Case c carla s is a 64year old african american whom youre. Comparison of current recommendations with jnc 7 guidelines. According to jnc 7, goal blood pressure in those over 60 yearsold was to treat to less than 14090 mm hg. Hypertension course ceufast nursing continuing education. Mar 30, 2015 discover how thousands of men and women worldwide have already used the reverse diabetes today system to lower blood sugar to normal and safely reverse their type 2 diabetes without drugs or insulin. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm.
A major recommendation of jnc 8 modifies the way blood pressure is controlled in older adults. Blood pressure thresholds and targets studies show that lowering blood pressure in adults with hypertension by 10 mm hg can reduce the risk of death from cardiovascular disease and stroke by 25% to 40%. The recently released american college of cardiologyamerican heart association accaha guidelines 1 promote radical changes in the management of hypertension. Picmonic is research proven to increase your memory retention and test scores. Hypertension guideline resources uncontrolled high blood pressure bp can lead to heart attack, stroke, heart failure and other serious life threats. Recommendations for the management of hypertension recommendation 6 in the general nonblack population, including those with diabetes, initial antihypertensive treatment should include a thiazidetype diuretic, calcium channel blocker ccb, angiotensinconverting enzyme inhibitor acei, or angiotensin receptor blocker arb. Detailed summary from the 2017 guideline for the prevention. Jnc 8 provides nine recommendations for the manage.
Whats changed jnc uses randomized trial evidence, and is explicit when a recommendation reflects only expert opinion. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. The assessment of blood pressure indices in predicting coronary heart disease. Jnc 8 guidelines for the management of hypertension in adults author. Hypertension htn, also known as high blood pressure bp, affects millions of people. New guidelines recommend that healthcare providers choose an initial drug class ace, arb, ccb, or thiazide diuretic based upon patient characteristics, such as age and concomitant chronic diseases. Recently published hypertension guidelines of the jnc 8. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Staying up to date with the jnc 8 hypertension guideline article pdf available in jaapa. 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. Joint national committee 8 jnc 8 guidelines for management. In jnc 8, the initial drug choice is broadened to four classes. Guidelines for management of high blood pressure in adults. Another contentious issue ofjnc 8 was the removal bb as.
Jnc 8 hypertension guidelines acp arizona chapter annual meeting 2014 shakaib rehman, md, sch, facp, faach. More than 2 decades have passed since the publication of the jnc 7 guidelines. Neo gynoxa useradmin jul 31, firstly, the definitions of hypertension and pre hypertension, which were welldefined in jnc 7 has not been addressed in jnc 8. Levey, whitney wharton j gerontol a biol sci med sci. Hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Jnc 8 uses 14090 for patients with diabetes or chronic kidney disease.
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. Diagnosis and treatment of hypertension in the 2017 accaha. Jnc8 guidelines for the management of hypertension in adults. Hypertension guideline resources american heart association. Clinician empathy increases patient trust, motivation, and adherence to therapy. The previous guidelines jnc 7 was in 2003 and this focused. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged.
The eighth joint national committee jnc 8 the new guideline has simpli. Jun 11, 2015 the relationship between cognitive functioning and the jnc8 guidelines for hypertension in older adults felicia c. B jnc 7 2003 thiazide for most without compel indication. Jnc 1 1977 thiazide jnc 2 1980 diuretic jnc 3 1984 thiazide or. The updated guideline recommends bplowering medication for those with stage 1 hypertension with clinical cvd or a 10year risk of ascvd 10% or greater, as well as for those with stage 2.
Secondly, similar treatment goals have been defined for all hypertensive population and no olasifikasi between uncomplicated hypertension and hypertension with comorbid conditions like. There are excellent therapeutic options to treat hypertension but the available resources are not fully utilized by. While we were waiting for jnc 8, the american society. Reference card from the seventh report of the joint. Pdf staying up to date with the jnc 8 hypertension guideline. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal jnc 8.
Jnc 8 guidelines for the management of hypertension in adults. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Clinical practice guidelines for the management of hypertension in the community. Smoking cessation control blood glucose and lipids diet eat healthy i. Jama neurology original investigation, october 2017. 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. Pdf eighth joint national committee jnc8 guidelines and the. Jnc 8 raises the systolic threshold to 150 mmhg at age 60.
Start studying jnc 8 guidelines and stepwise approach to the treatment of htn. Nov, 2017 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. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Jnc 8 hypertension guideline algorithm lifestyle changes. 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. Jnc 8 hypertension guideline algorithm initial drugs of. The relation between hypertension and cognitive function has been the subject of discussion and research for many years. Jnc 8 change to a treatment threshold of 150 90 mmhg in this population would remove 5. Carrie armstrong, afp senior associate editor subject. Learn about hypertension management jnc 8 faster and easier with picmonics unforgettable images and stories. Reduced role for betablockers as initial therapy still pre.
Explore jnc 8 hypertension guidelines from jama network. 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. Updated jnc 8 guidelines for antihypertensive drugs released. Jnc 8 new guideline hypertension chart pharmacy exam. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Problem magnitude 35 million office visits are as the primary diagnosis of htn. 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. Proportion of us adults potentially affected by the 2014 hypertension guideline. Pdf on oct 17, 2014, rajesh rajan and others published jnc 8 hypertension management guidelines find, read and cite all the research you need on researchgate. Jnc 8 makes a moderate recommendation to utilize an angiotensinconverting enzyme inhibitor or angiotensin receptor blocker for blood pressure treatment in all chronic kidney disease patients, regardless of race or diabetes status. Therefore,boththiazidetypediuretics andccbsarerecommendedasfirstlinetherapyforhypertension. Ppt jnc 8 powerpoint presentation free to download id.
Jnc 8 guidelines and stepwise approach to the treatment of. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Appendix to 2014 evidencebased guideline for the management of high blood pressure in adults report by the panel appointed to the eighth joint national committee jnc 8 1. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Worldwide prevalence estimates for htn may be as much as 1 billion. At the same time, the nhlbi published the recommendations of the jnc 8 committee. Pdf on jan 1, 2014, michael r page and others published the jnc 8 hypertension guidelines. 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. First, given the change in the definition of the condition blood pressure 80 mm hg instead of 14090 mm hg, the proportion of adults in the united states labeled as having hypertension has suddenly increased from 32% to 46%. The hypertension guidelines jnc 8 linkedin slideshare. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. According to jnc 8, individuals over 60 yearsold should utilize medications to lower blood pressure to less than 15090 mm hg.
The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based. Association of jnc8 and sprint systolic blood pressure levels with cognitive function and related racial disparity. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Diagnosis and treatment of hypertension in the 2017 acc. Oct 01, 2014 rates of hypertension in younger adults 18 to 59 years are similar under jnc 7 and jnc 8 criteria 20. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal pdf available in jaapa. It is vastly under diagnosed and poorly treated in indiasouthasia. Whats covered, whats not, and what else to consider jnc 8 guidelines offer greater discretion in drug choice and modest relaxation of some bp targets. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. The eighth joint national committee jnc 8 recently released evidencebased recommendations on treatment thresholds, goals, and. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Jnc 8 recommends thresholds for treatment of high blood pressure, blood pressure goals, and evidencebased medication therapy.
Jnc8 hypertension management guidelines and those who were treated with other regimens. In 2014, panel members of the eighth joint national committee published the results of their. Ppt jnc 8 powerpoint presentation free to download. Report from the panel members appointed to the eighth joint national committee jnc 8. Hal ini diaplikasikan pada semua pasien pgk dengan hipertensi tanpa memperhatikan ras atau status diabetes rekomendasi sedang level b. Whats covered, whats university of wyoming, school.