What are the JNC guidelines for blood pressure?
JOINT NATIONAL COMMITTEE (JNC) GUIDELINES FOR HYPERTENSION Blood pressure Classification SBP (mm Hg) DBP (mm Hg) Normal < 120 < 80 Pre-hypertension 120-139 80-89 Stage I Hypertension 140-159 90-99 Stage II Hypertension ≥ 160 ≥ 100
What are the Joint National Committee (JNC 8) hypertension treatment guidelines?
© 2021 MJH Life Sciences ™ and Clinical Care Targeted Communications, LLC. All rights reserved. Compared with previous hypertension treatment guidelines, the Joint National Committee (JNC 8) guidelines advise higher blood pressure goals and less use of several types of antihypertensive medications.
What changes have been made to the JNC 7 guidelines?
Important changes from the JNC 7 guidelines 2 include the following: • In patients 60 years or older who do not have diabetes or chronic kidney disease, the goal blood pressure level is now <150/90 mm Hg.
What is the ACC/AHA New hypertension guideline?
In 2017 the ACC/AHA and 9 other specialty organizations published an updated hypertension guideline which, among many changes, redefined elevated blood pressure to lower BP levels, enlarging the population considered potential candidates for monitoring and treatment. Learn more here .
How often are hypertension guidelines updated?
The 2017 AHA/ACC guidelines recommend lifestyle modification for adults with stage 1 HTN and low 10-year cardiovascular risk. They recommend repeat interval blood pressure measurement every 3 to 6 months, but do not provide guidance for intervention if blood pressure remains above target (<130/<80 mm Hg).
What are the latest JNC guidelines for hypertension?
According to JNC 7, the general BP goal is to lower systolic BP to less than 140 mm Hg and diastolic BP to less than 90 mm Hg. This recommendation is supported by many clinical trials. A more aggressive goal of less than 130/80 mm Hg is advised for patients with diabetes or chronic kidney disease.
What drug treatment does the 2014 hypertension guidelines sometimes referred to as JNC 8 recommend for black patients with diabetes mellitus?
In the black hypertensive population, including those with diabetes, a calcium channel blocker or thiazide-type diuretic is recommended as initial therapy.
When did JNC 8 guidelines come out?
In 2014, the Eighth Joint National Committee (JNC 8) published the evidence-based guideline for the management of high BP in adults. This new guideline was characterized by a systematic review of the literature with an emphasis on randomized, controlled clinical trials.
What are the new guidelines for blood pressure 2021?
Blood pressure categories in the new guideline are:Normal: Less than 120/80 mm Hg;Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80;Stage 1: Systolic between 130-139 or diastolic between 80-89;Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;More items...•
What are the JNC 8 guidelines for hypertension?
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. Treatment does not need to be adjusted if it results in a systolic pressure lower than 140 mm Hg, as long as it is not associated with adverse effects on health or quality of life.
What are the differences between the JNC 7 & JNC 8?
JNC 7 recommended a treatment threshold of 140/90 mm Hg regardless of age, whereas JNC 8 raises the systolic threshold at age 60. In addition, JNC 7 recommended a lower treatment threshold (130/80 mm Hg) for patients with diabetes or chronic kidney disease, but JNC 8 does not.
Who developed the JNC 8 hypertension guidelines?
The guidelines were informed by results of 5 key trials: the Hypertension Detection and Follow-up Program (HDFP), the Hypertension-Stroke Cooperative, the Medical Research Council (MRC) trial, the Australian National Blood Pressure (ANBP) trial, and the Veterans' Administration (VA) Cooperative.
What JNC 8?
The Eighth Joint National Committee (JNC 8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertension in adults.
What is the JNC & classification of hypertension?
JNC 8 update on JNC 7 Classification of Blood PressureCategorySystolic (mmHg)Normal< 120< 80Pre-Hypertension120-13980-89Stage 1 Hypertension140-15990-99Stage 2 Hypertension>160>100May 17, 2017
How long does hypertension therapy usually last for?
“You have high blood pressure,” your doctor announced, “and you need to lower it to avoid some very serious things that high blood pressure can lead to, like strokes and heart attacks.” Many people can reduce their high blood pressure, also known as hypertension, in as little as 3 days to 3 weeks.
When should hypertension medication be started?
If you're 60 or older, the American College of Physicians and the American Academy of Family Physicians recommend you start treatment if your top blood pressure number is 130 or higher.
What is the JNC 8 diet plan?
Lifestyle interventions include use of the Dietary Approaches to Stop Hypertension (DASH) eating plan, weight loss, reduction in sodium intake to less than 2.4 grams per day , and at least 30 minutes of aerobic activity most days of the week.
What is the JNC 8?
The JNC 8 guidelines move away from the assumption that lower blood pressure levels will improve outcomes regardless of the type of agent used to achieve the lower level. Instead, the JNC 8 guidelines encourage use of agents with the best evidence of reducing cardiovascular risk.
What is the JNC 8 panel?
Like the JNC 7 panel, the JNC 8 panel recommended thiazide-type diuretics as initial therapy for most patients. Although ACE inhibitors, ARBs, and calcium channel blockers (CCBs) are acceptable alternatives, thiazide-type diuretics still have the best evidence of efficacy. The JNC 8 panel does not recommend first-line therapy with beta-blockers ...
How long does it take to get a blood pressure test after high blood pressure?
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 end-organ damage as a result of hypertension.
How old do you have to be to get treatment for kidney disease?
However, in an exception to this goal level, the guidelines suggest that patients with chronic kidney disease or albuminuria 70 years or older should receive treatment based on comorbidities, frailty, and other patient-specific factors.
Is beta blocker a first line therapy?
The JNC 8 panel does not recommend first-line therapy with beta-blockers and alpha-blockers due to 1 trial that showed a higher rate of cardiovascular events with use of beta-blockers compared with use of an ARB, and another trial in which alpha-blockers resulted in inferior cardiovascular outcomes compared with use of a diuretic.
Is hypertension a primary care condition?
As we all know from long experience, hypertension is the single most commonly seen and treated condition in primary care medicine. It is an important risk factor for strokes, heart attacks, kidney failure and overall death. It has been exhaustively studied. And yet there is still significant controversy over hypertension, including how to define it and what the best agents for treatment are.#N#Against this background, The 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults was released last December in JAMA. It was written by the 8th Joint National Committee, and so, of course, is referred to as JNC 8.
Is JNC 8 sponsored by the NIH?
Interestingly, JNC 8 had no official sponsor. The National Institutes of Health (NIH), via their National Heart, Lung and Blood Institute (NHBLI), had sponsored each of the previous seven JNC reports. However, the NHBLI had previously announced that they are no longer in the guideline writing business . The JNC panel chose not to pursue other sponsors, in part because of concerns about conflict of interest. Bottom line: this may be the last JNC report ever. And that’s too bad. Read it well!