Abstract
This manuscript will highlight the major elements of the recently published sixth Joint National Committee (JNC-6) report. First, a 3-tiered classification of overall cardiovascular risk is provided as a guide to the institution of therapy with either lifestyle modifications or antihypertensive drugs. Second, the need for prevention is stressed. Third, guidelines for the effective use of appropriate lifestyle modifications are provided. Fourth, a 3-pronged pathway for the choice of critical therapy is provided: one for uncomplicated hypertensive; another for those with "compelling" indications for specific drugs, including the presence of diabetic nephropathy, congestive heart failure, post-myocardial infarction or systolic hypertension in the elderly; the third for those with concomitant conditions that may be either favorably or unfavorably affected by specific types of drugs. In addition, the report emphasizes the need to achieve the goal of less than 140/90 mmHg by a progressive process of therapy and, if necessary, referral to a hypertension specialist. Recommendations are made for improved adherence to therapy, therapy of resistant hypertension and hypertensive crises.
Citations
Jul 20, 2002·The American Journal of Cardiology·Marco R TorresThomas H Marwick
Oct 12, 2001·Journal of Psychosomatic Research·V A BarnesH Davis
Dec 16, 2010·Circulation. Cardiovascular Genetics·Yuxin NiuJulie A Johnson
May 3, 2013·PloS One·Hung-Yu ChangChun-Liang Lin
Sep 24, 2015·Medical Acupuncture·Peng LiJohn C Longhurst
Jul 14, 2012·Fundamental & Clinical Pharmacology·Nelly AgrinierFaiez Zannad
Dec 24, 2008·BMC Public Health·Joseph J CarlsonDeborah L Feltz
Dec 27, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Janice P LeaTom Hostetter
May 12, 2009·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·V C S Srinivasarao BandaruDemudu Babu Boddu
Oct 27, 2011·Journal of the American Dietetic Association·Joseph J CarlsonPaul C Young
Apr 1, 2012·Journal of Primary Care & Community Health·Vishnu P NepalRaouf Arafat
Jul 24, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshio IchiharaKouzou Nagata
Jul 31, 2018·Epidemiology and Health·Ahmad KhosraviAkbar Fotouhi
Mar 26, 2003·Hypertension·Carl Erik MogensenUNKNOWN Preterax in Albuminuria Regression (PREMIER) Study Group
Feb 8, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Neomi A ShahSusan Redline
Nov 30, 2019·Journal of Public Health·Leanna DelheyRobert Delongchamp
Aug 28, 2021·Medicina·Said El-AshkerMohammed Al-Hariri