The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with hypertension and recommended a bloodpressure goal for all age groups. 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%. Current strategies in hypertension current strategies. Arterial hypertension and other risk factors associated.
Scribd is the worlds largest social reading and publishing site. The aim of the update was to provide simplified recommendations for the management of blood pressure based on evidence from randomized controlled trials and the panels expert opinion. Worldwide prevalence estimates for htn may be as much as 1 billion. Discuss differences in existing hypertension htn treatment recommendations and apply these recommendations to clinical practice. 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. Guidelinerecommended antihypertensive medication mostly remained the same in. Pdf national heart foundation hypertension guideline 2016. The etiology of elevated blood pressure is a complex process involving the interaction of genetics, demographics, comorbid disorders, and environmental.
Update on the therapeutic management of hypertension baseline knowledge statements readers of this chapter are presumed to be familiar with the following. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. The eighth joint national committee guidelines jnc 8. High blood pressure remains a leading public health threat. Arterial hypertension and other risk factors associated with. Explore jnc 8 hypertension guidelines from jama network.
Hypertension is present in approximately 69% of patients with a first. 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. Pdf uncontrolled arterial hypertension in primary care. Jnc 7 used cut off of 140 andor 90 mmhg for systolic and diastolic bp, respectively.
Pseudo hypertension, a contributing factor to resistant hypertension, may occur in older patients with thick calcified arteries which lead to falsely elevated blood pressure. Managing hypertension in ckd 2012 managing hypertension in ckd why is the control of blood pressure important. Hypertension with neurologic syndromes consensus rather than evidencebased good control of bp is needed for thrombolytic therapy lowering bp with. Ppt jnc 8 powerpoint presentation free to download. Detection, evaluation and treatment of high blood pressure jnc 7 and is a comprehensive resource for the clinical and public health practice communities. The seventh report of the joint national committee on the. Crossclassification of jnc vi blood pressure stages and. 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.
In an accompanying editorial, dr thomas e kottke cardiovision 2020, olmstead county, mn and colleagues write that while the new jnc 7 report documents ways that the burden of hypertension can. Reference card from the seventh report of the joint national. This is a pdf document titled hypertension jnc 7 guideline. Prevention, detection, evaluation and treatment of high blood pressure jnc 7 and is a.
Jnc 7 2014 evidencebased guideline for the management of high blood pressure in adults 2. The goal is to get to goal approach to rational therapy what to choose first. A free powerpoint ppt presentation displayed as a flash slide show on id. Update on the therapeutic management of hypertension. Using jnc 7 as a point of departure, an editorialist argues that hypertension control will improve only with substantial changes in the delivery of chronicdisease care and in how the public views lifestyle changes. These trials are often discussed in isolation, but their data have. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Systemic hypertension is a major risk factor for coronary events 2, 712, for stroke 2, 7, 8, 1215, for congestive heart failure chf 2, 7, 8, 16, 17, and for peripheral arterial disease 2, 1822. Hypertension course ceufast nursing continuing education. Jnc 8 hypertension guideline algorithm lifestyle changes. Current strategies in hypertension current strategies in. Blood pressure bp thresholds and recommendations for treatment and followup. All time human experience hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure 3.
Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Revisiting the jnc 7 recommendations jeffery martin, m. A specific cause of hypertension, also known as secondary hypertension, can be determined in 10% to 15% of all diagnosed cases. Whitecoat hypertension htn antihypertensive medications and their monitoring parameters lifestyle recommendations for htn additional readings. Cdc will be examining the updated recommendations closely to determine their effect on national cardiovascular disease prevention activities. Hidden camera investigation on what really happens to your car cbc marketplace duration. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Jnc 7, the predecessor of this guideline, was a comprehensive document that covered not only hypertension treatment, but also definitions of hypertension, issues in bp measurement, public health perspectives, lifestyle modification, and special situations in hypertension management. The jnc 7 hypertension guidelinesthe jnc 7 hypertension.
Openclinical clinical applications jnc 7 hypertension. We crossclassified men and women separately according to their jnc vi blood pressure stages and risk groups. Riociguat for pulmonary arterial hypertension pdf nhs england, february 2017 clinical commissioning policy. Ppt managing hypertension in ckd powerpoint presentation. Hypertension is defined as consistently having a systolic blood pressure of 140 mm hg or a diastolic blood pressure of 90 mm hg. Ppt jnc 8 powerpoint presentation free to download id. Causes of secondary hypertension with clinical indications and. The 20 joint european society of hypertension esh and the european society of cardiology esc guidelines recommend that ambulatory bloodpressure monitoring abpm be incorporated into the assessment of cardiovascular risk factors and hypertension. A service of the national library of medicine, national institutes of health.
Dec 24, 20 jnc 7, the predecessor of this guideline, was a comprehensive document that covered not only hypertension treatment, but also definitions of hypertension, issues in bp measurement, public health perspectives, lifestyle modification, and special situations in hypertension management. Hypertension is the most significant cardiac risk factor in older adults. Does the change of hypertension guidelines actually affect. 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. Cutoff values for the definition of hypertension by home and ambulatory bp are reported in table 6. I am concerned that the prehypertension classification in the jnc 7 guidelines1 threatens to medicalize most of the adult population.
