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May 1, 1988Archives of Internal Medicine

The 1988 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure

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Population

Patients with high blood pressure, including special populations such as racial/ethnic minorities, young and…

Design

Guideline

Authors

ACAram V. ChobanianSumy State A.S.Makarenko Pedagogical UniversityMAMichael H. AldermanPreventive CardiologyVDVincent DeQuattroUniversity of California, San Francisco

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Implication

Broadens hypertension care with quality-of-life and cost emphasis; extends prior JNC recommendations to comprehensive risk-factor control.

Key Points

  • The report aims to update hypertension management guidelines based on recent scientific research and consensus processes.
  • Developed using a consensus process based on the latest scientific research.
  • Broadens the step-care approach for clinicians and encourages patient involvement.
  • Revises drug tables and includes considerations for special populations.
  • Introduces new cholesterol guidelines and recommends reduction in alcohol consumption.
  • Emphasizes the control of risk factors for cardiovascular disease.
  • Suggests step-down therapy after blood pressure control.

Structured PICO

P
Population
Patients with high blood pressure (hypertension), including special populations such as racial/ethnic minorities, young and elderly patients, pregnant patients, surgical candidates, and those with various comorbidities.
I
Intervention
Detection, evaluation, and treatment of high blood pressure using a broadened step-care approach, lifestyle modifications, and updated pharmacological therapies.

The 1988 JNC report provides updated consensus guidelines for the detection, evaluation, and management of hypertension, emphasizing a flexible step-care approach and comprehensive risk factor modification.

Cite This Study

Chobanian et al. (1988) studied this question.

synapsesocial.com/papers/6a10ed6839dd87f6d0ee941chttps://doi.org/10.1001/archinte.148.5.1023

Topics

Hypertension management
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The 1988 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure1988 · 1,088 citations
  2. 2The 1980 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure1980 · 327 citations
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  4. 4The 1984 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure1984 · 66 citations
  5. 5The 1984 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure1984 · 594 citations