RT Journal
T1 THe sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1997
FD November 24
VO 157
IS 21
SP 2413
OP 2446
DO 10.1001/archinte.1997.00440420033005
UL http://dx.doi.org/10.1001/archinte.1997.00440420033005
AB THE PURPOSE of the "Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure" (JNC VI) is to provide guidance for primary care clinicians. The committee recognizes that the responsible clinician's judgment of the individual patient's needs remains paramount. Therefore, this national guideline should serve as a tool to be adapted and implemented in local and individual situations. Using evidence-based medicine and consensus, the report updates contemporary approaches to hypertension control. Among the issues covered are the important need for prevention of high blood pressure by improving lifestyles, the cost of health care, the use of self-measurement of blood pressure, the role of managed care in the treatment of high blood pressure, the introduction of new combination antihypertensive medications and angiotensin II receptor blockers, and strategies for improving adherence to treatment. The JNC VI report places more emphasis than earlier reports on absolute