Selexipag in the treatment of pulmonary arterial hypertension pdf nhs england, july 2016 detection and management of high blood pressure. The jnc8 guidelines differ from the jnc 7 guidelines in two key areas. The main difference between these two recommendations is the definition of arterial hypertension. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Young women with blood pressures of 12080 mm hg are at very low absolute risk of adverse cardiovascular events. It is a primary risk factor for cardiovascular disease and its prevention. 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. Smoking cessation control blood glucose and lipids diet eat healthy i. The interactive hypertension guideline tool implements the jnc 7 high blood pressure guidelines for use at the point of care. Hypertension is an easily diagnosed and potentially easily treated problem. In the case of an active competitive athlete, it is recommended that once the blood pressure is well controlled, regular followup should be continued with by. On the other hand, accaha reduced these cutoff values on andor 80 mmhg. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from.
Jnc 8 hypertension guideline algorithm initial drugs of. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure iii chair aram v. Hypertension jnc 7 guideline pdf document free medical. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Winner of the standing ovation award for best powerpoint templates from presentations magazine. In contrast, jnc 8 focuses narrowly on drug treatment. Apply evidence from recently published landmark clinical studies in formulating evidencebased treatment. 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.
Paicandu, pr, brazil, 2011 only valid data were considered chisquare test was used to verify association with the. Classification of blood pressure the seventh report of. This often requires intra arterial pressure to assess the actual blood pressure. Use of jnc 7 high blood pressure tool is restricted to health professionals. With the release of the eighth joint national committee on prevention, detection, evaluation, and treatment.
Dnb senior interventional cardiologist fortis hospital, mohali 2. The latest joint national committee guidelines jnc 8 are based on 27 large clinical trials concerning hypertension management. 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. This often requires intraarterial pressure to assess the actual blood pressure. Treatment of high blood pressure jnc 7 was based on 4 factors. May 30, 2003 using jnc 7 as a point of departure, an editorialist argues that hypertension control will improve only with substantial changes in the delivery of chronicdisease care and in how the public views lifestyle changes. In order to evaluate the state of the renal venous system, selective renal venography and pharmacophlebography were performed in 30 patients with arterial hypertension in addition to abdominal aortography and selective renal arteriography. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Hypertension the new guidelines the greatest danger to a man with high blood pressure lies in its discovery, because some fool is. Hypertension and european society of cardiology jnc 8 versus jnc 7 understanding the evidences i research article. Current strategies in hypertension comorbid conditions and hypertension management clinicians are being gradedfor level of bp control 14090 held as standard in primary care visit, other factors intervene with control retrospective cohort of.
The treatment of arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Evidencebased guideline for management of high blood pressure in adults report from the panel members appointed to the eighth joint national committee jnc 8 dr arun kochar md. Tumor necrosis factoralpha antagonist etanercept decreases blood pressure and protects the kidney in a mouse model of systemic lupus erythematosus. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm.
Jnc 8 guidelines for the management of hypertension in adults. Table 1 prevalence of arterial hypertension according to sociodemographic profile. Eighth joint national committee jnc8 guidelines and the. 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. The two arterial blood pressure values are systolic blood pressure. The clinical core of the jnc 8 hypertension guidelines. Available free of charge to registered health professionals. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Meets criteria for htnmeets criteria for htn results from an identifiable, potentially correctable cause accounts for significant number of resistant htn cases estimated to account for 515% of cases of htn prevalence of hypertension in adults between 2030% 5070 million people.
Systemic hypertension is a major risk factor for coronary events 2, 7 12, for stroke 2, 7, 8, 1215, for congestive heart failure chf 2, 7, 8, 16, 17, and for peripheral arterial disease 2, 1822. Department of health and human services national institutes of health national heart, lung, and blood institute. 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 arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Excessive fluid may contribute to resistant hypertension. Approximately 80 million us adults have hypertension, and hypertension remains a leading risk factor for stroke and cardiovascular disease. New features and key messages of jnc 7 patient evaluation why prehypertension. Referral to a hypertension specialist may be indicated for patients in whom goal bp cannot be attained using the above strategy or for the management of complicated needed. Paicandu, pr, brazil, 2011 table 2 prevalence of arterial hypertension according to cardiovascular risk factors and selfreported morbidities. Hypertension is present in approximately 69% of patients with a first myocardial infarction 1, in approximately 77% of patients. The seventh report of the joint national committee on. In 16 of the cases renal venous hypertension was demonstrated as the cause of arterial hypertension. Renal venous hypertension as a cause of arterial hypertension.
Ushering hypertension into a new era of precision medicine. Installation instructions and download of hypertension guideline application jnc 7 for palm os and pocketpc 2003. 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. 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. Uncontrolled arterial hypertension in primary care patient characteristics and associated factors.
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