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prehypertension
new category (JNC 7)
Clinical manifestations: BP: 120-139/80-89.
Complications:
- cardiac risk factor [2]
- increased risk of stroke among Han Chinese [5]
Management:
1) life style modification
2) ARB may reduce risk of progression to hypertension [3]
3) annual blood pressure check [4]*
* ambulatory blood pressure monitoring not indicated [4]
Related
hypertension (HTN, high blood pressure, HBP)
General
sign/symptom
References
- Journal Watch 24(1):5, 2004
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA,
Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr,
Roccella EJ; National Heart, Lung, and Blood Institute Joint
National Committee on Prevention, Detection, Evaluation, and
Treatment of High Blood Pressure; National High Blood Pressure
Education Program Coordinating Committee.
The Seventh Report of the Joint National Committee on
Prevention, Detection, Evaluation, and Treatment of High
Blood Pressure: the JNC 7 report.
JAMA. 2003 May 21;289(19):2560-72. Epub 2003 May 14.
Erratum in: JAMA. 2003 Jul 9;290(2):197.
PMID: 12748199
- Kshirsagar AV et al.
Blood pressure usually considered normal is associated with
an elevated risk of cardiovascular disease.
Am J Med 2006 Feb; 119:133-41.
PMID: 16443415
- Julius S, Nesbitt SD, Egan BM, Weber MA, Michelson EL,
Kaciroti N, Black HR, Grimm RH Jr, Messerli FH, Oparil S,
Schork MA.
Feasibility of Treating Prehypertension with an Angiotensin-
Receptor Blocker.
N Engl J Med. 2006 Mar 14; [Epub ahead of print]
PMID: 16537662
http://dx.doi.org/10.1056/NEJMoa060838
- Schunkert H,
Pharmacotherapy for prehypertension - Mission accomplished?
N Engl J Med 2006; 354:1812
PMID: 16537661
http://dx.doi.org/10.1056/NEJMe068057
- Prescriber's Letter 13(5): 2006
Should prehypertension by treated?
Detail-Document#: 220510
(subscription needed) http://www.prescribersletter.com
- Medical Knowledge Self Assessment Program (MKSAP) 16, 17.
American College of Physicians, Philadelphia 2012, 2015
- Lee M et al.
Presence of baseline prehypertension and risk of incident
stroke: A meta-analysis.
Neurology 2011 Oct 4; 77:1330.
PMID: 21956722
- Huang Y, Cai X, Li Y et al
Prehypertension and the risk of stroke.
Neurology. March 12, 2014.
PMID: 24623843
http://www.neurology.org/content/early/2014/03/12/WNL.0000000000000268.abstract
- McInnes G.
Pre-hypertension: how low to go and do drugs have a role?
Br J Clin Pharmacol. 2012 Feb;73(2):187-93. Review.
PMID: 21883385 Free PMC Article
- Cornelissen VA, Smart NA.
Exercise training for blood pressure: a systematic review and
meta-analysis.
J Am Heart Assoc. 2013 Feb 1;2(1):e004473. Review.
PMID: 23525435 Free PMC Article