Joint national committee 8 jnc 8 guidelines for management. The treatment of arterial hypertension should start before significant. These guidelines focus on pharma cologic management and treatment criteria, but retain the definitions of hypertension and prehypertension, as well as lifestyle modifications, of the previous report jnc 7. The prevalence of hypertension is lower in women compared with men until about the hipertension arterial jnc 7 decade, but is higher later in life. Therefore, repeated indepth patient education and counseling not only improve compliance with medical therapy but also reduce cardiovascular risk factors. Hypertension update, jnc8 and beyond sciencedirect. Mechanisms of hypertension in the cardiometabolic syndrome. Only prescribing medication for stage i hypertension if a patient has already had. With the 2003 joint national committees seventh report jnc 7.
Click here to visit our frequently asked questions about html5 video. These guidelines differ from those published in 2003 the jnc 7 in the. Eshesc guidelines for themanagement of arterial hypertension. The upcoming jnc 20 update is likely to go with a hypertension treatment target of 14090 mm hg for all but older adults, a panel of experts on the guidelines committee suggested. Jnc 7 used cut off of 140 andor 90 mmhg for systolic and diastolic bp, respectively. Frequently termed the silent killer, hypertension progresses with few symptoms until blood pressure bp rises to dangerous levels. The main difference between these two recommendations is the definition of arterial hypertension.
Eighth joint national committee jnc 8 guidelines and the outpatient management of hypertension in the africanamerican population. Detection, evaluation and treatment of high blood pressure jnc7. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Jnc 7 2014 evidencebased guideline for the management of high blood pressure in adults 2. Secondary hypertension the primary care perspective stephen koesters, md assistant professor of clinical medicine department of pediatrics division of general medicine the ohio state universitys wexner medical center what is hypertension jnc 7. Worldwide prevalence estimates for htn may be as much as 1 billion. Definition and stages of hypertension according to jnc 7.
Ppt jnc 8 powerpoint presentation free to download id. In may 2005, just 2 years after the publication of the jnc 7 guidelines, the american society of hypertension proposed a new definition of hypertension. Individuals with ash stage 2 hypertension jnc 7 stage 1 hypertension frequently have sustained resting bp levels 140. She has had a history of severe hypertension for 38 years. National high blood pressure education program prevention, detection, evaluation, and treatment of high blood pressure the seventh report of the joint national committee on jnc 7 express u. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. The eighth joint national committee on the prevention. Reference card from the seventh report of the joint national.
The jnc 8 panel confirms that the 14090 mmhg definition for hypertension from the jnc 7 report remains the standard for diagnosis for individuals who do not have additional comorbidities. Hidden camera investigation on what really happens to your car cbc marketplace duration. Department of health and human services national institutes of health national heart, lung, and blood institute. Classification of blood pressure the seventh report of the. Guidelinerecommended antihypertensive medication mostly remained the same in. Detection, evaluation and treatment of high blood pressure jnc 7 and is a comprehensive resource for the clinical and public health practice communities. This does not include learn with flashcards, games, and more for free. Whitecoat hypertension htn antihypertensive medications and their monitoring parameters lifestyle recommendations for htn additional readings. Jnc 8 takes a rigorous, evidencebased approach to recommend when to treat, goals of treatment, and medications in the management of hypertension in adults.
Its latest report jnc 8 of 2014 has attracted a lot of strong criticisms. Progressive stiffening of large arteries is believed to be an important basic mechanism of. High blood pressure can also have damaging effects to the brain, specifically it can cause an aneurysm or stoke. 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%.
Jnc 8 update on hypertension guidelines alan cementina, md associate clinical professor family medicine center at asylum hill. Hypertension guidelines explained clearly 2017 htn guidelines. The aim of the new and challenging definition of prehypertension bp 12098089. Controversy, the jnc8 hypertension guidelines christopher j.
European society of cardiology scientific document group. The joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc published its last, and apparently final, recommendations for management of hypertension jnc 7, which were supported and endorsed by the national heart, lung, and blood institute nhlbi, in 2003. Epidemiologic and clinical perspectives janet h southerland, dds, mph, phd. The seventh report of the joint national committee on. Jnc8 hypertension guidelines 2014 right care initiative. 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 high blood pressure jnc 7 was based on 4 factors. However, individuals with numerous disease markers table iii or limited evidence of early target organ damage such as left ventricular. Hipertension arterial sistemica jnc 7 and treatment of hypertension in the neonatal intensive care unit. The new guidelines differ from jnc 7 in some important ways. 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. May 30, 2003 the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 incorporates evidence published since jnc 6 was issued in 1997. Definition and stages of hypertension according to jnc 7jnc. Jnc 7 recommendations to lower bp and decrease cardiovascular disease risk include the following, with greater results achieved when 2 or more lifestyle.
Jnc 8 hypertension guideline algorithm initial drugs of. New accaha high blood pressure guidelines lower definition of. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Detection, evaluation, and treatment of high blood pressure jnc 7, the joint scientific statements from the aha and the american society of hypertension, the canadian hypertension education program chep, and the european society of cardiology esc and european society of hypertension esh practice guidelines. Definition and stages of hypertension according to jnc 7 jnc 8. Jnc 7 simplifies the classification of bloodpressure levels and outlines how to use this new classification scheme for hypertension prevention and. Based on recent guidelines, but not necessarily jnc8, the degree of blood pressure reduction achieved, and not the initial antihypertensive class of agents chosen, is more important for improving cardiovascular outcome in those with hypertension, barry carter, pharmd, of the university of iowa in iowa city, concluded in his talk on. The task force for the management of arterial hypertension of the european society of hypertension esh and of the european society of cardiology esc j hypertension 20. The jnc 7 executive committee and writing teams were selected entirely from.
