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Table 1 Recommendation of the JNC VI according to blood pressure and presence of additional risk factors.[17]

From: Generalizability of guidelines and physicians' adherence. Case study on the Sixth Joint National Commitee's guidelines on hypertension

Blood pressure* Recommendation
High normal  
   Group risk** A Lifestyle modification
   Group risk B Lifestyle modification
   Group risk C Drug therapy
Stage 1  
   Group risk A Lifestyle modification (up to 12 months)
   Group risk B Lifestyle modification (up to 6 months)
   Group risk C Drug therapy
Stage 2/3  
   Group risk A Drug therapy
   Group risk B Drug therapy
   Group risk C Drug therapy
  1. * High normal: 130–139/85–89 mmHg. Stage 1: 140–159/90–99 mmHg. Stage 2/3: ≥ 160/100. ** Group risk A: no risk factors (smoke, dyslipidemia, male gender, age ≥ 60 years, family history) or target organ disease (cardiovascular diseases, renal failure) or diabetes mellitus; Group risk B: at least one risk factor with no target organ disease or diabetes mellitus; Group risk C: target organ disease or diabetes mellitus.