Jnc 8 Hypertension Classification Table
2017 acc aha and jnc 8 hypertension guidelines.
Jnc 8 hypertension classification table. Jnc 8 hypertension guideline algorithm lifestyle changes. Smoking cessation control blood glucose and lipids diet eat healthy i e dash diet moderate alcohol consumption reduce sodium intake to no more than 2 400 mg day physical activity moderate to vigorous activity 3 4 days a week averaging 40 min per session. The eighth joint national committee jnc 8 recently released evidence based recommendations on treatment thresholds goals and medications in the management of hypertension in adults. Normal prehypertension and.
As a result the jnc 8 panelists recommend that all patients with chronic kidney disease and hypertension regardless of ethnic background should receive treatment with an ace inhibitor or arb to. Claude lenfant then director of nhlbi commissioned jnc 7 to incorporate updated information about hypertension. Stephanie garies and coauthors. Provide new clear and concise guidelines for clinicians.
Jama network open original investigation march 8 2019. If the systolic blood pressure and diastolic blood pressure values fall into different categories the overall classification is determined. 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. Firstly the definitions of hypertension and pre hypertension which were well defined in jnc 7 has not been addressed in jnc 8.
Secondly similar treatment goals have been defined for all hypertensive population and no distinction between uncomplicated hypertension and hypertension with comorbid conditions like diabetes or chronic kidney disease ckd has been made. The main difference in jnc 7 compared with jnc 6 is the new classification of hypertension itself table 1. The categories of blood pressure have been reduced to 3. September 2018 the american college of cardiology acc american heart association aha hypertension guideline published in november 2017 introduced new blood pressure categories lowering the threshold for the diagnosis of hypertension.
The classification of blood pressure in adults 18 years and older is based on the average of two or more properly measured blood pressure readings from two or more clinical visits see table 3. Defi ni tions of hypertension and prehypertension are not addressed but thresholds for pharmaco logic treatment are. The eighth joint national committee jnc 8 the new guideline has simplifi ed the treatment of hypertension.