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September 10, 2003

The JNC 7 Hypertension GuidelinesThe JNC 7 Hypertension Guidelines

JAMA. 2003;290(10):1312. doi:10.1001/jama.290.10.1312-a

To the Editor: I am concerned that the "prehypertension" classification in the JNC 7 guidelines1 threatens to medicalize most of the adult population. Young women with blood pressures of 120/80 mm Hg are at very low absolute risk of adverse cardiovascular events. However, if classified as prehypertensive, they would place demands on the medical system that could divert resources from those most at risk. They would also face new stresses as they contemplate pregnancy.

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