2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the
Eighth Joint National Committee
(JNC 8)
What year is JNC 8?
Patients will be asking about the new JNC 8 hypertension guidelines, which were published in the Journal of the American Medical Association on December 18,
2013
.
What is normal blood pressure according to JNC 8?
JNC 8 Recommendations 2 to 5
In all persons <60 years or in persons >18 years (and either those younger or older than 60 years with either diabetes or CKD), initiate pharmacologic treatment to lower SBP ≥140 or DBP ≥90 mm Hg and treat to a goal BP of
<140/90 mm Hg
.
What is the latest JNC update?
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.
What does JNC 8 mean?
2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults Report From the Panel Members Appointed to the
Eighth Joint National Committee
(JNC 8)
What is the difference between JNC 7 and JNC 8?
JNC 7 recommended a treatment threshold of 140/90 mm Hg regardless of age, whereas
JNC 8 raises the systolic threshold at age 60
. In addition, JNC 7 recommended a lower treatment threshold (130/80 mm Hg) for patients with diabetes or chronic kidney disease, but JNC 8 does not.
What is the JNC 7 classification of hypertension?
JNC 7 suggests that
all people with hypertension (stages 1 and 2) be treated
. The treatment goal for individuals with hypertension and no other compelling conditions is <140/90 mmHg (see Compelling Indications).
What are the hypertension guidelines?
The ESC/ESH hypertension guideline recommends a BP treatment threshold of
DBP ≥ 90 or SBP ≥ 140 mm Hg
with ultimate treatment targets being <130/80 mm Hg; amongst those < 65 years, the SBP target is 120–129 mm Hg while in those 65 and older, the target is 130–139 systolic.
What are the classifications of hypertension?
| Blood Pressure SBP DBP | Classification mmHg mmHg | Prehypertension 120–139 or 80–89 | Stage 1 Hypertension 140–159 or 90–99 | Stage 2 Hypertension ≥160 or ≥100 |
|---|
When should antihypertensives be started?
The first recommendation is that of initiating antihypertensive drug treatment when systolic blood pressure is
at least 140 or diastolic blood pressure at least 90 mmHg
in patients with grade 1 hypertension and low or moderate total cardiovascular risk, and even when blood pressure is in the high normal range in …
What are the most recent hypertension guidelines?
- Normal = less than 120 and less than 80.
- Elevated = 120-129 and less than 80.
- High Blood Pressure Stage 1 = 130-139 or 80-89.
- High Blood Pressure Stage 2 = 140 or higher or 90 or higher.
- Hypertensive Crisis (call your doctor immediately) = Higher than 180 and/or higher than 120.
How can hypertension be diagnosed?
- Ambulatory monitoring. This 24-hour blood pressure monitoring test is used to confirm if you have high blood pressure. …
- Lab tests. Your doctor may recommend a urine test (urinalysis) and blood tests, including a cholesterol test.
- Electrocardiogram (ECG or EKG). …
- Echocardiogram.
What’s considered hypertensive urgency?
Hypertensive urgency occurs when
blood pressure spikes — blood pressure readings are 180/110 or higher —
but there is no damage to the body’s organs. Blood pressure can be brought down safely within a few hours with blood pressure medication.
What is the first drug of choice for hypertension?
Treating essential hypertension. The first choice is usually a
thiazide diuretic
.
What are the new blood pressure guidelines for 2019?
- Normal: Less than 120/80 mm Hg;
- Elevated: Top number (systolic) between 120-129 and bottom number (diastolic) less than 80;
- Stage 1: Systolic between 130-139 or diastolic between 80-89;
- Stage 2: Systolic at least 140 or diastolic at least 90 mm Hg;
What JNC 7?
The Seventh Report of the Joint National Committee
on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
(JNC 7)