The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Pdf eighth joint national committee jnc8 guidelines. In the absence of such evidence, the panel recommends an sbp goal of lower than mm hg and a dbp goal lower than 90 mm hg in this population based on expert opinion, consistent with the bp goals in recommendation 3 for the general population younger than 60 years with hypertension. In adults with hypertension, does initiating medication therapy at specific bp.
Treatment of high blood pressure jnc 7 was based on 4 factors. Jnc 7 the purpose of jnc reports is to synthesize the available scientific evidence and offer guidance to busy primary care physicians. Recently introduced clinical guidelines for the treatment of hypertension proposed by the eighth joint national committee jnc 8 in 2014 recommended a higher systolic blood pressure bp cutoff to initiate antihypertensive treatment than the 2003 jnc 7 recommendations 1,2. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. 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. Causes of secondary hypertension with clinical indications and. The eighth joint national committee jnc 8 guidelines on hypertension have generated great interest among physicians. Revisiting the jnc 7 recommendations jeffery martin, m. All time human experience hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure 3. Apart from the definition of pre hypertension and the advice to begin therapy with diuretics in most patients with stage 1 hypertension, jnc 7 shares several positions with the hypertension guidelines recently released by the european society of cardiology and european society of hypertension.
Jnc 8 report on prevention, evaluation, and treatment of. Between 1977 and 2003, under the direction of the national institutes of health nih, the joint national committee on detection, evaluation, and treatment of high blood pressure jnc issued 7 reports. Hypertension 1 update, jnc8 and beyond tara shrout, david w rudy2 and michael t piascik3 hypertension is the most preventable major risk factor for cardiovascular morbidity and mortality. The treatment of arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Definitions from lecture 1 hypertension slides 729, 8592.
The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure provides a new guideline for hypertension prevention and management. Guidelines represent consensus statements by expert panels, and the process of guideline development has inherent vulnerabilities. Does the change of hypertension guidelines actually affect. In subsequent years, a series of joint national committee jnc bp. Relationship between cognitive functioning and the jnc8. Applieda correlative study of hypertension raksha goyal. Jnc 8 guidelines on htn, evidence from clinical trials indicate that. Jnc 8 hypertension guidelines acp arizona chapter annual meeting 2014 shakaib rehman, md, sch, facp, faach associate chief of staff for education phoenix va healthcare systems professor of medicine professor of biomedical informatics university of arizona college of medicinephoenix. Nuevas guias del american college of cardiologyamerican. This guideline is an update of the national heart, lung, and blood institute publication, the seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure jnc 7 and is a comprehensive resource for the clinical and public health practice communities. Jaap 49 with uncontrolled hypertension, nearly 90% have a usual. Evidence based approach including observational, rct, and meta.
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 diabetes having a target of less than 14090 mm hg. Jnc 8 hypertension guideline algorithm lifestyle changes. Kdoqi clinical practice guidelines for chronic kidney disease. She complains of dizziness, occipital headaches with blurred vision, and palpitations correlated with high bp sometimes reaching 200 mm hg systolic and 120 mm. Smoking cessation control blood glucose and lipids diet eat healthy i. Reference card from the seventh report of the joint. The jnc 7 recommended thiazide diuretics as the preferred firstline therapy over other agents such as ace inhibitors. A 59yearold africanamerican woman is referred by her primary physician. Jnc 7 suggests that all people with hypertension stages 1 and 2 be treated. More than 2 decades have passed since the publication of the jnc 7 guidelines. National high blood pressure education program nih publication no. The investigation of rare genetic disorders affecting bp has.
Arterial bp is the pressure in the blood vessel, specifically the. Pahowho prevention, detection, evaluation, and treatment of high blood pressure. Some new and important features characterize the jnc 7 document. A view from a member of jnc 7 benefit either as 1 st or 2 ndline therapy ctd twice as potent as hctz ctd longer duration of action hctz 2550 mgd vs. Americas joint national committee jnc on the prevention, detection, evaluation, and treatment of high blood pressure is one of the foremost regional regulatory bodies on the management of hypertension. Pdf staying up to date with the jnc 8 hypertension guideline. The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based recommendations for management of hypertension and is an important reference for clinicians.
Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Strengths and limitations of the jnc 8 hypertension. Jnc 8 new guideline hypertension chart pharmacy exam. The society established the writing group of the american society of hypertension wgash to formulate the new definition. The seventh report of the joint national committee on the. Jnc 8 guidelines for the management of hypertension in adults. This classification does not stratify hypertensive individuals by the presence or absence of risk factors or target organ damage in order to make different treatment recommendations, should either or both be present. These updated guidelines recommended a target bp of hypertension is one of the most important preventable contributors to illness and death in the united states. Aha scientific statement 2007 in 2007, the aha released a scientific statement regarding the treatment of htn in the prevention and. Update on the therapeutic management of hypertension baseline knowledge statements readers of this chapter are presumed to be familiar with the following.
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