Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Prof alexandre persu brussels presented a case focused on management of hypertension in a pregnant woman with fibromuscular dysplasia and dr marc george london led. Hypertension one of the most preventable contributors to disease and death decreases in blood pressure reduce adverse health outcomes blood pressure level mmhg category systolic diastolic normal blood pressure stage i. Evidencebased guideline for the management of high blood pressure in adults. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. It is defined as high blood pressure measuring above 14090mm hg in pregnant females without the presence of proteinuria protein casts present in urine and which high blood pressure red. The previous guidelines were known as jnc 7, referring to the seventh iteration of recommendations emanating from a group of bigtime hypertension experts known as the joint national committee jnc. If goal bp cannot be reached, consider adding other classes of drugs or referral to a hypertension specialist. Jnc 8 guidelines were an evidencebased, focused set of rec ommendations.
Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. In 2014, the eighth joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure known as jnc 8 developed evidencebased guidelines for managing hypertension in adults. 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. High blood pressure can also have damaging effects to the brain, specifically it can cause an aneurysm or stoke. Jnc8 guidelines for the management of hypertension in adults. The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based. The panel members appointed to jnc 8 were selected from more. Jnc 8 panel members guideline was published in the journal of the american medical association, it. Hypertension affects 29% us adult population estimated 72 million people, with a prevalence of 65% in persons older than 60 yrs, 1 in 3 adults hypertension disproportionately affects the african american community with over 45% aa males and 46% aa females affected by high blood pressure compared to a national rate of 33%. See the synopsis section for a summary of the updated hypertension treatment recommendations from the eighth joint national committee jnc 8.
Specifically, it calls for hbp to be treated with lifestyle changes and with medication as needed beginning at 80 mmhg rather than the previous commonly accepted threshold of 14090 mmhg. Pdf jnc 8 hypertension guideline algorithm witri chan. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure iii chair aram v. Links with this icon indicate that you are leaving the cdc website the centers for disease control and prevention cdc cannot attest to the accuracy of a nonfederal website.
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. However, after the release of the new joint national committee on prevention, detection, evaluation and treatment of high blood pressure 8 jnc 8 guidelines, there have been heated debates with. American college of cardiologyamerican heart association. Confirm diagnosis of hypertension in people with a. Jnc 8 new guideline hypertension chart pharmacy exam. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. The jnc 7 panel recommended that after an initial high blood pressure reading, followup with a confirmatory blood pressure reading should occur within 7 days to 2 months, depending on how high the initial reading was and whether or not the patient had kidney disease or endorgan damage as a result of hypertension. Pdf eighth joint national committee jnc8 guidelines. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. The eighth joint national committee guidelines jnc 8. Hypertension held another successful clinicalpathological conference cpc at the european society of hypertensions annual meeting in 2017. The original stimulus for this special issue of the journal was the anticipated arrival of the jnc 8 report about 2.
Explore the latest in hypertension, including the epidemiology, prevention, treatment, and longterm outcomes of high blood pressure. In the report from the panel members appointed to the eighth joint national committee jnc 8, the guideline authors provide evidencebased recommendations for the management of hypertension including specific goals by age, race, and comorbidities. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise. Algorithm for treatment of hypertension reference card from the 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 the jnc8 hypertension guidelines christopher j. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal 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.
Bp goal of less than 15090 mm hg and hypertensive persons 30 through 59 years of age to a diastolic. Jnc 8 hypertension guideline algorithm initial drugs of. Hypertension is one of the most common conditions seen in primary care and optimal management of hypertension is an important intervention in prevention of stroke, myocardial infarction, renal failure and death. In 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. Hypertension accounts for 18% of cardiovascular disease deaths in western countries.
Jnc 8 report on prevention, evaluation, and treatment of. Most people between 9 mmhg sbp or 8089 mmhg dbp will not require medication. Report from the panel members appointed to the eighth joint national committee jnc 8. Evaluation, and management of high blood pressure in adults. Recently published hypertension guidelines of the jnc 8 panelists. Reference card from the seventh report of the joint. Betablockers are no longer considered as firstline drugs, according to jnc 8 guidelines for hypertension. Hidden camera investigation on what really happens to your car cbc marketplace duration. Jnc 8 hypertension guideline algorithm lifestyle changes. Jnc 8 guidelines for the management of hypertension in adults. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease.
Jnc 8 guidelines on htn, evidence from clinical trials indicate that antihypertensive medications blood pressure medication should be initiated in patients less than 60 years old if the systolic blood. Below is a summary of the most recent national guidelines for evaluating these patients, and the figure shows the bp classification by the eighth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 8 1 and 2017 american college of cardiologyamerican heart association aha. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal detection, evaluation, and management of high blood pressure in adults bp 5 back to table of contents of. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Explore jnc 8 hypertension guidelines from jama network. James pa, oparil s, carter bl, cushman wc, dennisonhimmelfarb c, handler j, et al. While we were waiting for jnc 8, the american society of hypertension ash in collaboration with the international society of hypertension released their own expert opinion piece aimed at prescribers. Smoking cessation control blood glucose and lipids diet eat healthy i. Joint national committee jnc guidelines for hypertension. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Patients want to be assured that blood pressure bp treatment will reduce their disease. Updated hypertension recommendations from panel members previously appointed to the eight joint national committee jnc 8 raised blood pressure goals in adults age 60 and older to less than 15090 mm hg, with patients younger than 60 years old including those with chronic kidney disease and.
204 511 309 192 603 201 1282 1591 1243 720 1339 598 1404 363 283 641 224 949 766 1576 1421 1364 934 53 1498 1041 54 1463 1082 398 827 1006