0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Guidelines for Managing High Blood Pressure

David K. Cundiff, MD1; Francois Gueyffier, MD, PhD2; James M. Wright, MD, PhD3
[+] Author Affiliations
1Independent researcher, Long Beach, California
2Laboratoire de Biométrie et Biologie Evolutive, Université Claude Bernard Lyon 1, Villeurbanne, France
3Department of Anesthesiology, Pharmacology and Therapeutics, University of British Columbia, Vancouver, Canada
JAMA. 2014;312(3):294. doi:10.1001/jama.2014.6596.
Text Size: A A A
Published online

Extract

To the Editor The guideline from the panel appointed to the JNC 81 recommended drug treatment to lower BP for patients aged 60 years or older with systolic blood pressure (SBP) of 150 mm Hg or greater or diastolic blood pressure (DBP) of 90 mm Hg or greater. For patients younger than 60 years, the panel recommended medications for DBP of 90 mm Hg or greater. Both of these recommendations were classified as Grade A, presumably based on randomized clinical trials (RCTs). However, a systematic review that we coauthored in the Cochrane Database of Systematic Reviews2 found no evidence supporting drug treatment for patients of any age with stage 1 (mild) hypertension (SBP of 140-159 mm Hg, DBP of 90-99 mm Hg, or both) and no previous cardiovascular disease (ie, primary prevention).

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Letters

July 16, 2014
Eduardo Ortiz, MD, MPH; Suzanne Oparil, MD; Paul A. James, MD
1Rockville, Maryland4Dr Ortiz was with the National Heart, Lung, and Blood Institute, Bethesda, Maryland, at the time of the project
2University of Alabama at Birmingham School of Medicine
3University of Iowa, Iowa City
JAMA. 2014;312(3):295-296. doi:10.1001/jama.2014.6599.
CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();