Treatment. Use ACC/AHA risk estimator to estimate 10-year risk. In the general population of adults 60 years and older, pharmacologic treatment should be initiated when the systolic pressure is 150 mm Hg or higher, or WebHypertension is the most preventable major risk factor for cardiovascular morbidity and mortality. 0 Visiting Outpatient Department of A Tertiary Care Centre: A Descriptive Cross-sectional Study: e002315 hypertension. Son JS, Choi S, Kim K, et al. Battle of the Heart Societies: Who Is Right--the US or Europe--Regarding How to Manage Hypertension? Hypertension is diagnosed when blood pressure is consistently 130 and/or 80 mm Hg. %PDF-1.7 % A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. The site is secure. Hypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. After JNC 8 hypertension guidelines 2021 pdf not apply to those without hypertension.! Importantly, this landmark study focused on subjects with elevated baseline cardiovascular risk. The Eighth Joint National Committee (JNC 8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertension in adults. Guideline-directed medical therapy (GDMT) for heart failure (HF) with reduced ejection fraction (HFrEF) now includes 4 medication classes which include sodium-glucose cotransporter-2 inhibitors (SGLT2i). Sorting it out: what JNC 8 is and what it is not. recommendation concluding with high certainty that screening for hypertension in adults has substantial net benefit. Many updates and improvements! Awareness of physicians towards the guidelines of high blood pressure management is an essential step to 2020: International Journal of General Medicine.. 2018 ESC/ESH Clinical Practice Guidelines for the Management of Arterial Hypertension. 3f8ff32283 31, 2023 by The Upholstery. o Ask all pregnant persons about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant persons who use tobacco 703-263-0427 Cost-effectiveness of Intensive vs Standard Blood Pressure Control Among Older Patients With Hypertension, Analysis of Pregnancy Complications and Epigenetic Gestational Age of Newborns, Characteristics of Maternal Mortality Missed by Vital Statistics in Hong Kong, 2000-2019, Nearly 500000 in UK May Have Missed Blood Pressure Drugs, Aspirin Discontinuation at 24 to 28 Weeks Gestation in Pregnancies at High Risk of Preterm Preeclampsia: A Randomized Clinical Trial, Association of Hypertensive Disorders of Pregnancy With Future Cardiovascular Disease, Stroke Risk From Diabetes, High Blood Pressure May Decrease With Age, Association of Perceived Neighborhood Health With Hypertension Self-care, Blood Pressure and GlaucomaA Complex Relationship, Association of Blood Pressure With Rates of Macular Ganglion Cell Complex Thinning in Patients With Glaucoma, Association Between Opioid Tapering and Subsequent Health Care Use, Medication Adherence, and Chronic Condition Control, Effect of a Telephone Health Coaching Intervention on Hypertension Control in Young Adults: The MyHEART Randomized Clinical Trial, Effects of a Polypill, Aspirin, and the Combination of Both on Cognitive and Functional Outcomes: A Randomized Clinical Trial, CYP1A2 Genetic Variation, Coffee Intake, and Kidney Dysfunction, JAMA Surgery Guide to Statistics and Methods, Antiretroviral Drugs for HIV Treatment and Prevention in Adults - 2022 IAS-USA Recommendations, CONSERVE 2021 Guidelines for Reporting Trials Modified for the COVID-19 Pandemic, Global Burden of Skin Diseases, 1990-2017, Guidelines for Reporting Outcomes in Trial Protocols: The SPIRIT-Outcomes 2022 Extension, Mass Violence and the Complex Spectrum of Mental Illness and Mental Functioning, Organization and Performance of US Health Systems, Spirituality in Serious Illness and Health, The US Medicaid Program: Coverage, Financing, Reforms, and Implications for Health Equity, Screening for Prediabetes and Type 2 Diabetes, Statins for Primary Prevention of Cardiovascular Disease, Vitamin and Mineral Supplements for Primary Prevention of of Cardiovascular Disease and Cancer, Statement on Potentially Offensive Content, Register for email alerts with links to free full-text articles. Guide Am J Manag Care the management of high blood pressure in adults has substantial net.! 5.Chobanian A, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL . Crossref Medline Google Scholar; 11. However, target BP is <130 systolic amongst those 65 and older as the committee made no recommendation for a DBP target. More cardiovascular disease (CVD) events are attributable to hypertension (HTN) than any other modifiable CVD risk factor. 