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Abstract: . . . or DBP >100 mmHg) 2-drug combination for most (usually thiazide-type diuretics and ACEI or ARB, or BB, or CCB.) Drug(s) for the compelling indications See Compelling Indications for Individual Drug Classes Other antihyperten- sive drugs (diuretics, ACEI,ARB, BB, CCB) as needed. P-5337 12/03 Page 2 The National High Blood Pressure Education Program is coordinated by the National Heart, Lung, and Blood Institute (NHLBI) at the National Institutes of Health. Copies of the JNC 7 Report are available on the NHLBI Web site at http://www.nhlbi.nih.gov or from the NHLBI Health Information Center, P.O. Box 30105, Bethesda, . . . . . . reading in contralateral arm. Ambulatory BP monitoring Indicated for evaluation of white coat hypertension . Absence of 10-20 percent BP decrease during sleep may indicate increased CVD risk. Patient self-check Provides information on response to therapy. May help improve adherence to therapy and is useful for evaluating white coat hypertension . Compelling Indication Initial Therapy Options Modification Recommendation Avg. SBP Reduction Weight Maintain normal body weight 5-20 mmHg/10 kg reduction (body mass index 18.5-24.9 kg/m 2 ). DASH eating plan Adopt a diet rich in fruits, vegetables, and lowfat . . . --1543,2,386,1712,7714
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