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January 9, 2018

Cardiovascular Guideline Skepticism vs Lifestyle Realism?

Author Affiliations
  • 1Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 2Senior Editor, JAMA
JAMA. 2018;319(2):117-118. doi:10.1001/jama.2017.19675

The recent release of a new practice guideline for the prevention, detection, evaluation, and management of high blood pressure in adults—a report from the American College of Cardiology and the American Heart Association1,2—has received substantial attention by the medical community and from the news media. The news overload is reminiscent of similar media attention that accompanied new cholesterol guidelines3 and a new risk calculator4 when those reports were issued by the same organizations in 2013. In addition to the “news” about the guidelines, there have been almost predictable concerns raised as well. How could the “experts” have gotten it so wrong? How could a panel, constituted by these 2 highly respected organizations and with one of the most rigorous approaches to development of practice guidelines, have been so misguided?

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