Which drug is recommended for initial therapy for hypertension according to JNC 8?
Under JNC 8, in all cases, goal blood pressure targets should be reached within a month of starting treatment either by increasing the dose of an initial drug or by using a combination of medications. Like the JNC 7 panel, the JNC 8 panel recommended thiazide-type diuretics as initial therapy for most patients.
Which is the latest JNC guidelines?
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.
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 most current guidelines for managing hypertension?
The ESC/ESH hypertension guideline recommends a BP treatment threshold of DBP ≥ 90 or SBP ≥ 140 mm Hg with ultimate treatment targets being <130/80 mm Hg; amongst those < 65 years, the SBP target is 120–129 mm Hg while in those 65 and older, the target is 130–139 systolic.
What are new hypertension guidelines?
Within the first three months of starting pharmacotherapy, the BP target should be less than 140/90 mm Hg. Recommended long-term blood pressure targets are less than 130/80 mm Hg in patients younger than 65 years and less than 140/90 mm Hg in patients 65 years or older.
What does JNC 8 stand for?
The panel members appointed to the Eighth Joint National Committee (JNC 8) used rigorous evidence-based methods, developing Evidence Statements and recommendations for blood pressure (BP) treatment based on a systematic review of the literature to meet user needs, especially the needs of the primary care clinician.
What are the differences in the algorithm for the treatment of hypertension in JNC 7 vs JNC 8?
Two specific differences regarding treatment are as follows: JNC 7 recommended a treatment threshold of 140/90 mm Hg regardless of age, whereas JNC 8 raises the systolic threshold at age 60.
What is the JNC 8?
JNC 8 makes a moderate recommendation to utilize an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker for blood pressure treatment in all chronic kidney disease patients, regardless of race or diabetes status.
What are clinical guidelines for hypertension?
Basic testing for primary hypertension includes fasting blood glucose, complete blood cell count, lipids, basic metabolic panel, thyroid stimulating hormone, urinalysis, electrocardiogram with optional echocardiogram, uric acid, and urinary albumin-to-creatinine ratio.
What are new BP guidelines?
New blood pressure guidelines state that 120/80 or less is in a normal blood pressure range, 120-129/80 is considered elevated, 130-139/80-89 is stage one hypertension and 140/90 is stage two hypertension. Healthy food choices lead to lower blood pressure.
What is the criteria for hypertension?
The generally accepted criteria for high blood pressure or hypertension is a reading of 140/90 or greater. A reading of 120/80 or less is considered a normal blood pressure reading.