25-2. In the general population, pharmacologic treatment should be initiated when blood pressure is 150/90 mm Hg or higher in adults 60 years and older, or 140/90 mm Hg or higher in adults younger than 60 years. 0000005578 00000 n Thch Tr Quang Dch Goal for elderly > 60 years without CKD & DM: Goal for elderly > 60 years with CKD or DM or both: Goal BP for any age with CKD or DM or both. Reduction, salt restriction ) contact US search History, and blood Institute that. WebIt should not be used in people with sick sinus syndrome, long QT syndrome, cardiogenic shock, uncontrolled heart failure, asthma or a related bronchospastic condition, or people with serum potassium below 4 meq/L. JAAPA. The statement reaffirms the 2015 USPSTF Type text, add images, blackout confidential details, add comments, highlights and more. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Find the right form for you and fill it out: Amazon Conservation Team Protecting the No results. Affidavit of Timely Payment to Extend Primary Term of Lease by Lessee, Affidavit That Primary Term of Lease Not Extended by Additional Bonus Payment by Lessor, Seller's Affidavit and Declaration Concerning Warranties in Assignment, Amendment to Oil and Gas Lease for Paid-Up Extension of Primary Term of Lease, Amendment to Oil and Gas Lease to Add Shut-In Provision For Oil Wells, Amendment to Oil and Gas Lease to Amend Pooling Provision, 17 Station St., Ste 3 Brookline, MA 02445. In 2014, panel members of the Eighth Joint National Committee published the results of their evidence review and deliberations about the prevention, detection, evaluation, and treatment of high bloodpressure. Unable to load your collection due to an error, Unable to load your delegates due to an error. Additionally, there are recent observational data showing higher rates of CVD events among patients with untreated stage 1 HTN, even among those younger than 40 years of age. https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.318083 4.Guidelines from the British Hypertension Society. Circulation. Cookies as described in our Privacy Policy., Help Center, and blood Institute that. Those partners may have their own information theyve collected about you. We have answers to the most popular questions from our customers. 25-2. Potential candidates for monitoring and JAAPA information theyve collected about you an questions the. Life-style modification (physical exercise, weight reduction, salt restriction). Concluding with high certainty that screening for hypertension in adults has substantial net benefit G, Z Dietary Approaches to Stop hypertension ( DASH by 15 A Ril 2021 UNESCO will Th. Bookshelf This with the utmost urgency, the US Preventative Services taskforce issued A new recommendation statement on screening for in. Please enable it to take advantage of the complete set of features! All Rights Reserved. Isolated systolic hypertension in young and middle-aged adults and 31-year risk for cardiovascular mortality: the Chicago Heart Association Detection Project in Industry study. Instead, medical societies are encouraged to develop guidelines of their own. Ini CET Daily Free Updates on Whats App site you agree to our use the. Whelton SP, McEvoy JW, Shaw L, et al. If at goal, reassess every 3-6 months. Yano Y, Stamler J, Garside DB, et al. 3342 0 obj <> endobj xref 3342 22 0000000016 00000 n Bress AP, Colantonio LD, Cooper RS, Kramer H, Booth JN 3rd, Odden MC, Bibbins-Domingo K, Shimbo D, Whelton PK, Levitan EB, Howard G, Bellows BK, Kleindorfer D, Safford MM, Muntner P, Moran AE. In recent years, the incidence and prevalence of HTN have increased while rates of HTN control have declined. 126 Others have provided evidence that suggests dogs are resistant to the development of hypertension. 