The Seventh Report of the Joint National Committee on ...

1 National High Blood Pressure Education ProgramPrevention, Detection, Evaluation, andTreatment of High Blood PressureThe Seventh Report of the Joint National Committee onJNC7 DEPARTMENT OF HEALTH AND HUMAN SERVICESN ational Institutes of Health National Heart, Lung, and Blood DEPARTMENT OF HEALTH AND HUMAN SERVICESN ational Institutes of HealthNational Heart, Lung, and Blood InstituteNational High Blood Pressure Education ProgramNIH Publication No. 03-5233 December 2003 This work was supported entirely by theNational Heart, Lung, and Blood Executive Committee , writing teams,and reviewers served as volunteers , Detection, Evaluation, andTreatment of High Blood PressureThe Seventh Report of the Joint National Committee onJNC7 ExpressChairAram V. Chobanian, (Boston university Medical Center, Boston, MA)Executive CommitteeGeorge L.

2 Bakris, (Rush Presbyterian-St. Luke s Medical Center,Chicago, IL); Henry R. Black, (Rush Presbyterian-St. Luke s MedicalCenter, Chicago, IL); William C. Cushman, (Veterans Affairs MedicalCenter, Memphis, TN); Lee A. Green, , ( university of Michigan,Ann Arbor, MI); Joseph L. Izzo, Jr., (State university of New York atBuffalo School of Medicine, Buffalo, NY); Daniel W. Jones, (Universityof Mississippi Medical Center, Jackson, MS); Barry J. Materson, , ( university of Miami, Miami, FL); Suzanne Oparil, (Universityof Alabama at Birmingham, Birmingham, AL); Jackson T. Wright, Jr., , (Case Western Reserve university , Cleveland, OH)Executive Secretary Edward J. Roccella, , ( National Heart, Lung, and BloodInstitute, Bethesda, MD) National High Blood Pressure Education Program Coordinating Committee ParticipantsClaude Lenfant, , Chair ( National Heart, Lung, and Blood Institute,Bethesda, MD); George L.

3 Bakris, (Rush Presbyterian-St. Luke sMedical Center, Chicago, IL); Henry R. Black, (Rush Presbyterian-St. Luke s Medical Center, Chicago, IL); Vicki Burt, , (NationalCenter for Health Statistics, Hyattsville, MD); Barry L. Carter, ( university of Iowa, Iowa City, IA); Jerome D. Cohen, (Saint LouisUniversity School of Medicine, St. Louis, MO); Pamela J. Colman, (American Podiatric Medical Association, Bethesda, MD); William , (Veterans Affairs Medical Center, Memphis, TN); Mark J. Cziraky, , (Health Core, Inc., Newark, DE); John J. Davis, (American Academy of Physician Assistants, Memphis,TN); Keith Copelin Ferdinand, , (Heartbeats Life Center, NewOrleans, LA); Ray W. Gifford, Jr., , (Cleveland Clinic Foundation,Fountain Hills, AZ); Michael Glick, (UMDNJ New Jersey DentalSchool, Newark, NJ); Lee A.

4 Green, , ( university of Michigan,Ann Arbor, MI); Stephen Havas, , , ( university of MarylandSchool of Medicine, Baltimore, MD); Thomas H. Hostetter, (NationalInstitute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD);Joseph L. Izzo, Jr., (State university of New York at Buffalo School ofMedicine, Buffalo, NY); Daniel W. Jones, ( university of MississippiMedical Center, Jackson, MS); Lynn Kirby, , , (Sanofi-Synthelabo Research, Malvern, PA); Kathryn M. Kolasa, , , (Brody School of Medicine at East Carolina university , Greenville, NC);Stuart Linas, ( university of colorado Health Sciences Center, denver ,CO); William M. Manger, , (New York university MedicalCenter, New York, NY); Edwin C. Marshall, , , (IndianaUniversity School of Optometry, Bloomington, IN); Barry J.

5 Materson, , ( university of Miami, Miami, FL); Jay Merchant, (Centersfor Medicare & Medicaid Services, Washington, DC); Nancy Houston Miller, , (Stanford university School of Medicine, Palo Alto, CA);Marvin Moser, (Yale university School of Medicine, Scarsdale, NY); William A. Nickey, (Philadelphia College of Osteopathic Medicine,Philadelphia, PA); Suzanne Oparil, ( university of Alabama atBirmingham, Birmingham, AL); Otelio S. Randall, , (HowardUniversity Hospital, Washington, DC); James W. Reed, , , (Morehouse School of Medicine, Atlanta, GA); Edward J. Roccella, , ( National Heart, Lung, and Blood Institute, Bethesda, MD);Lee Shaughnessy ( National Stroke Association, Englewood,CO); Sheldon G. Sheps, (Mayo Clinic, Rochester, MN); David B. Snyder, , (Health Resources and Services Administration, Rockville,MD); James R.

