Rencent developments in ckd chronic kidney disease and dm daibetes mellitus management. It includes modification of jnc 7 regarding the threshold for therapy, therapeutic goals, and medications or combinations of medications that differ in benefits for certain. Evaluation, and treatment of high blood pressure jnc 8. The new kdigo guidelines for dyslipidaemia treatment increase the indication of statin therapy, especially in patients at high cardiovascular risk.
In march 2008 nhlbi sent letters inviting the cochairs and committee members to serve on jnc 8. Hypertension siyad a r hypertension 116, 4664, or high blood pressure, is a very common and serious condition that can lead to or complicate many health problems. Report from the panel members appointed to the eighth joint national committee jnc 8. The latest joint national committee guidelines jnc 8 are based on 27 large clinical trials concerning hypertension management. Betablockers are no longer considered as firstline drugs, according to jnc 8 guidelines for hypertension. Winner of the standing ovation award for best powerpoint templates from presentations magazine. It is defined as high blood pressure measuring above 14090mm hg in pregnant females without the presence of proteinuria protein casts present in urine and which high blood pressure red. There have been controversial discussions regarding the most evidencebased blood pressure management guidelines after the release of the eighth joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 8 guidelines. Practice guidelines jnc 8 guidelines for the management of hypertension in adults key points for practice in the. Income and life expectancy in the us jnc 8 guideline for management of high blood pressure. The indian hypertension guidelines 16 should be revised to advocate more aggressive bp reduction as mandated by the current unfavorable trends in cvd driven by uncontrolled hypertension. While jnc 8 suggests treating patients with both diabetes and hypertension to a blood pressure goal jnc guidelines for hypertension.
Smoking cessation control blood glucose and lipids diet eat healthy i. 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. 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%. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Jnc 8 guidelines on htn, evidence from clinical trials indicate that antihypertensive medications blood pressure medication should be initiated in patients less than 60 years old if the systolic blood. 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. Joint national committee 8 jnc 8 guidelines for management of hypertension source. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Jnc 8 guidelines for the management of hypertension. Pdf pedoman tatalaksana hipertensi jnc 8 free download pdf. Download download jnc 8 hypertension guidelines update read online read online jnc 8 hypertension guidelines update jnc 8 summary jnc 8 guidelines 2016 jnc 8 hypertension guidelines 2015 jnc 8 guidelines algorithm jnc 8 hypertensive emergency jnc 9 guidelines pdf jnc 8 classification of hypertension jnc 8 ppt 1 jun 2015 alabama pharmacy association 334. Impact of the application of the jnc 8 and kdigo20 guidelines. Professor family medicine university of washington school of medicine seattle wa problem magnitude hypertension htn is the most common primary diagnosis in america.
Eighth joint national committee jnc8 guidelines and the. In contrast, the hypertension guideline from the 8th joint national committee jnc 8 defines hypertension as bp of 14090 mmhg or above an ongoing controversy. Hypertension education brochure va north texas health. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease. Jnc 8 slideshare jan 22, 2014 a quick reference for busy clinicians, jnc 7 vs jnc 8 ramachandra barik. Jnc 8 guidelines for the management of hypertension practice guidelines 504. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. Detection, evaluation and nonpharmacologic intervention misbah keen, md, faafp act.
These trials are often discussed in isolation, but their data have. Explore the latest in hypertension, including the epidemiology, prevention, treatment, and longterm outcomes of high blood pressure. Explore jnc 8 hypertension guidelines from jama network. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Hypertension and the jnc8 guidelines american nurse today. In 2014, the eighth joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure known as jnc8. Jnc 8 guidelines for the management of hypertension in adults. Recent guidelines for hypertension circulation research. Guidelines and the outpatient management of hypertension in the africanamerican population. Jnc reports have served as a valuable source of guidelines, and jnc 8 is the most recently updated guideline for the prevention, diagnosis, and treatment of hypertension. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Accaha recommends lifestyle changes for patients with elevated bp and those with stage 1 hypertension who have a 10year cardiovascular risk less than 10%.
Worldwide prevalence estimates for htn may be as much as 1 billion. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Until then, the ahaacc recognize the most recent hypertension guidelines, published in 2004 by the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure, as the national standard. The panel members appointed to jnc 8 were selected from more than 400. Report pedoman tatalaksana hipertensi jnc 8 please fill this form, we will try to respond as soon as possible. This cohort study assesses whether longterm variability and rate of change of blood pressure from young adulthood to midlife are associated with cardiovascular disease and allcause mortality by middle age. Jnc 8 hypertension guideline algorithm initial drugs of. Evaluation, and treatment of high blood pressure recommended patients older than 60 years be treated to a systolic blood pressure of less than 150 mmhg, which has generated considerable controversy. Evidencebased guideline for the management of high blood pressure in adults in 2014. Patients want to be assured that blood pressure bp treatment will reduce their disease burden, while clinicians want guidance on hypertension. Pdf eighth joint national committee jnc8 guidelines. Aram chobanian was selected as the jnc 7 chair because, like his predeces sors, he is new guideline for hypertension prevention and management. Jnc 8 new guideline hypertension chart pharmacy exam. Pdf jnc 8 hypertension guideline algorithm na naha.
Jnc 8 guidelines offer greater discretion in drug choice and modest relaxation of some bp targets. Jnc 8 hypertension guideline algorithm jnc 8 hypertension guideline algorithm. The risk of cardiovascular morbidity and mortality is directly correlated with blood pressure. In contrast, jnc 8 focuses narrowly on drug treatment. Pdf jnc 8 hypertension guideline algorithm witri chan. Ppt jnc 8 powerpoint presentation free to download. Jnc 8 reference card pdf ebook market free download jnc 8 quick card guide pdf pdf manuals library jnc 8 quick card guide pdf digital library is a good source of information for everyone who studies. High blood pressure can also have damaging effects to the brain, specifically it can cause an aneurysm or stoke. Recent hypertension guidelines astho association of. Hypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. Evaluation and treatment of high blood pressure 8 jnc 8 guidelines. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Description download pedoman tatalaksana hipertensi jnc 8 comments. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged.
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