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Comment & Response
July 16, 2014

Guidelines for Managing High Blood Pressure

Author Affiliations
  • 1Department of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond
  • 2Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California
  • 3Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo
JAMA. 2014;312(3):294-295. doi:10.1001/jama.2014.6593

To the Editor The updated 2014 guidelines for the management of high BP in adults by the panel appointed to the JNC 81 did not consider issues relevant to sex differences in hypertensive health. Variables of age and race were addressed, but stratification by sex was omitted. Sex is a determinant of health outcomes, with differences in metabolism, hormonal milieu, pharmacodynamics, pathophysiology, and therapeutic considerations.

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