6 Sowers, (SUNY Health Science Center at Brooklyn,Brooklyn, NY); Leonard M. Steiner, , (Eye Group, Oakhurst, NJ);Ronald Stout, , (Procter and Gamble, Mason, OH); Rita D. Strickland, , (New York Institute of Technology,Springfield Gardens, NY); Carlos Vallbona, (Baylor College ofMedicine, Houston, TX); Howard S. Weiss, , (GeorgetownUniversity Medical Center, Washington Hospital Center, Walter Reed ArmyMedical Center, Washington, DC); Jack P. Whisnant, (Mayo Clinic andMayo Medical School, Rochester, MN); Laurie Willshire, , (American Red Cross, Falls Church, VA); Gerald J. Wilson, , (Citizens for Public Action on High Blood Pressure and Cholesterol, Inc.,Potomac, MD); Mary Winston, , (American Heart Association,Dallas, TX); Jackson T. Wright, Jr., , , F. (Case WesternReserve university , Cleveland, OH)ivReviewersWilliam B.

7 Applegate, , (Wake Forest university School ofMedicine, Winston Salem, NC); Jan N. Basile, , (VeteransAdministration Hospital, Charleston, SC); Robert Carey, , ( university of Virginia Health System, Charlottesville, VA); Victor Dzau, (Brighamand Women s Hospital, Boston, MA); Brent M. Egan, (MedicalUniversity of South Carolina, Charleston, SC); Bonita Falkner, (Jefferson Medical College, Philadelphia, PA); John M. Flack, , (Wayne State university School of Medicine, Detroit, MI); Edward , (Ochsner Clinic Foundation, New Orleans, LA); HaralambosGavras, (Boston university School of Medicine, Boston, MA); MartinGrais, (Feinberg School of Medicine, Northwestern university , Chicago,IL); Willa A. Hsueh, (David Geffen School of Medicine, UCLAD epartment of Medicine, Los Angeles, CA); Kenneth A.

8 Jamerson, ( university of Michigan Medical Center, Ann Arbor, MI); Norman , ( university of Texas Southwestern Medical Center, Dallas, TX);Theodore A. Kotchen, (Medical College of Wisconsin, Milwaukee, WI);Daniel Levy, ( National Heart, Lung, and Blood Institute, Framingham,MA); Michael A. Moore, (Dan River Region Cardiovascular HealthInitiative Program, Danville, VA); Thomas J. Moore, (Boston UniversityMedical Center, Boston, MA); Vasilios Papademetriou, , , (Veterans Affairs Medical Center, Washington, DC); Carl J. Pepine, ( university of Florida, College of Medicine, Gainesville, FL); Robert , , (New York university , Lenox Hill Hospital, New York,NY); Thomas G. Pickering, , (Mount Sinai Medical Center, New York, NY); L. Michael Prisant, , , (MedicalCollege of Georgia, Augusta, GA); C.

9 Venkata S. Ram, ( university of Texas Southwestern Medical Center and Texas Blood Pressure Institute,Dallas, TX); Elijah Saunders, , , ( university ofMaryland School of Medicine, Baltimore, MD); Stephen C. Textor, (Mayo Clinic, Rochester, MN); Donald G. Vidt, (Cleveland ClinicFoundation, Cleveland, OH); Myron H. Weinberger, (IndianaUniversity School of Medicine, Indianapolis, IN); Paul K. Whelton, , (Tulane university Health Sciences Center, New Orleans, LA)StaffJoanne Karimbakas, , (Prospect Associates, Ltd., now part ofAmerican Institutes for Research Health Program, Silver Spring, MD)We appreciate the assistance of Carol Creech, and Gabrielle Gessner(Prospect Associates, Ltd., now part of American Institutes for ResearchHealth Program, Silver Spring, MD).vThe National High Blood Pressure Education Program (NHBPEP)

10 Coordinating Committee Member OrganizationsAmerican Academy of Family PhysiciansAmerican Academy of NeurologyAmerican Academy of OphthalmologyAmerican Academy of Physician AssistantsAmerican Association of Occupational Health NursesAmerican College of CardiologyAmerican College of Chest PhysiciansAmerican College of Occupational and Environmental MedicineAmerican College of Physicians-American Society of Internal MedicineAmerican College of Preventive MedicineAmerican Dental AssociationAmerican Diabetes AssociationAmerican Dietetic AssociationAmerican Heart AssociationAmerican Hospital AssociationAmerican Medical AssociationAmerican Nurses AssociationAmerican Optometric AssociationAmerican Osteopathic AssociationAmerican Pharmaceutical AssociationAmerican Podiatric Medical AssociationAmerican Public Health AssociationAmerican Red CrossAmerican Society of Health-System PharmacistsAmerican Society of HypertensionAmerican Society of NephrologyAssociation of Black CardiologistsCitizens for Public Action on High Blood Pressure and Cholesterol, Education Foundation, Society on Hypertension in BlacksNational Black Nurses Association, Hypertension Association, Kidney Foundation, Medical AssociationNational Optometric AssociationNational Stroke AssociationNHLBI Ad Hoc Committee on Minority PopulationsSociety for Nutrition EducationThe Society of Geriatric CardiologyviFederal Agencies.