The global prevalence of hypertension is high, and among nonpregnant adults in the united states, treatment of hypertension is the most common reason for office visits and for the use of chronic prescription medications. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. 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. Eighth joint national committee jnc 8 guidelines and the outpatient management of hypertension in the africanamerican population. The national high blood pressure education program nhbpep, coordinated by the national heart, lung, and blood institute nhlbi, has released its longawaited joint national committee jnc 7 report.
Definitions from lecture 1 hypertension slides 729, 8592. Mar 01, 2012 jnc7 show series solution based strategies for addressing multidisciplinary issues in hypertension. Arterial bp is the pressure in the blood vessel, specifically the. Ppt jnc 8 powerpoint presentation free to download id.
With stroke ranking as one of the top causes of death in the united. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. 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. 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. Guidelinerecommended antihypertensive medication mostly remained the same in. Jnc 7 suggests that all people with hypertension stages 1 and 2 be treated. Classification of blood pressure the seventh report of the. Global, regional, and national comparative risk assessment of 79 behavioural, environmental ihpertension occupational, and metabolic risks or clusters of risks in countries, a report to american indian communities. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. In addition, roughly half of hypertensive individuals do not have adequate blood pressure control. 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. Use of jnc 7 high blood pressure tool is restricted to health professionals. In addition, jnc 7 recommended a lower treatment threshold 80 mm hg for patients with diabetes or chronic kidney disease, but jnc 8 does not.
Treatment of high blood pressure jnc 7 was based on 4 factors. Explore jnc 8 hypertension guidelines from jama network. Click on the image or right click to open the source website in a new browser window. The main difference between these two recommendations is the definition of arterial hypertension. Jnc 7 was published 10 years earlier than jnc 8 was published. Classification of blood pressure the seventh report of. Reference card from the seventh report of the joint. The surveillance of cardiovascular risk factors, such as hypertension, is a global health priority in order to estimate the burden and trends, to appropriately direct resources, and to hipertension. The committee recognizes that the responsible clinicians judgment of the individual patients needs remains paramount. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Revisiting the jnc 7 recommendations jeffery martin, m.
Pdf staying up to date with the jnc 8 hypertension guideline. Does the change of hypertension guidelines actually affect. The jnc 7 guidelines were a comprehensive expert consen. To accomplish this, the society established the writing group of the american society of hypertension wgash, chaired by dr. 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. Although this was a controversial publication, the intent of the jnc 8 committee was to bridge the gap between jnc 7 and the new accaha guidelines that were in development, given that jnc 7 was published in 2003 and many believed it to be outdated. The seventh report of the joint national committee on. 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. Scribd is the worlds largest social reading and publishing site. The sixth report of the joint national committee on. Pdf eighth joint national committee jnc8 guidelines.
Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. The interactive hypertension guideline tool implements the jnc 7 high blood pressure guidelines for use at the point of care. 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. 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. Evidence based approach including observational, rct, and meta. Now, just 2 years after publication of jnc 7, the american society of hypertension ash has realized a need to revise their definition of hypertension and recommendations for its recognition and treatment. Hypertension is the sustained elevation of systemic arterial blood pressure, most commonly defined as systolic blood pressure.
Installation instructions and download of hypertension guideline application jnc 7 for palm os and pocketpc 2003. May 21, 2010 to complete the longer jnc 7 version, the executive the coordinating committee began the process committee members met via teleconferences and of developing the jnc 7 express report in in person and circulated sections of the larger december 2002, and the report was submitted to document via email. Hypertension and blood pressure hypertension high blood pressure defined by the seventh report of the joint national commission on the prevention, detection, evaluation, and treatment of high blood pressure jnc 7 as a systolic pressure greater than 140 mm hg and a diastolic pressure greater than 90 mm hg. Guidelines represent consensus statements by expert panels, and the process of guideline development has inherent vulnerabilities. The jnc 7 executive committee and writing teams were selected entirely from the nhbpep cc because they are recognized as. Dash diet dietary approaches to stop hypertension as effective as one medication jnc 7 summary joint national commission 7th report pdf file on website 50 page document other jnc 7 resources software for use with palm and pocket pc jnc 7 reference card other resources chronic kidney disease information gfr calculator. This invasive monitoring is used for direct measurement of blood pressure and assists in obtaining arterial blood for laboratory testing. On the other hand, accaha reduced these cutoff values on andor 80 mmhg. Jnc 8 hypertension guideline algorithm initial drugs of. Jnc 7 the seventh report of the joint national committee, us national institutes. Smoking cessation control blood glucose and lipids diet eat healthy i. Jnc 7 used cut off of 140 andor 90 mmhg for systolic and diastolic bp, respectively. The eighth joint national committee jnc 8 guidelines on hypertension have generated great interest among physicians.
