Document Detail

High normal blood pressure and prehypertension: the debate continues.
MedLine Citation:
PMID:  17534467     Owner:  NLM     Status:  MEDLINE    
Subjects with high normal blood pressure are at high risk of developing hypertension. Thus, the criteria of the Canadian Hypertension Education Program for diagnosis of hypertension and recommendations for follow-up now recommend that patients with high normal blood pressure (130 mmHg to 139 mmHg systolic and/or 85 mmHg to 89 mmHg diastolic) be followed up annually for the development of hypertension. Clinical trial data from subjects with high normal blood pressure show that 40% over two years and 63% over four years developed hypertension (140/90 mmHg or higher). These data are consistent with observational data from the Framingham Heart Study, which found a similar risk. Besides annual follow-up, the Canadian Hypertension Education Program recommends lifestyle therapy for individuals with high normal blood pressure. Ongoing research will establish whether any further management is required.
Peter Bolli; Brenda Hemmelgarn; Martin G Myers; Donald McKay; Guy Tremblay; Sheldon W Tobe;
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  23     ISSN:  0828-282X     ISO Abbreviation:  Can J Cardiol     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-30     Completed Date:  2007-07-17     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  581-3     Citation Subset:  IM    
Ambulatory Internal Medicine Teaching Clinic, St Catharines, Ontario.
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MeSH Terms
Blood Pressure*
Hypertension / physiopathology*
Reference Values

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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