Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise. Hypertension debate continues, as jnc 8 minority speaks. Jnc 8 new guideline hypertension chart 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. 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. Explore jnc 8 hypertension guidelines from jama network.
Evaluation, and treatment of high blood pressure jnc vi is to provide guidance for. Prevention, detection, evaluation, and treatment of high blood pressure the. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. 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. Hypertension htn, also known as high blood pressure bp, affects millions of people. Modifikasi gaya hidup, meskipun tidak dijelaskan secara detail juga tetap masuk dalam algoritma jnc 8 ini. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Recommendations 1 through 5 address questions 1 and 2 concerning thresholds and goals for bp treatment. In 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. Rekomendasi jnc 8 dibuat berdasarkan buktibukti dari berbagai studi acak terkontrol. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Studies show hypertension impacts about 33% of adults in the united states, while primarily affecting people 55 years old. Jnc 8 new guideline hypertension chart pharmacy exam.
Jun 01, 2015 hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure. Based on recent guidelines, but not necessarily jnc8, the degree of blood pressure reduction achieved, and not the initial antihypertensive class of agents chosen, is more important for improving cardiovascular outcome in those with hypertension, barry carter, pharmd, of the university of iowa in iowa city, concluded in his talk on. Dec 24, 20 jnc 7 recommended a treatment threshold of 14090 mm hg regardless of age, whereas jnc 8 raises the systolic threshold at age 60. Komplikasi hipertensi dapat mengenai berbagai organ target.
Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Keep up to date with clinical guidelines, original research articles, videos, and webinars from jama and jama network specialty journals. Jnc 8 only answers a few new questions for the primary care physician, mostly focused on hypertension treatment recommendations. The panel members appointed to the eighth joint national committee jnc 8 were selected from over 400 nominees based on expertise in hypertension n14, primary care n6, including geriatrics n2, cardiology n2, nephrology n3, nursing n1, pharmacology. Hipertensi merupakan salah satu penyakit yang paling umum ditemukan dalam kedokteran primer. The official guidelines for htn management, which are intended to replace the last nhlbi guidelines, are expected in 2015. James pa, oparil s, carter bl, cushman wc, dennisonhimmelfarb c, handler j, et al. One of every 3 american adultsor approximately 67 million adults 31%has hypertension htn. Although this was a controversial publication, the intent of the jnc 8 committee was to bridge the gap between jnc 7 and the new accaha guidelines that were in development, given that jnc 7 was published in 2003 and many believed it to be outdated. Comparison of current recommendations with jnc 7 guidelines.
May 30, 2003 for patients age 50 or older, elevated sbp is a stronger cardiovascular risk factor than elevated dbp. 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. National high blood pressure education program nih publication no. Jnc 8 guidelines for the management of hypertension in adults author. Evidencebased guideline penanganan pasien hipertensi. In adults with hypertension, does initiating medication therapy at specific bp. Within the bp range of 11575 mm hg to 185115 mm hg, each increment of 2010 mm hg doubles cardiovascular risk. The most significant change in the jnc 8 guideline is relaxation of the. 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. Jnc 8 guidelines for the management of hypertension in adults. Pdf staying up to date with the jnc 8 hypertension guideline.
Dnb senior interventional cardiologist fortis hospital, mohali 2. Carrie armstrong, afp senior associate editor subject. Total hypertension and uncontrolled hypertension in 20 years old. Jaap 47 britain 2011, canada 20, europe 20, and the. 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. Joint national committee 8 jnc 8 guidelines for management. I have summarized them pretty easily to zip through them. In addition, jnc 7 recommended a lower treatment threshold 80 mm hg for patients with diabetes or chronic kidney disease, but jnc 8 does not. Implications of 2014 jnc 8 in us decrease in number of treatment eligible adults and increases in those meeting bp goals under jnc 8 navarboggan et al.
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. Year percent 20112012 20092010 20072008 20052006 20032004 20012002 19992000 19881994 0 10 20 30 40 50 60 70 80 90 source. Hypertension is the most prevalent condition seen in primary care. Salah satu guideline terbaru yang dapat dijadikan acuan di indonesia adalah guideline joint national committee jnc 8 tahun 2014. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. Jnc 8 hypertension guideline algorithm initial drugs of. The sixth report of the joint national committee on prevention. In the report from the panel members appointed to the eighth joint national committee jnc 8, the guideline authors provide evidencebased recommendations for the management of hypertension including specific goals by age, race, and comorbidities. If you are older than 60 years, the new guideline is to treat for a blood pressure of less. Recommendations 6, 7, and 8 address question 3 concerning selection of antihypertensive drugs. Jnc 8 hypertension guideline algorithm lifestyle changes.
Oleh karena itu, tercapainya target penurunan tekanan darah pasien hipertensi sangat penting. Oct 01, 2014 the eighth joint national committee jnc 8 recently issued the most anticipated hypertension guideline in some time. Joint national committee jnc guidelines for hypertension. The seventh report of the joint national committee on. The eighth joint national committee jnc 8 the new guideline has simpli. Five jnc 8 members are adding to the cacophony of debate over how best to treat hypertension with a new commentary spelling out their concerns with the final panel recommendations. Cdcnchs, national health and nutrition examination survey, 20. Jama network open original investigation, march 8, 2019. Pdf pengaruh rasionalitas penggunaan antihipertensi dengan. Ppt jnc 8 powerpoint presentation free to download id.
In 2014, the eighth joint national committee jnc 8 published the evidence based guideline for the management of high bp in adults. The joint national commission issued updated hypertension guidelines in december 20 based on more rigorous evidence, and less dependence on expert opinion, than jnc 7. Controversy, the jnc8 hypertension guidelines christopher j. Chronic elevations in blood pressure can have detrimental effects on many of the bodys major organs including the kidneys, eyes, heart and brain. Updated jnc 8 guidelines for antihypertensive drugs released. Report from the panel members appointed to the eighth joint national committee jnc 8 jama. Smoking cessation control blood glucose and lipids diet eat healthy i. Hypertension management 2017 richard clarens, pharmd. On one hand, hypertensive patients are always apprehensive if blood pressure bp. Update on the therapeutic management of hypertension. The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based.
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