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Hypertension: New US blood-pressure guidelines — who asked the patients?

The radical new US hypertension guidelines, released 3 years after the previous scientific statement, have implications far beyond their intended recipients. They include a new definition for hypertension, lower treatment targets, and extended guidance on the implementation of multidisciplinary care, including self-monitoring of blood pressure. Some recommendations are likely to generate controversy.

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R.J.M. is funded by an NIHR Professorship (NIHR-RP-R2-12-015) and the NIHR Oxford CLAHRC.

Author information


  1. Richard J. McManus is at the Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford OX2 6GG, UK.

    • Richard J. McManus
  2. Jonathan Mant is at the Primary Care Unit, Department of Public Health & Primary Care, Strangeways Research Laboratory, University of Cambridge, Cambridge CB1 8RN, UK.

    • Jonathan Mant


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Competing interests

R.J.M. has received blood pressure monitoring equipment for research purposes from Lloyds Pharmacies and Omron. J.M. declares no competing interests.

Corresponding author

Correspondence to Richard J. McManus.