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May 4, 1984

'Blood Pressure Month' brings recommendations

JAMA. 1984;251(17):2193. doi:10.1001/jama.1984.03340410011005

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There's good reason to celebrate National High Blood Pressure Month right now. "The 1984 Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure," appearing in the current (May) issue of the American Medical Association's Archives of Internal Medicine, reflects several significant events since the committee's 1980 report.

Because these events—publication of major clinical trial results, introduction of new antihypertensive agents, evidence concerning effectiveness of nonpharmacologic treatment, and further analysis of data relating BP levels to the risk of premature morbidity and mortality—affect the successful management of hypertension, the report contains a number of new recommendations for physicians.

Recommendations on the following topics are included:

  • Screening and referral procedures.

  • Classification according to BP levels.

  • Use of nonpharmacologic therapies.

  • Revised stepped-care approach.

  • Management of mild hypertension.

  • Patient-professional interaction.

  • Management of BP in special groups including blacks, children, and pregnant women.

In addition, according to committee member