Jnc 8 pdf hypertension treatment

In 2014, panel members of the eighth joint national committee published the results of their. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Jnc8 guidelines for the management of hypertension in adults. Pdf staying up to date with the jnc 8 hypertension guideline. Hypertension treatment guidelines update pharmacy times.

Explore jnc 8 hypertension guidelines from jama network. Guidelines for management of high blood pressure in adults. Women with hypertension who become pregnant or are planning to become pregnant should be transitioned to methyldopa, nifedipine, andor labetalol during pregnancy. In the jnc 8 panel guideline, the goal bp changes from 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. Jnc 8 new guideline hypertension chart pharmacy exam. Jnc 8 hypertension guideline algorithm initial drugs of. The jnc 8 panel recommended a goal of 14090 mm hg for patients aged.

Hypertension jnc 8 committee to join accaha published in jama instead 2014 htn guideline jnc 8 dyslipidemia ascvd atp4 committee to join accaha 20 accaha lipid ascvd guideline controversial due to new philosophy ldl goals changed to statin intensity 2014 national lipid association. A paper was published in the journal of the american medical association in 2014 that is generally referred to as jnc 8 but officially, there are no jnc 8 guidelines sanctioned by the nhlbi, nor has jnc 8 been endorsed by the aha, acc, or many other organizations that endorsed jnc7. Controversy, the jnc8 hypertension guidelines christopher j. Jama network open original investigation, march 8, 2019. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Prevention of disease progression, left ventricular hypertrophy and congestive heart failure in hypertension treatment trials.

Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Explore the latest in hypertension, including the epidemiology, prevention, treatment, and longterm outcomes of high blood pressure. Worldwide prevalence estimates for htn may be as much as 1 billion. Jnc 8 guidelines for the management of hypertension. Jnc 8 guidelines for the management of hypertension in adults. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Report from the panel members appointed to the eighth joint national committee jnc 8 appendix to 2014 evidencebased guideline for the management of high.

Hypertension guidelines evidencebased treatments for maintaining blood pressure control. Optimal blood pressure management and markers of endorgan damage in. Jnc 8 guidelines for hypertension treatment stress the importance of systolic and diastolic bp control, using age and comorbidities for treatment recommendations. The new guidelines differ from jnc 7 in some important ways. Jnc 8 hypertension guideline algorithm lifestyle changes. The clinical core of the jnc 8 hypertension guidelines. The eighth joint national committee guidelines jnc 8. The joint national committee for hypertension detection and management updated the jnc 8 guideline 20, which if followed correctly, will achieve enhanced patient management and improve outcome. Jnc 8 guidelines for the management of hypertension practice guidelines 504. This cohort study assesses whether longterm variability and rate of change of blood pressure from young adulthood to midlife are associated with cardiovascular disease and allcause mortality by middle age. Impact of treating hypertension moser m, hebert pr.

Compared with previous hypertension treatment guidelines, the jnc 8 guidelines advise higher blood pressure goals and less use of several types of antihypertensive medications. Prevalence of hypertension, treatment, and blood pressure targets in canada associated with the 2017 american college of cardiology and american heart association blood pressure guidelines. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the following bp reading is above target. Emergencies and urgencies key highlights from the recommended guideline patients with blood pressures bp 180120 mm hg need immediate aggressive treatment if they have impending or progressive endorgan damage. Patients should be treated to a target systolic pressure of less than 150 mm hg and a target diastolic pressure of less than 90 mm hg. Smoking cessation control blood glucose and lipids diet eat healthy i. These trials are often discussed in isolation, but their data have. Assess treatment effect monthly until goal bp is reached if goal bp cannot be reached, consider adding other classes of drugs or referral to a hypertension specialist jama 311. This report takes a rigorous, evidencebased approach to recommend treatment thresholds, goals, and medications in the management of hypertension. Hypertension and the jnc8 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 learning objectives 1. Reference card from the seventh report of the joint. 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. Eighth joint national committee jnc 8 guidelines and the outpatient management of hypertension in the africanamerican population.

The latest joint national committee guidelines jnc 8 are based on 27 large clinical trials concerning hypertension management. 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. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Acei, arb, ccb dihydropyridine andor thiazide diuretics black patients. See the synopsis section for a summary of the updated hypertension treatment recommendations from the eighth joint national committee jnc 8. 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. Jnc 8 report on prevention, evaluation, and treatment of. In the general population, pharmacologic treatment should be initiated when blood pressure is 15090 mm hg or higher in adults 60 years and older, or 14090 mm hg or higher in adults younger than 60 years. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal hypertension. 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 hypertension treatment guidelines, the jnc 8 guidelines advise higher blood pressure goals and less use of several types of antihypertensive medications. In 20, the national heart, lung, and blood institute announced that after jnc 8, it would no longer develop guidelines and would instead. Women who are pregnant should not be treated with ace inhibitors, arbs, or direct renin inhibitors.

Without treatment to control bp, permanent retinal damage occurs. Eighth joint national committee jnc8 guidelines and the. Optimal blood pressure management and markers of endorgan damage in africanamerican adult patients were compared between patients who were managed according to the jnc8 hypertension management guidelines and those who were treated with other regimens. Pdf jnc 8 hypertension guideline algorithm witri chan. Reduced role for betablockers as initial therapy still pre.

Pdf on jan 1, 2014, michael r page and others published the jnc 8 hypertension guidelines. The guideline panel, however, suggested that patients 70 years with ckd or albuminuria should receive treatment based on comorbidity, frailty, and other patientspecific factors. Hypertension held another successful clinicalpathological conference cpc at the european society of hypertension s annual meeting in 2017. Jnc 8 takes a rigorous, evidencebased approach to recommend when to treat, goals of treatment, and medications in the management of hypertension in adults.

Recently published hypertension guidelines of the jnc 8. The eighth joint national committee jnc 8 the new guideline has simpli. This article provides an update on the latest jnc 8 guideline for treating hypertension in adults. 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 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. The lowest recorded bp at the most recent a office visit with internal medicine, family medicine, endocrinology, cardiology, and nephrology or.

Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Davis, leslie louise phd, rn, anpbc, faanp, faha, fpcna. Detection, evaluation, and treatment of high blood pressure jnc 8. Patients will be asking about the new joint national committee jnc 8 hypertension guidelines, which were published in the journal of the american medical association. 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. While we were waiting for jnc 8, the american society. Lifestyle modifications are recommended for all patients. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. 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. Effects of ace inhibitors, calcium antagonists, and other bloodpressurelowering drugs.