The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC VI) is an update of the previous guideline (JNC V, 1992), and contains important new information for clinicians. The JNC VI was developed using evidence-based medicine and consensus to make recommendations to clinicians. As an update, it provides a contemporary approach to hypertension prevention and control.
New information since JNC V includes data from phase 2 of the third National Health and Nutrition Examination Survey, updated information on the year 2000 objectives for the nation, a discussion of new pharmacologic therapies including combination drugs, the role of managed care in the treatment of high blood pressure, and information from recently completed randomized controlled trials on hypertension prevention and treatment. In addition, the report includes a guide to help clinicians individualize treatment by stratifying patients' risks. A revised treatment algorithm is provided to guide clinicians, as well as detailed and updated strategies for special populations and situations.
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