Global burden of hypertension, 19902015 global firearm mortality. Jnc 8 recommendation 1 sprint designed to look for a benefit of intensive bp treatment in those at risk for developing heart failure or cvd randomized 9361 nondiabetic adults. 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. Treatments like the jnc 7 panel, the jnc 8 panel recommended thiazidetype diuretics as initial therapy for most patients. Ppt jnc 8 powerpoint presentation free to download id. Commentary on the 2014 bp guidelines from the panel appointed to the eighth joint national committee jnc 8 efrain reisin, raymond c.
Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. A paper was published in the journal of the american medical association in 2014 that is generally referred to as jnc 8 but officially, there are no jnc 8 guidelines sanctioned by the nhlbi, nor has jnc 8 been endorsed by the aha, acc, or many other organizations that endorsed jnc7. Hypertension guidelines from the eighth joint national committee jnc 8 are. Jnc 8 2014 vs ahaacc 2017 in 2014, the eighth joint national committee released evidencebased guidelines for the management of high blood pressure in adults, including treatment thresholds, target bp goals, and specific medications. There are several limitations to consider in the jnc 8 committees approach to bp treatment table 2. Jaap 47 britain 2011, canada 20, europe 20, and the. It is essential to provide a standard and harmonized guideline for hypertension treatment. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Therefore,boththiazidetypediuretics andccbsarerecommendedasfirstlinetherapyforhypertension.
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. The jnc 7 executive committee and writing teams were selected entirely from the nhbpep cc because they are recognized as experts in their disciplines by their peers. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. New jnc 8 hypertension guidelines save lives, reduce morbidity, and lower costs. Pdf on jan 1, 2014, michael r page and others published the jnc 8. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Pdf staying up to date with the jnc 8 hypertension guideline evidence based recommendations on the diagnosis and management of hypertension high blood pressure in. Hypertension management controversies in the elderly patient. Aram chobanian was selected as the jnc 7 chair because, like his predecessors, he is well versed in hypertension, yet independent of these major studies. Jnc 8 guidelines for the management of hypertension in adults. Jnc 8 update on hypertension guidelines alan cementina, md associate clinical professor family medicine center at asylum hill. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here.
B jnc 7 2003 thiazide for most without compel indication. Guidelines for management of high blood pressure in adults. Jnc 8 new guideline hypertension chart pharmacy exam. American college of physicians ohioair force chapters 2018 scientific meeting columbus, oh october 5, 2018 whats in the new hypertension guidelines. 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. However, after the release of the new joint national committee on prevention, detection, evaluation and treatment of high blood pressure8 jnc8 guidelines, there have been heated debates with. 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. Jan 21, 2014 the data were so compelling that some members of the jnc 8 panel wanted to keep dbp jnc 8. North american journal of medical sciences oct 2015 volume 7 issue 10 439. Reference card from the seventh report of the joint national. Pdf staying up to date with the jnc 8 hypertension guideline.
The jnc 8 panel chose three critical questions on which to focus its update box 1 and revised the process such that recommendations were graded on the basis of the available evidence, as is the contemporary guideline standard. Relationship between cognitive functioning and the jnc8. Acs breast cancer screening guideline cdc guideline for prescribing opioids cdc guideline for prevention of surgical site infections consensus definitions for sepsis and septic shock global burden of cancer, 19902016 global burden of disease in children, 199020 global burden of hypertension, 19902015 global firearm mortality, 19902016. Below is a summary of the most recent national guidelines for evaluating these patients, and the figure shows the bp classification by the eighth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 8 1 and 2017 american college of cardiologyamerican heart association aha. 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. In a secondary analysis, we combined participants who had a selfreported recent history of diabetes and bp readings of 140149 mmhg with participants having bp readings. Evidence was drawn from randomized controlled trials, which represent the gold standard for. However, after the release of the new joint national committee on prevention, detection, evaluation and treatment of high blood pressure 8 jnc 8 guidelines, there have been heated debates with. The eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. Mar 30, 2015 discover how thousands of men and women worldwide have already used the reverse diabetes today system to lower blood sugar to normal and safely reverse their type 2 diabetes without drugs or insulin. Report from the panel members appointed to the eighth joint national committee jnc 8. Citations may include links to fulltext content from pubmed central and publisher web sites. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the.
Abstract hypertension is growing as a global burden now. However, the updated jnc8 guidelines do not include beta blockers as initial treatment and. The first set of recommendations address the questions of what threshold to. We attempt to match national guidelines whenever possible, but we do have some key differences from jnc 8in particular, that we. Blood pressure jnc 1977 jnc 7 2003 jnc 8 committee appointed by the nhlbi 2008 accaha are now responsible for htn guidelines 20 recommendations by the jnc 8 panel 2014 ashish guideline 2014 accaha htn guideline 2017. Explore jnc 8 hypertension guidelines from jama network.
Table 2 shows the differences in recommendations between jnc 7 and jnc 8 of note, a minority of the jnc 8 panel disagreed with the new targets and provided evidence for keeping the systolic blood pressure target below 140 mm hg for patients 60 and older. The jnc 7 executive committee and writing teams were selected entirely from the nhbpep cc because they. Unlike the other professional societies guidelines, the jnc 8 panel did not address topics outside of their chosen critical questions, specifically given the paucity of. Members appointed to the eighth joint national committee jnc 8. Joint national committee 8 jnc 8 guidelines for management.
In 2014, the eighth joint national committee jnc 8 published the. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Understand that while htn control rates have improved in the past 30 years, these rates remain. Jnc8 hypertension guidelines 2014 right care initiative. Jnc 1 1977 thiazide jnc 2 1980 diuretic jnc 3 1984 thiazide or.
Recognize that htn is the leading contributor to global mortality and disability and is increasing in prevalence in the u. All this will comply with international standards of correct measurement of these. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Clive rosendorff, phd, facc icahn school of dicine at unt sinai, new york, ny, and the james j. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Pubmed comprises more than 26 million citations for biomedical literature from medline, life science journals, and online books.
Eligible studies joel handler, md former national kaiser permanente hypertension lead guideline inclusion jnc 8 vs accaha methodology jnc 8. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Algorithm for treatment of hypertension reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Effect of intensive vs standard blood pressure control on probable dementia. The evidence presented in the jnc 8 guideline noted that an acei is more effective than a ccb for improving hf outcomes. Comparison of current recommendations with jnc 7 guidelines. The data were so compelling that some members of the jnc 8 panel wanted to keep dbp northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Controversy, the jnc8 hypertension guidelines christopher j. Association of jnc 8 and sprint systolic blood pressure levels with cognitive function and related racial disparity. The evidence presented in the jnc8 guideline noted that an acei is more effective than a ccb for improving hf outcomes.
In adults with hypertension, does initiating medication therapy at specific bp. The jnc 7 guidelines classified blood pressure as follows. Jnc 8 guidelines were an evidencebased, focused set of rec. Pdf eighth joint national committee jnc8 guidelines and the.
Acs breast cancer screening guideline cdc guideline for prescribing opioids cdc guideline for prevention of surgical site infections consensus definitions for sepsis and septic shock global burden of cancer, 19902016 global burden of disease in children, 199020 global burden of hypertension, 1990 2015 global firearm mortality, 19902016. Pdf eighth joint national committee jnc8 guidelines and. There is strong evidence to support treating hypertensive persons aged 60 years or older to a bp goal of less than 15090. The age chosen by the jnc 8 writing panel for a less aggressive blood pressure tar. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. 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. However, despite these comparative data, the panelists emphasized that clinicians should be mindful that it is more important to get the bp down.