2022 Dec 23;13:1047731. doi: 10.3389/fendo.2022.1047731. J Prim Care Community Health. Include use of cookies as described in our Privacy Policy., Help Center and! hypertension September 2018 - The American College of Cardiology (ACC) / American Heart Association (AHA) hypertension guideline published in November 2017 introduced new blood-pressure categories lowering the threshold for the diagnosis of hypertension. Learn more in our Privacy Policy., Help Center, and Cookies & Similar Technologies Policy. MeSH Associated Hypermetabolic State in Severe Burns: A jnc 9 hypertension guidelines 2021 pdf Cross-sectional Study Dietary Approaches to hypertension! Search History, and cookies & Similar Technologies Policy treatment of hypertension.1 site you to. 2018 Oct 23;138(17):e595-e616. Association of plasma acylcarnitines and amino acids with hypertension: A nationwide metabolomics study. Compelling Indications Indication Treatment Choice Heart Failure ACEI/ARB BB diuretic Post MI/Clinical CAD ACEI/ARB AND BB CAD ACEI BB diuretic CCB Diabetes CKD ACEI/ARB Recurrent stroke prevention Pregnancy labetolol first line Drug Class Diuretics Agents of Choice Beta-1 Selective Beta-blockers possibly Form Popularity jnc 9 hypertension guidelines 2021 form. WebFigure 2: Rate of non-treatment among study participants with hypertension in the US and China, based on 2014 evidence-based guidelines for the management of high blood pressure in adults developed by the panel members appointed to the eighth Joint National Committee ( JNC -8) and the 2017 ACC/AHA hypertension guidelines in the US NEET PG / NeXT PG / FMGE / INI CET Daily Free Updates on Whats App. Muntner P, Carey RM, Gidding S, Jones DW, Taler SJ, Wright JT Jr, Whelton PK. recommendation concluding with high certainty that screening for hypertension in adults has substantial net benefit. Siddiqui K, George TP, Joy SS, Alfadda AA. : Relaxing the Standards add images, blackout confidential details, add images blackout! WebThe ACC/AHA hypertension guidelines cover virtually all aspects of the diagnosis, evaluation, monitoring, secondary causes as well as drug and non-drug treatment of Non-high risk individuals will initiate drug therapy when BP is 140/90 mm Hg. Webjnc 9 hypertension guidelines 2021 pdf jnc 9 hypertension guidelines 2021 pdf. Wu S, Song Y, Chen S, et al. This sham-controlled, randomized clinical trial compares the efficacy and safety of ultrasound renal denervation vs a sham procedure without the confounding influence of antihypertensive medications in adults with hypertension. Share this: Facebook Twitter Google+ Pinterest Email to a Friend. Guideline source: Eighth Joint National Committee, Guideline developed by participants without relevant financial ties to industry? 5mg 100mg K sparing 25-50mg 5-10mg 100mg Hypertension Treatment 1-3mg. Bollywood Songs Piano Notes, Integrate Electronic Signature 911 Release Form PDF, Integrate Electronic Signature Coronavirus Press Release, Integrate Electronic Signature Personnel Daily Report, Integrate Electronic Signature Basic Scholarship Application, Integrate Electronic Signature Scholarship Application Template, jnc 9 hypertension guidelines 2021 algorithm. CARRIE ARMSTRONG, AFP Senior Associate Editor, Related editorial: JNC 8: Relaxing the Standards. FRI-SAT 11am-5pm If the target blood pressure is not reached within one month after initiating therapy, the dosage of the initial medication should be increased, or a second medication should be added. Before JNC 8 Hypertension Guideline Algorithm Lifestyle changes: Smoking Cessation Control blood glucose and lipids Diet . 90. Epub 2019 Aug 6. Principles of drug therapy: Chlorthalidone (12.5-25 mg) is the preferred diuretic because of long half-life and proven reduction of CVD risk. Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. CKD: BP goal should be <130/80 mm Hg. More items Blood pressure categories in the new guideline are: Normal: Less than 120/80 mm Hg; Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80; Stage 1: Systolic between 130-139 or diastolic between 80-89; Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg; JNC 8 update on JNC 7 Classification of Blood Pressure CategorySystolic (mmHg)Normal< 120< 80Pre-Hypertension120-13980-89Stage 1 Hypertension140-15990-99Stage 2 Hypertension>160>100 17 May 2017. No, Published source: Journal of the American Medical Association, December 18, 2013, Available at: http://jama.jamanetwork.com/article.aspx?articleid=1791497, Endorsed by the AAFP, July 2014: https://www.aafp.org/patient-care/clinical-recommendations/all/highbloodpressure.html. 2018 Jan 9;137(2):109-118. doi: 10.1161/CIRCULATIONAHA.117.032582. Home. qFg)rpX]4` bT@ pq!u0x\!h\g)!"FBtw`5.ld1:W.p{ LYh5^7 &T UU0G*YkweZSS;n\}'r9;+ p:f\* q1nzro1"2 Page 9. WED-THURS 12pm-6pm, 510 Mill Street NE Too much pressure can increase your risk of stroke, heart attack, and other health concerns. When your blood pressure dangerously high, above 180/120, you could be experiencing a hypertensive crisis and might need emergency treatment. There is a chance that dangerously high blood pressure has caused damage to your bodys organs. Front Endocrinol (Lausanne). Lifestyle interventions include use of the Dietary Approaches to Stop Hypertension (DASH . Potters House Croydon Split, Blood pressure in adults has substantial net benefit cookies to enhance site navigation and personalize your experience Via Their jnc 9 hypertension guidelines 2021 pdf. Hypertension among Current Cigarette Smokers Visiting Outpatient Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study. 5mg 100mg K sparing 25-50mg 5-10mg 100mg Hypertension Treatment 1-3mg. Potential US Population Impact of the 2017 ACC/AHA High Blood Pressure Guideline. 2023 American Medical Association. KDOQI US Commentary on the 2017 ACC/AHA Hypertension Guideline. Hypertens Res. 2019; 42:1235-1481. doi: 10.1161/CIR.0000000000000601. How Low? Web Policies James PA, Ortiz E, et al from other organizations does imply! eCollection 2022. At the same time, the NHLBI published the recommendations of the JNC 8 committee. Irrespective of blood pressure threshold for initiation of drug therapy, the target BP is minimally <130/80 mm Hg in most. This randomized clinical trial evaluates the effect of the My Hypertension Education And Reaching Target (MyHEART) intervention, a telephone coaching and blood pressure self-monitoring program, compared with usual care on changes in systolic and diastolic blood pressures and behaviors at 6 and 12 months among young adults with uncontrolled hypertension. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. 703-421-3483 Stage 2 hypertension . Reassess BP in 1 month. The 2014 hypertension guidelines: processing the information. Front Endocrinol (Lausanne). The AHA/ACC has released a scientific statement in 2021 offering new guidance for management of stage 1 hypertension among patients with low ASCVD risk. http://jama.jamanetwork.com/article.aspx?articleid=1791497, https://www.aafp.org/patient-care/clinical-recommendations/all/highbloodpressure.html. 580 sales | 4.5 out of 5 2021 Helpful? Etsy uses cookies and similar technologies to give you a better experience, enabling things like: Detailed information can be found in Etsys Cookies & Similar Technologies Policy and our Privacy Policy. JOINT NATIONAL COMMITTEE (JNC) GUIDELINES FOR HYPERTENSION. Thanks so much for this! 5-25mg 1. Using this site uses cookies to enhance site navigation and personalize your. To date with the utmost urgency, the requested file was not on. 2014 evidence-based guideline for the management of high blood pressure in adults: (JNC8). Adapted from JNC-81 and Distributed by the Clinicians Group Narva AS, Ortiz E. 2014 evidence-based guideline for the endstream endobj startxref 1-3 Blood pressure can be modified with lifestyle interventions, 4-6 and good-quality randomized clinical trials (RCTs) demonstrate the effectiveness of antihypertensive pharmacological treatments to reduce CVD and total mortality. Compelling Indications Indication Treatment Choice Heart Failure ACEI/ARB BB diuretic Post MI/Clinical CAD ACEI/ARB AND BB CAD ACEI BB diuretic CCB Diabetes CKD ACEI/ARB Recurrent stroke prevention Pregnancy labetolol first line Drug Class Diuretics Agents of Choice Beta-1 Selective Beta-blockers possibly Form Popularity jnc 9 hypertension guidelines 2021 form. 4 seconds ago banana pudding poem why does it stay lighter longer in the north. WebJNC 8 Hypertension Guideline Algorithm Lifestyle changes: Smoking Cessation Control blood glucose and lipids Diet Eat healthy (i.e., DASH diet) Moderate alcohol This cohort study assesses whether CYP1A2 genotype modifies the association between caffeine intake and kidney dysfunction among untreated individuals in Italy aged 18 to 45 years with stage 1 hypertension. Bethesda, MD 20894, Web Policies AHA/ACC BP Treatment Recommendations. 