
Lifetime Risk of Hypertension
Blood Pressure and Cardiovascular Risk
Basis for Reclassification of Blood Pressure
Classification of Blood Pressure
Cardiovascular Disease Risk
Importance of Systolic Blood Pressure
Prevention of Hypertension: Public Health Challenges
Community Programs
Calibration, Maintenance, and Use of Blood Pressure Devices
Accurate Blood Pressure Measurement in the Office
Ambulatory Blood Pressure Monitoring
Self-Measurement
Patient Evaluation
Laboratory Tests and Other Diagnostic Procedures
Identifiable Causes of Hypertension
Genetics of Hypertension
Treatment
Blood Pressure Control Rates
Goals of Therapy
Benefits of Lowering Blood Pressure
Lifestyle Modifications
Pharmacologic Treatment
Rationale for Recommendation of Thiazide-Type Diuretics as Preferred Initial Agent
Achieving Blood Pressure Control in Individual Patients
Followup and Monitoring
Special Situations in Hypertension Management
Compelling Indications
Other Special Situations
Drugs and Other Agents Affecting Blood Pressure
Alcohol
Nonaspirin Nonsteroidal Anti-Inflammatory Drugs
Improving Hypertension Control
Issues Dealing With Adherence to Regimens
What Can the Clinician Do?
Clinical Inertia
Role of Other Health Care Professionals
Patient Factors
Economic Barriers
Additional Sources of Information
Scheme Used for Classification of the Evidence
References
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