The seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure

2004 ◽  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Joint National Committee ◽  
National Committee ◽  
Seventh Report ◽  
Detection Evaluation

scholarly journals Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure

Hypertension ◽  
2003 ◽  
Vol 42 (6) ◽  
pp. 1206-1252 ◽  
Author(s):  
Aram V. Chobanian ◽  
George L. Bakris ◽  
Henry R. Black ◽  
William C. Cushman ◽  
Lee A. Green ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Joint National Committee ◽  
National Committee ◽  
Seventh Report ◽  
Detection Evaluation

scholarly journals Association of Hypertension According to New American College of Cardiology/American Heart Association Blood Pressure Guidelines With Incident Dementia in the ARIC Study Cohort

2020 ◽  
Vol 9 (22) ◽  
Author(s):  
Jeffrey D. Hodis ◽  
Rebecca F. Gottesman ◽  
B. Gwen Windham ◽  
David S. Knopman ◽  
Pamela L. Lutsey ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Heart Association ◽  
Joint National Committee ◽  
National Committee ◽  
Study Cohort ◽  
Stage 1 ◽  
The Impact ◽  
Seventh Report ◽  
Detection Evaluation

Background The impact of the new 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guideline on dementia risk at the population level has not been evaluated. Methods and Results We studied dementia‐free participants in the ARIC (Atherosclerosis Risk in Communities) Study cohort in 1987 to 1989. Hypertension was defined by 2003 Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and 2017 ACC/AHA guidelines using blood pressure measured at baseline. Dementia was defined using adjudicated consensus diagnoses, informant telephone interviews, and discharge codes from hospitalizations and death certificates. Cox regression estimated hazard ratios (HRs) for dementia and 95% CIs by hypertension categories, adjusting for confounders. Population attributable fraction of dementia was calculated by hypertension categories. Among 13 971 participants followed up for a median of 23 years, 1381 dementia cases were identified. Prevalence of hypertension was 34% and 48%, according to the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and ACC/AHA criteria, respectively. HRs (95% CIs) compared with normal blood pressure, according to ACC/AHA categories, were 1.35 (1.12–1.61) for elevated blood pressure, 1.28 (1.07–1.52) for hypertension stage 1, and 1.36 (1.18–1.57) for hypertension stage 2. Population attributable fractions (95% CIs) of dementia from blood pressure categories were 3% (1%–5%), 3% (1%–5%), and 9% (4%–14%), respectively. Population attributable fractions (95% CIs) using the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure categories were 6% (3%–9%) for prehypertension, 0% (−2% to 2%) for hypertension stage 1, and 9% (5%–13%) for hypertension stage 2. Conclusions Risk of dementia increased across hypertension categories defined by ACC/AHA guidelines. The population impact on dementia incidence using ACC/AHA categories was similar to the impact of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.

scholarly journals Prevalência, conhecimento, tratamento e controle de hipertensão arterial sistêmica na população adulta urbana de Tubarão, Santa Catarina, Brasil, em 2003

2007 ◽  
Vol 23 (10) ◽  
pp. 2363-2374 ◽  
Author(s):  
Marcia Regina Pereira ◽  
Mário Sérgio Soares de Azeredo Coutinho ◽  
Paulo F. Freitas ◽  
Eleonora D'Orsi ◽  
André Bernardi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
High Blood Pressure ◽  
Joint National Committee ◽  
National Committee ◽  
Santa Catarina ◽  
Seventh Report ◽  
Detection Evaluation ◽  
De Medicina

O objetivo deste estudo foi estimar a prevalência, o conhecimento, o tratamento e o controle de hipertensão arterial sistêmica (HAS) na população urbana adulta de Tubarão, Santa Catarina, Brasil. Foi realizado um estudo transversal, com uma amostra estratificada a partir de uma listagem dos pontos de luz, do qual participaram 707 indivíduos maiores de 18 anos. Foi aplicado um questionário, aferidas duas medidas da pressão arterial por manômetro de mercúrio, em uma visita domiciliar conduzida por estudantes de medicina. A prevalência de HAS pelo critério do The Seventh Report of The Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (pressão arterial > 140 x 90mmHg) foi de 36,4% e de 40,5% quando acrescentados os indivíduos em uso de anti-hipertensivos. Tinham conhecimento da hipertensão 55,6%; estavam em tratamento farmacológico 46,8% e estavam com a pressão arterial controlada 10,1% dos hipertensos. A elevada prevalência estimada de hipertensão arterial e os percentuais de conhecimento sobre o diagnóstico, tratamento e controle aquém do ideal apontam para necessidade de ações preventivas em Tubarão.

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