Managing hypertension in the southeastern United States

Applying the guidelines from the sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC VI)

Daniel Jones, Jan Basile, William Cushman, Brent Egan, Carlos Ferrario, Martha Hill, Daniel Lackland, George Mensah, Michael Moore, Elizabeth Ofili, Edward J. Roccella, Ronald Smith, Herman Taylor

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

The southeastern United States has the highest occurrence of heart disease and stroke and among the highest rates of congestive heart failure and renal failure in the country. The Consortium for Southeastern Hypertension Control (COSEHC) is cooperating with other organizations in implementing initiatives to reduce morbidity and mortality from hypertension- related conditions in the southeastern United States. This article outlines for clinicians special consideration for implementation of the Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) in the southeastern United States. Clinicians are encouraged to adapt the recommendations of JNC VI to their own patient groups, paying attention to these specific areas: (1) Ensure screening for hypertension in your practice and community. (2) Evaluate all patients for accompanying risk factors and target organ damage. (3) Promote lifestyle management for individual patients and populations for prevention and treatment of hypertension. (4) Set a goal blood pressure for each patient, and monitor progress toward that goal. (5) Recognize that many patients will be candidates for blood pressure goals of <130/85 mm Hg. (6) Pay attention to compelling and special indications such as diabetes, congestive heart failure, and renal dysfunction. (7) Consider combination therapy. (8) Maximize staff contributions to enhance patient adherence. (9) Encourage patient, family, and community activities to promote healthy lifestyles and blood pressure control.

Original languageEnglish (US)
Pages (from-to)357-364
Number of pages8
JournalAmerican Journal of the Medical Sciences
Volume318
Issue number6
StatePublished - Jan 1 1999

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Southeastern United States
Guidelines
Hypertension
Blood Pressure
Therapeutics
Heart Failure
Patient Compliance
Renal Insufficiency
Life Style
Heart Diseases
Stroke
Organizations
Morbidity
Kidney
Mortality
Population

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Managing hypertension in the southeastern United States : Applying the guidelines from the sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC VI). / Jones, Daniel; Basile, Jan; Cushman, William; Egan, Brent; Ferrario, Carlos; Hill, Martha; Lackland, Daniel; Mensah, George; Moore, Michael; Ofili, Elizabeth; Roccella, Edward J.; Smith, Ronald; Taylor, Herman.

In: American Journal of the Medical Sciences, Vol. 318, No. 6, 01.01.1999, p. 357-364.

Research output: Contribution to journalArticle

Jones, Daniel ; Basile, Jan ; Cushman, William ; Egan, Brent ; Ferrario, Carlos ; Hill, Martha ; Lackland, Daniel ; Mensah, George ; Moore, Michael ; Ofili, Elizabeth ; Roccella, Edward J. ; Smith, Ronald ; Taylor, Herman. / Managing hypertension in the southeastern United States : Applying the guidelines from the sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure (JNC VI). In: American Journal of the Medical Sciences. 1999 ; Vol. 318, No. 6. pp. 357-364.
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