Evidence quality and recommendations were graded based on their effect on important outcomes. Evidence was drawn from randomized controlled trials, which represent the gold standard for determining efficacy and effectiveness. This report takes a rigorous, evidence-based approach to recommend treatment thresholds, goals, and medications in the management of hypertension in adults. Patients want to be assured that blood pressure (BP) treatment will reduce their disease burden, while clinicians want guidance on hypertension management using the best scientific evidence. Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. Shared Decision Making and Communication.
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