… The reason 2011 is important is that the Eighth Joint National Committee for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, or JNC8, should be coming out with its initial report by the end of this year, and the National Institute of Clinical Excellence (NICE), which is the British hypertension group, will be publishing their updated guidelines in August of this year. We expect some important changes.
Today I want to focus on where we measure blood pressure and how we do it. We’ve been measuring blood pressure in the office with pretty good quality control since really the 1930s. The “Build and Blood Pressure” study done by the insurance industry looked at office readings only. Sometimes people may have come to the home to measure blood pressure, but for the most part it was office readings. That study codified the idea that 140/90 mm Hg in the office was an elevated blood pressure. We’ve been tinkering with that over the years. We’ve staged it in the United States. They grade it in Europe. We’ve added different recommendations, but it has all still been based for the most part on a number, and that’s a number from the office….