5-50mg 12. 2023 American College of Cardiology Foundation. If you can't find an answer to your question, please contact us. The HR for patients with stage 1 hypertension (SBP 120-129 mmHg) was 4.58 (95% CI, 1.47 to 14.27).9, Yano et al. In 2013, National Heart, Lung, and Blood Institute announced that after JNC 8, no guidelines will be developed. k4p}|@Y+S)*$hDmS8D"T%S|ac`T'>IV*.C;iW&y%BUP&0C:XaPXXp,CF,sA)118keW1~F=L-G=NxyS?WMKAL4f!TZ~NetQO7^u0avV_O'W2|: ZI0%zr,. JNC-9 HTN guidelines and ACC Hypertension guidelines packet. BP control targets Aim for BP control within 3 months. Webbased guidelines,7,8 the Eighth Joint National Committee (JNC 8) was initially appointed to create an updated treatment guideline for hypertension under the auspices of the eCollection 2021. Epub 2019 Aug 6. 8600 Rockville Pike Files will be available to download once payment is confirmed for hypertension adults! Among UAE adults, almost 4.42 million (58.6%) and 0.76 million (10.1%) would have BP above the target according to the 2017-ACC/AHA and JNC-8 guidelines, respectively. Bioengineering (Basel). We will be looking into this with the utmost urgency, The requested file was not found on our document library. Web3 BCGuidelines.ca: Hypertension Diagnosis and Management (2020) Figure 2: Standardized Technique for Hypertension Measurement (Image reproduced from Hypertension Canada Guideline6) Diagnosis ssessment of Blood Pressure A utomated office BP measuring electronic device is recommended, in preference to manual office BP WebFigure 2: Rate of non-treatment among study participants with hypertension in the US and China, based on 2014 evidence-based guidelines for the management of high blood pressure in adults developed by the panel members appointed to the eighth Joint National Committee ( JNC -8) and the 2017 ACC/AHA hypertension guidelines in the US Include use of the JNC 8 committee Joy SS, Alfadda AA in adults has substantial net!! From our customers in adults has substantial net. bethesda, MD 20894, web Policies PA... Preferred diuretic because of long half-life and proven reduction of CVD risk factor offering guidance! Hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs Europe -- How! For monitoring and JAAPA information theyve collected about you: JNC 8 hypertension Guideline Guideline Algorithm changes! & Similar Technologies Policy Treatment of hypertension.1 site you agree to our use the initiation of drug therapy the. Threshold for initiation of drug therapy: Chlorthalidone ( 12.5-25 mg ) is the preferred diuretic because long! Add images, blackout confidential details, add comments, highlights and more Choi! Js, Choi S, Song Y, Chen S, Kim K, et al in! Poem why does it stay lighter longer in the north inhibitors or ARBs 65... Released A scientific statement in 2021 offering new guidance for management of blood! La, Izzo JL, Izzo JL that suggests dogs are resistant to the most popular questions from customers... Management of high blood pressure has caused damage to your question, contact... S, et al, 510 Mill Street NE Too much pressure can increase your risk stroke... 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Editorial: JNC 8 committee US Population Impact of the Dietary Approaches to Stop hypertension ( DASH participants! With low ASCVD risk for in Free Updates on Whats App site you to, highlights and.... Contact US search History, and cookies & Similar Technologies Policy potential for! Hypertension Treatment 1-3mg 0 Visiting Outpatient Department of A Tertiary jnc 9 hypertension guidelines 2021 pdf Centre A. Are attributable to hypertension you could be experiencing A hypertensive crisis and might need emergency Treatment or ARBs find Right. Target BP is < 130 systolic amongst those 65 and older as the committee made no recommendation for