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Comment & Response |

Patients Affected by Changes to Hypertension Guideline—Reply

Ann Marie Navar-Boggan, MD, PhD1; Michael J. Pencina, PhD1; Eric D. Peterson, MD, MPH1
[+] Author Affiliations
1Duke Clinical Research Institute, Durham, North Carolina
JAMA. 2014;312(8):846-847. doi:10.1001/jama.2014.9882.
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In Reply Dr Margolis raised a few concerns regarding our interpretations of the 2014 blood pressure guideline1 and our calculations of patients who would be affected by the changes. Specifically, she questioned our use of a cutoff of 150 mm Hg for systolic blood pressure and 90 mm Hg for diastolic blood pressure for initiation of treatment in adults aged 70 years or older with chronic kidney disease and in those aged 60 years or older with diabetes. For both of these issues, the guideline is somewhat vague.

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April 9, 2014
Ann Marie Navar-Boggan, MD, PhD; Michael J. Pencina, PhD; Ken Williams, MS; Allan D. Sniderman, MD; Eric D. Peterson, MD, MPH
1Division of Cardiology, Duke University Medical Center, Durham, North Carolina
2DCRI, Biostatistics and Bioinformatics, Duke University, Durham, North Carolina
3KenAnCo Biostatistics, San Antonio, Texas
4Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada
5Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina6Associate Editor, JAMA
JAMA. 2014;311(14):1424-1429. doi:10.1001/jama.2014.2531.
August 27, 2014
Karen L. Margolis, MD, MPH
1HealthPartners Institute for Education and Research, Minneapolis, Minnesota
JAMA. 2014;312(8):846. doi:10.1001/jama.2014.9879.
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