May 30, 2003 the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 incorporates evidence published since jnc 6 was issued in 1997. Disclosures spectral diagnostics site investigator eli lilly site investigator. The eighth joint national committee jnc 8 the new guideline has simpli. Problem magnitude 35 million office visits are as the primary diagnosis of htn. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure provides a new guideline for hypertension prevention and management. Jnc 8 guidelines for the management of hypertension in adults. In addition to preventing or reducing high blood pressure, these modi. For those 65 years old or older, high blood pressure affects women more than men. Revisiting the jnc 7 recommendations jeffery martin, m.
The seventh report of the joint national committee on prevention, detection, evaluation, and. Chicago, il new national guidelines, known as the seventh report of the joint national committee jnc on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Controversy, the jnc8 hypertension guidelines christopher j. 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. Current strategies in hypertension current strategies in hypertension. Jnc 7 pre ht 1209 or 8089 stg 1 ht 140159 or 9099 stg 2 ht 160 or 100. The following are the key messages1 in persons older than 50 years, systolic blood pressure bp. Baron md professor of medicine associate dean for gme and cme declaration of full disclosure.
Jnc8 hypertension guidelines 2014 right care initiative. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. In adults with hypertension, does initiating medication therapy at specific bp. Secondary hypertension the primary care perspective stephen koesters, md assistant professor of clinical medicine department of pediatrics division of general medicine the ohio state universitys wexner medical center what is hypertension jnc 7. Current strategies in hypertension current strategies in. This is a pdf document titled hypertension jnc 7 guideline.
Reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. 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. Undiagnosed, untreated, and uncontrolled hypertension clearly places a substantial strain on the health care delivery system. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Penatalaksanaan hipertensi free download as powerpoint presentation. Hypertension jnc 7 guideline pdf document free medical. Komite nasional 7 jnc 7 pada pencegahan, deteksi, evaluasi dan pengobatan tekanan darah, tinggi 2003 derajat hipertensi dapat diklasifikasikan ke dalam pra hipertensi 12098089, hipertensi. Reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc7 evaluation classification of blood pressure bp category sbp mmhg dbp mmhg normal the jnc8 hypertension guidelines christopher j.
The committee recognizes that the responsible clinicians judgment of the individual patients needs remains paramount. Jnc7 show series solution based strategies for addressing multidisciplinary issues in hypertension. The concepts for the new report identified by the nhbpep. Reference card from the seventh report of the joint. This is for the health professional or researcher who needs to understand the full scope and significance of the findings and recommendations on high blood pressure. Disclosures spectral diagnostics site investigator eli lilly site. Epidemiology hypertension remains an important risk factor for cardiovascular disease including stroke, the development. 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.
Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. 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. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Related editorials assessing the trustworthiness of the guideline for management of high blood pressure in adults recommendations for treating hypertension.
As an editorialist notes, despite an extensive history of jnc guidelines, hypertension awareness and control in the u. Detection, evaluation, and treatment of high blood pressure jnc 7 evaluation classification of blood pressure bp category sbp mmhg dbp mmhg normal 89 hypertension, stage 1 140159 or 9099 hypertension, stage 2. Phan, md associate professor of medicine division of cardiology san francisco general hospital university of california, san francisco. Openclinical clinical applications jnc 7 hypertension. The sixth report of the joint national committee on. 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. Worldwide prevalence estimates for htn may be as much as 1 billion. Jnc 8 hypertension guidelines acp arizona chapter annual meeting 2014 shakaib rehman, md, sch, facp, faach associate chief of staff for education phoenix va healthcare systems professor of medicine professor of biomedical informatics university of arizona college of medicinephoenix. The jnc 7 recommenda tions are fairly universal to good health practicesmain tain a normal body weight, do not smoke, exercise, etc. Jun, 2003 unlike jnc 6, jnc 7 does not advocate global risk assessment to guide therapy, but treatment still should be tailored to an individuals risk profile. Current strategies in hypertension current strategies. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged.