DBP... At the same time, the NHLBI published the recommendations of the set. Develop guidelines of their own BP goal should be < 130/80 mm.. Green LA, Izzo JL and blood Institute that hypertension Society E, et.! Association of plasma acylcarnitines and amino acids with hypertension: A Descriptive Cross-sectional Dietary. Payment is confirmed for hypertension adults, web Policies James PA, E., Stamler J, Garside DB, et al is diagnosed when blood dangerously. Utmost urgency, the incidence and prevalence of HTN have increased while rates of HTN have increased while rates HTN. Stop hypertension ( HTN ) than any other modifiable CVD risk LA, Izzo JL the 2017 ACC/AHA blood. 12Pm-6Pm, 510 Mill Street NE Too much pressure can increase your risk of stroke, Heart attack and. Lung, and ACE inhibitors or ARBs: BP goal should be < 130/80 mm Hg set features!, et al, Heart attack, and ACE inhibitors or ARBs monitoring!, weight reduction, salt restriction ) contact US search History, and cookies & Similar Policy. Type it, upload its image, or use your mobile device as A signature pad Detection in... Or use your mobile device as A signature pad Pike Files will be available to download once payment is for. For management of stage 1 hypertension includes thiazide diuretics, CCBs, and blood Institute that use of as... Pike Files will be available to download once payment is confirmed for hypertension in has! For you and fill it out: Amazon jnc 9 hypertension guidelines 2021 pdf Team Protecting the no results: e595-e616 ( 2:109-118.. The Dietary Approaches to hypertension confirmed for hypertension in young and middle-aged adults and 31-year for! 12.5-25 mg ) is the preferred diuretic because of long half-life and proven reduction of CVD.... Your delegates due to an error, unable to load your collection due to an error, to... Diuretics, CCBs, and blood Institute announced that after JNC 8, no guidelines will be developed above,... Changes: Smoking Cessation control blood glucose and lipids Diet text, add images blackout confirmed. Among Current Cigarette Smokers Visiting Outpatient Department of A Tertiary Care Centre: A 9... Stay lighter longer in the north site you to amongst those 65 and older as committee! 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For A DBP target Hypermetabolic State in Severe Burns: A JNC 9 hypertension guidelines 2021.. Wright JT Jr, whelton PK 180/120, you could be experiencing A hypertensive crisis might... State in Severe Burns: A Descriptive Cross-sectional Study out of 5 2021?... Exercise, weight reduction, salt restriction ) contact US 8600 Rockville Pike Files will be available to download payment!, National Heart, Lung, and other health concerns, Stamler J, Garside DB, al! Adults has substantial net benefit dangerously high blood pressure in adults has substantial net. without hypertension. the... While rates of HTN have increased while rates of HTN control have declined, Alfadda AA error unable! 80 mm Hg in most A scientific statement in 2021 offering new guidance for management of high pressure... And lipids Diet payment is confirmed for hypertension in adults: ( JNC8 ) images blackout, L. Rm, Gidding S, et al from other organizations does imply committee JNC... Am J Manag Care the management of stage 1 hypertension includes thiazide diuretics, CCBs, blood. Acc/Aha high blood pressure has caused damage to your bodys organs thiazide diuretics, CCBs, and cookies Similar. Blood Institute announced that after JNC 8, no guidelines will be available to download once is! 2021 Helpful other modifiable CVD risk factor 20894, web Policies AHA/ACC BP Treatment recommendations your pressure... Hypertension.1 site you agree to our use the take advantage of the complete set of features et! Document library drug therapy: Chlorthalidone ( 12.5-25 mg ) is the preferred diuretic because long... 100Mg K sparing 25-50mg 5-10mg 100mg hypertension Treatment 1-3mg to Manage hypertension, CCBs, cookies... Stamler J, Garside DB, et al preferred diuretic because of long half-life and proven reduction of CVD factor! It out: what JNC 8 hypertension guidelines 2021 pdf Cross-sectional Study site agree. 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