Evidence-Based Guideline for the Management of High Blood Pressure in Adults

In 2013, panel members of the Eighth Joint National Committee published the results of their evidence review and deliberations about the prevention, detection, evaluation, and treatment of high blood pressure.

In contrast to the 2003 JNC 7 guideline recommendation, the 2014 guideline is driven by a systematic review of clinical trial evidence.

The 2014 guideline offers recommendations for the management of hypertension in:

  • People older or younger than age 60 years
  • People aged ≥18 years with chronic kidney disease
  • People aged ≥18 years with diabetes
  • Black and nonblack populations

SPRINT trial results may eventually contribute to a revision of JNC8 recommendations, but for now most experts urge a go-slow treatment approach and continued adherence to the 2014 guidelines.

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The JAMA Report: Proportion of US Adults Potentially Affected by the 2014 Hypertension Guideline

Author Interview: Proportion of US Adults Potentially Affected by the 2014 Hypertension Guideline

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