TY - JOUR T1 - Hypertension: Steps forward and steps backward: the joint national committee fifth report AU - Weber MA, Laragh JH Y1 - 1993/01/25 N1 - 10.1001/archinte.1993.00410020005001 JO - Archives of Internal Medicine SP - 149 EP - 152 VL - 153 IS - 2 N2 - 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 SN - 0003-9926 M3 - doi: 10.1001/archinte.1993.00410020005001 UR - http://dx.doi.org/10.1001/archinte.1993.00410020005001 ER -