Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

Aram V. Chobanian, George L. Bakris, Henry R. Black, William Cushman, Lee A. Green, Joseph L. Izzo, Daniel W. Jones, Barry J. Materson, Suzanne Oparil, Jackson T. Wright, Edward J. Roccella

Research output: Contribution to journalReview article

8781 Citations (Scopus)

Abstract

The National High Blood Pressure Education Program presents the complete Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Like its predecessors, the purpose is to provide an evidence-based approach to the prevention and management of hypertension, The key messages of this report are these: in those older than age 50, systolic blood pressure (BP) of greater than 140 mm Hg is a more important cardiovascular disease (CVD) risk factor than diastolic BP; beginning at 115/75 mm Hg, CVD risk doubles for each increment of 20/10 mm Hg; those who are normotensive at 55 years of age will have a 90% lifetime risk of developing hypertension; prehypertensive individuals (systolic BP 120-139 mm Hg or diastolic BP 80-89 mm Hg) require health-promoting lifestyle modifications to prevent the progressive rise in blood pressure and CVD; for uncomplicated hypertension, thiazide diuretic should be used in drug treatment for most, either alone or combined with drugs from other classes; this report delineates specific high-risk conditions that are compelling indications for the use of other antihypertensive drug classes (angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, beta-blockers, calcium channel blockers); two or more antihypertensive medications will be required to achieve goal BP (< 140/90 mm Hg, or < 130/80 mm Hg) for patients with diabetes and chronic kidney disease; for patients whose BP is more than 20 mm Hg above the systolic BP goal or more than 10 mm Hg above the diastolic BP goal, initiation of therapy using two agents, one of which usually will be a thiazide diuretic, should be considered; regardless of therapy or care, hypertension will be controlled only if patients are motivated to stay on their treatment plan. Positive experiences, trust in the clinician, and empathy improve patient motivation and satisfaction. This report serves as a guide, and the committee continues to recognize that the responsible physician's judgment remains paramount.

Original languageEnglish (US)
Pages (from-to)1206-1252
Number of pages47
JournalHypertension
Volume42
Issue number6
DOIs
StatePublished - Dec 1 2003

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Blood Pressure
Hypertension
Therapeutics
Sodium Chloride Symporter Inhibitors
Cardiovascular Diseases
Antihypertensive Agents
Hematologic Diseases
Angiotensin Receptor Antagonists
Calcium Channel Blockers
Patient Satisfaction
Chronic Renal Insufficiency
Angiotensin-Converting Enzyme Inhibitors
Pharmaceutical Preparations
Life Style
Motivation
Physicians
Education
Health

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. / Chobanian, Aram V.; Bakris, George L.; Black, Henry R.; Cushman, William; Green, Lee A.; Izzo, Joseph L.; Jones, Daniel W.; Materson, Barry J.; Oparil, Suzanne; Wright, Jackson T.; Roccella, Edward J.

In: Hypertension, Vol. 42, No. 6, 01.12.2003, p. 1206-1252.

Research output: Contribution to journalReview article

Chobanian, AV, Bakris, GL, Black, HR, Cushman, W, Green, LA, Izzo, JL, Jones, DW, Materson, BJ, Oparil, S, Wright, JT & Roccella, EJ 2003, 'Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure', Hypertension, vol. 42, no. 6, pp. 1206-1252. https://doi.org/10.1161/01.HYP.0000107251.49515.c2
Chobanian, Aram V. ; Bakris, George L. ; Black, Henry R. ; Cushman, William ; Green, Lee A. ; Izzo, Joseph L. ; Jones, Daniel W. ; Materson, Barry J. ; Oparil, Suzanne ; Wright, Jackson T. ; Roccella, Edward J. / Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. In: Hypertension. 2003 ; Vol. 42, No. 6. pp. 1206-1252.
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