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INTRODUCTION
For more than 3 decades, the National Heart, Lung, and Blood Institute
(NHLBI) has administered the National High Blood Pressure Education
Program (NHBPEP) Coordinating Committee, a coalition of 39 major professional,
public, and voluntary organizations and 7 federal agencies. One important
function is to issue guidelines and advisories designed to increase
awareness, prevention, treatment, and control of hypertension (high
blood pressure [BP]). Since the publication of "The Sixth Report
of the Joint National Committee on the Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure" (JNC VI) released in 1997,1
many large-scale clinical trials have been published.
The decision to appoint a committee for "The Seventh Report of
the Joint National Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure" (JNC 7) was based on 4
factors: publication of many new hypertension observational studies
and clinical trials; need for a new clear and concise guideline that
would be useful for clinicians; need to simplify the classification
of BP; and a clear recognition that the JNC reports were not being
used to their maximum benefit. This JNC report is presented in 2 separate
publications: this current succinct practical guide and a more comprehensive
report to be published separately, which will provide a broader discussion
and justification for the current recommendations. In presenting these
guidelines, the committee recognizes that the responsible physician's
judgment is paramount in managing his or her patients.
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