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JNC7(美国最新高血压治疗指南).pdf

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SeventhReportoftheJointNationalCommitteeonPrevention,Detection, Evaluation,andTreatmentofHighBloodPressure AramV.Chobanian,GeorgeL.Bakris,HenryR.Black,WilliamC.Cushman,LeeA. Green,JosephL.Izzo,Jr,DanielW.Jones,BarryJ.Materson,SuzanneOparil, JacksonT.Wright,Jr,EdwardJ.RoccellaandtheNationalHighBloodPressure EducationProgramCoordinatingCommittee Hypertension2003;42;1206-1252;originallypublishedonlineDec1,2003; DOI:10.1161/01.HYP.0000107251.49515.c2 HypertensionispublishedbytheAmericanHeartAssociation.7272GreenvilleAvenue,Dallas,TX 72514 Copyright©2003AmericanHeartAssociation.Allrightsreserved.PrintISSN:0194-911X.Online ISSN:1524-4563 Theonlineversionofthisarticle,alongwithupdatedinformationandservices,is locatedontheWorldWideWebat: http://hyper.ahajournals.org/cgi/content/full/42/6/1206 Subscriptions:InformationaboutsubscribingtoHypertensionisonlineat http://hyper.ahajournals.org/subscriptions/ Permissions:Permissions&RightsDesk,LippincottWilliams&Wilkins,adivisionofWolters KluwerHealth,351WestCamdenStreet,Baltimore,MD21202-2436.Phone:410-528-4050.Fax: 410-528-8550.E-mail: journalpermissions@lww.com Reprints:Informationaboutreprintscanbefoundonlineat http://www.lww.com/reprints Downloadedfromhyper.ahajournals.orgatVAMEDCTRBOISEonNovember6,2009 JNC7–COMPLETEVERSION SEVENTHREPORTOFTHEJOINTNATIONAL COMMITTEEONPREVENTION,DETECTION, EVALUATION,ANDTREATMENTOFHIGH BLOODPRESSURE AramV.Chobanian,GeorgeL.Bakris,HenryR.Black,WilliamC.Cushman,LeeA.Green, JosephL.Izzo,Jr,DanielW.Jones,BarryJ.Materson,SuzanneOparil,JacksonT.Wright,Jr, EdwardJ.Roccella,andtheNationalHighBloodPressureEducationProgramCoordinatingCommittee Abstract—TheNationalHighBloodPressureEducationProgrampresentsthecompleteSeventhReportoftheJoint NationalCommitteeonPrevention,Detection,Evaluation,andTreatmentofHighBloodPressure.Likeitspredecessors, thepurposeistoprovideanevidence-basedapproachtothepreventionandmanagementofhypertension.Thekey messagesofthisreportarethese:inthoseolderthanage50,systolicbloo