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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: The JNC 7 report1 on hypertension made only passing reference to sleep apnea as a treatable cause of hypertension. Obstructive sleep apnea is an independent risk factor for hypertension,2 as well as other heart disease.3 It is particularly likely to be present in patients with drug-resistant hypertension.4 Furthermore, effective treatment of sleep apnea lowers blood pressure in the absence of specific antihypertensive treatment.5