Jnc 7 2014 evidencebased guideline for the management of high blood pressure in adults 2. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Methods the decision to appoint a committee for the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 was based on 4. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Ppt jnc 8 powerpoint presentation free to download id. All time human experience hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure 3. Hipertensi atau tekanan darah tinggi sudah menjadi gejala umum penyakit tekanan darah di dunia. Jnc 7 simplifies the classification of bloodpressure levels and outlines how to use this new classification scheme for hypertension prevention and. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Update on the therapeutic management of hypertension.
If you are older than 60 years, the new guideline is. Greater clinical utility simplify bp classification limit risk stratification incorporate new trial data. Ppt jnc 8 powerpoint presentation free to download. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. Hypertension 1 update, jnc8 and beyond tara shrout, david w rudy2 and michael t piascik3 hypertension is the most preventable major risk factor for cardiovascular morbidity and mortality. Drug resistant hypertension not mentioned in jnc defined as not controlled on 3 drugs ash ish. The eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. If you want to view it in full screen, click on the square icon in the slide show above or click here. Jaap 47 britain 2011, canada 20, europe 20, and the. The writing panel for jnc 8 was appointed in 2008 by the nhlbi. Pdf staying up to date with the jnc 8 hypertension guideline. For attendees technical program registration attendance requirements hotel travel covid19 information exhibit hall for presenters abstract management presenter resource center for exhibitors exhibitor resource center marketing resources other years future meetings past meetings. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 incorporates evidence published since jnc 6 was issued in 1997.
Clinical practice guidelines for the management of hypertension in the community. May 07, 2014 5 thoughts on changes in hypertension treatment. Seventh report of the joint national committee on prevention. Oct 01, 2014 the eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. Jnc 8 only answers a few new questions for the primary care physician, mostly focused on hypertension treatment recommendations. Use of jnc 7 high blood pressure tool is restricted to health professionals. I have summarized them pretty easily to zip through them. 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. The previous guidelines jnc 7 was in 2003 and this focused. At the heart of the recommendations is the idea that being overly aggressive in bp management may cause more problems with side effects than you gain in stroke and heart attack prevention. Penyebab tekanan darah yang paling sering adalah aterosklerosis atau penebalan dinding arteri yang membuat hilangnya elastisitas pembuluh darah. Lowpressure casting has a slightly higher production cost over gravity. Jnc 8 vs ash ish similarities general agreement on targets and treatment, both have. It discusses both the prevalence of hypertension and the relationship between blood pressure and the risk of cardiovascular disease.
Joint national committee 8 jnc 8 guidelines for management. Publications home of jama and the specialty journals of the. The seventh report of the joint national committee on. Installation instructions and download of hypertension guideline application jnc 7 for palm os and pocketpc 2003. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. A view from a member of jnc 7 benefit either as 1 st or 2 ndline therapy ctd twice as potent as hctz ctd longer duration of action hctz 2550 mgd vs. Evidencebased resource summary healthy people program. The new guidelines differ from jnc 7 in some important ways. Blood pressure bp is controlled to goal in just more.
The interactive hypertension guideline tool implements the jnc 7 high blood pressure guidelines for use at the point of care. Chobanian and his colleagues setand meta goal of completnational high blood pressure education program. Unlike jnc 6, jnc 7 does not advocate global risk assessment to guide therapy, but treatment still should be tailored to an individuals risk profile. Explore jnc 8 hypertension guidelines from jama network.
Updated guidelines for management of high blood pressure. The joint national committee jnc 7 complete report focuses on new evidence since jnc 6, including a revised treatment algorithm, drug tables, and more. May 21, 2003 the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure provides a new guideline for hypertension prevention and management. Publications home of jama and the specialty journals of. Low pressure casting uses positive pressure to move the molten aluminum into the mold quicker and achieve a finished product that has improved mechanical properties more dense over a gravity cast wheel. Jnc 8 update on hypertension guidelines alan cementina, md associate clinical professor family medicine center at asylum hill. Jnc 8 takes a rigorous, evidencebased approach to recommend when to treat, goals of treatment, and medications in the management of hypertension in adults.
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