Jnc 8 update on hypertension guidelines alan cementina, md associate clinical professor family medicine center at asylum hill. Seventh report of the joint national committee on the. Jnc 7 2 seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure 2003 jnc 8 guidelines what you need to know about the new treatment guidelines by terri townsend, ma, rn, ccrncmc, cvrnbc, and pamela anderson, ms, rn, anpbc, ccrn. Openclinical clinical applications jnc 7 hypertension. Jnc8 hypertension guidelines 2014 right care initiative. As in jnc 7, physicians have been challenged to stay within the performance measures of blood pressure goals. Jnc 7 and 8 reports provide guidelines for blood pressure management and treatment. Hypertension the new guidelines the greatest danger to a man with high blood pressure lies in its discovery, because some fool is. In adults with hypertension, does initiating medication therapy at specific bp. Definition and stages of hypertension according to jnc 7jnc. The seventh report of the joint national committee on the. Jaap 45 hypertension, resistant hypertension, or lifestyle interven.
Jnc 8 only answers a few new questions for the primary care physician, mostly focused on hypertension treatment recommendations. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Jnc 7 guidelines with dynapulse bp august 16, 2010 information for dynapulse users re. The task force for the management of arterial hypertension of the european society of hypertension esh and of the european society of cardiology esc. Hba1c 7 % o glucosa postcarga198 mgdl enfermedadcv establecida o enfermedad. Department of health and human services national institutes of health national heart, lung, and blood institute. 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. The 2017 guideline on management of high blood pressure in. The eighth joint national committee jnc 8 the new guideline has simpli. Jnc 7 the seventh report of the joint national committee, us national institutes especially the guidelines for the management of arterial hypertension. 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. This report of the joint national committee on detection, evaluation, and treatment of high blood pressure presents a consensus of the organizational representatives serving on the committee.
Prevention, detection, evaluation, and treatment of. Jnc 7 the purpose of jnc reports is to synthesize the available scientific evidence and offer guidance to busy primary care physicians. The joint national commission issued updated hypertension guidelines in december 20 based on more rigorous evidence, and less dependence on expert opinion, than jnc 7. This jama clinical guidelines synopsis summarizes the 2017 american college of cardiologyamerican heart association guideline on prevention, detection, evaluation, and management of high blood pressure in adults. Strengths and limitations of the jnc 8 hypertension. Jul 08, 2015 answers to the quiz on hypertension july 8, 2015 by catherine knox last week we posted a case example followed by eight questions designed to test knowledge of the most recent guidelines for management of hypertension as well as the unique challenges managing this disease in the correctional setting. 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.
Worldwide prevalence estimates for htn may be as much as 1 billion. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Nuevas guias del american college of cardiologyamerican. Jnc 7 guidelines for classifying, managing hypertension. Evidencebased guideline penanganan pasien hipertensi dewasa. Arterial pressure monitoring is common in critically ill patients. Jnc 8 hypertension guideline algorithm lifestyle changes. There was an aha scientific session in 2007 that dealt with hypertension and other. This does not include learn with flashcards, games, and more for free. Reference card from the seventh report of the joint national. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the.
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. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure iii chair aram v. Therapeutic considerations have emphasized treatment. These guidelines differ from those published in 2003 the jnc 7 in the. Jnc 8 guidelines for the management of hypertension in adults.
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