RT Journal
A1 Weber MA, Laragh JH
T1 Hypertension: Steps forward and steps backward: the joint national committee fifth report
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1993
FD January 25
VO 153
IS 2
SP 149
OP 152
DO 10.1001/archinte.1993.00410020005001
UL http://dx.doi.org/10.1001/archinte.1993.00410020005001
AB HYPERTENSION CONTINUES to be one of the most common conditions treated by physicians. Ongoing research has better defined the mechanisms and clinical characteristics of this condition and enlarged the scope of therapeutic options. It is increasingly clear that high blood pressure, although an independent risk factor for adverse clinical events, frequently exists as part of a syndrome of cardiovascular, neuroendocrine, and metabolic abnormalities.1-3 Prognosis and appropriate treatment for the individual patient must, therefore, be based on considerations that go beyond blood pressure itself.The Joint National Committee (JNC) on the Detection, Evaluation, and Treatment of High Blood Pressure has given opinions on the management of hypertension at 4-year intervals for almost 20 years. The recently published fifth report of the JNC (JNC V) concerning high blood pressure, presented as two separate and lengthy articles,4,5 offers detailed commentary on newer developments in the diagnosis and managementof hypertension, especially as