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U.S. Preventive Services Task Force issues new blood pressure screening guidelines: updates 1996 document.(Clinical Rounds)

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| October 01, 2003 | Tucker, Miriam E. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

A cautious endorsement of ambulatory monitoring and an emphasis on isolated systolic hypertension in the elderly are among the new items in the U.S. Preventive Services Task Force's updated guidelines on screening for high blood pressure.

The document, which includes data published since the task force's last blood pressure guidelines were issued in 1996, also provides reassurance that screening and labeling people as hypertensive does not adversely affect psychological well-being or increase work absenteeism (Am. J. Prev. Med. 25[2]:151-64, 2003).

The task force strongly recommended blood pressure screening of adults aged 18 and older, and treatment for those who have a systolic blood pressure (SBP) of 140 mm Hg or above or a diastolic blood pressure (DBP) of 90 mm Hg or above.

The diagnosis of hypertension should be made only after two or more elevated sphygmomanometer readings are obtained on at least two visits ...

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