Donald G. Vidt, MD
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March 23, 2005
Stage 1 Hypertension
To the Editor: In his article, Update on Nephrology and Hypertension, Vidt( March 15 2005 issue) has reported Stage 1 Hypertension as "systolic blood pressure, 120 to 139 mm Hg; diastolic blood pressure, 90 to 99 mm Hg."
According to the JNC7 guidelines, Stage 1 Hypertension is classified as a Systolic blood pressure of 140 to 159 mm of Hg or a Diastolic blood pressure of 90 to 99 mm of Hg.
References: 1) Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289:2560- 72.
Johannesburg Hospital, Parktown, South Africa
November 10, 2007
Having worked with patients with heart disease and hypertension, these new guidelines are surely welcome. These guidelines provide easy rules to apply to patients of all ages and ethnicities. The management of hypertension is undoubtedly something that needs greater research and surely these guidelines provide reliable and time tested suggestions.
Vidt DG. Update in Nephrology and Hypertension. Ann Intern Med. 2005;142:433-438. doi: 10.7326/0003-4819-142-6-200503150-00009
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Published: Ann Intern Med. 2005;142(6):433-438.
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