Blood pressure should be measured after the patient has emptied. Smoking cessation control blood glucose and lipids diet eat healthy i. Jnc 8 hypertension guideline algorithm initial drugs of. The jnc 7 guidelines were a comprehensive expert consen sus of the prevention, detection, evaluation, and treatment of high blood pressure in adults chobanian 2003, whereas the jnc 8 guidelines were an evidencebased, focused set of recommendations. Set bp goal, initiate bplowering medication based on algorithm.
Guidelines for management of high blood pressure in adults. Evaluation, and management of high blood pressure in adults. The national high blood pressure education program coordinating. Reference card from the seventh report of the joint.
Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. Introduction n present scenario one of the most common condition. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal 80 yrs hypertension in the very elderly trial. Hypertension, also known as high blood pressure, affects hundreds of millions of persons worldwide. In 2018 the escesh published a guideline which retains the 14090 threshold definition of hypertension, including for patients with chronic kidney disease ckd, and emphasizes lifestyle interventions as primary treatment, with consideration of antihypertensive drug therapy only in adults at very high risk, eg with established cvd. The seventh report of the joint national committee on. Jnc 6 and other nhbpep clinical guidelines was selected.
The eighth joint national committee jnc 8 the new guideline has simpli. Hypertension htn, also known as high blood pressure bp, affects millions of people. Pdf on jan 1, 2014, michael r page and others published the jnc 8 hypertension guidelines. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 evaluation classification of blood pressure bp category sbp mmhg dbp mmhg normal detection, evaluation, and management of high blood pressure in adults bp 5 back to table of contents of. Jnc 8 hypertension guideline algorithm lifestyle changes. Detection, evaluation, and treatment of high blood pressure jnc 6 was released in 1997, new knowledge has come to light from a variety of sources. High blood pressure, if left untreated, can cause severe damage to the bodys organs. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Most people between 9 mmhg sbp or 8089 mmhg dbp will not require medication.
Lifestyle interventions include use of the dietary approaches to stop hypertension dash eating plan, weight loss, reduction in sodium intake to less than 2. Jnc reports have served as a valuable source of guidelines, and jnc 8 is the most recently updated guideline for the prevention, diagnosis, and treatment of hypertension. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise. Hypertension htn, also known as high blood pressure. Blood pressure in adults report from the panel members appointed. Jnc 8 guidelines, chronic kidney disease, diabetes mellitus, diuretic, angiotensinconverting enzyme inhibitor, angiotensin receptor blocker. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. In patients with hypertension and diabetes, pharmacologic treatment should be initiated when blood pressure is 14090 mm hg or higher. Explore jnc 8 hypertension guidelines from jama network. In the united states alone, more than 65 million individuals have hypertension. Revisiting the jnc 7 recommendations jeffery martin, m. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Clinical practice guidelines for the management of hypertension in the community. Joint national committee jnc guidelines for hypertension.
As in jnc 7, the jnc 8 guidelines also recommend lifestyle changes as an important component of therapy. Hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Jnc 8 guidelines for the management of hypertension in adults. Jnc 8 guidelines for the management of hypertension in. In 2014, panel members of the eighth joint national committee published the results of their. Hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure.1289 1290 1090 633 411 1317 804 1072 1104 1408 349 1310 1219 1498 965 385 1431 1310 732 1152 832 113 841 930 1039 377 1041 1137 680 1118 789 70 443 577 1143 1391 411 1012 106 421 1212 1478 670 186