Jnc 9 pressure guidelines

A Review of the JNC 8 Blood Pressure Guideline

jnc 9   pressure guidelines

Guidelines for Hypertension Treatment - Presented by Jamie Johnston, MD

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Hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure. This new guideline was characterized by a systematic review of the literature with an emphasis on randomized, controlled clinical trials. The guideline attempted to answer 3 key questions. In adults with HTN, does initiating antihypertensive pharmacologic therapy at specific BP thresholds improve health outcomes? In adults with HTN, do attempts to reach specified BP goals with antihypertensive pharmacologic therapy lead to improvements in health outcomes? In adults with HTN, do various antihypertensive drugs or drug classes differ in regard to specific health outcomes? The committee provided 9 graded recommendations to answer the 3 key questions.

Haitham M. Nishant P. Release date: January 1, Expiration date: December 31, Estimated time of completion: 1 hour. This review summarizes the evidence behind the guidelines, discusses the risks and benefits of stricter blood pressure control, and provides our insights on blood pressure management in clinical practice. Intensive blood pressure control has the potential to significantly reduce rates of morbidity and death associated with cardiovascular disease, at the price of causing more adverse effects.

Hypertension is a major preventable factor in disease and death in the United States that contributes to stroke, kidney disease, and heart attacks. It's critical to detect it early and treat it, to prevent serious complications. The guidelines were created after a committee of experts synthesized all available scientific evidence, and they were updated to provide guidance for doctors for the management of hypertension. JNC 8 recommends thresholds for treatment of high blood pressure, blood pressure goals, and evidence-based medication therapy. The evidence shows that adults who are younger than 60 years of age should begin medication when the systolic blood pressure reading the top number is mm Hg or higher or when the diastolic blood pressure reading is 90 mm Hg or higher. In adults older than 60 years of age, treatment should begin if the systolic pressure is mm Hg or higher and if the diastolic pressure is 90 mm Hg or higher. Patients who begin treatment should use these numbers as their target goals.

The guideline is a comprehensive guideline incorporating new information from studies regarding blood pressure BP -related risk of cardiovascular disease CVD , ambulatory BP monitoring ABPM , home BP monitoring HBPM , BP thresholds to initiate antihypertensive drug treatment, BP goals of treatment, strategies to improve hypertension treatment and control, and various other important issues. It is critical that health care providers follow the standards for accurate BP measurement. BP should be categorized as normal, elevated, or stages 1 or 2 hypertension to prevent and treat high BP. Out-of-office and self-monitoring of BP measurements are recommended to confirm the diagnosis of hypertension and for titration of BP-lowering medication, in conjunction with clinical interventions and telehealth counseling. In , hypertension was the leading cause of death and disability-adjusted life-years worldwide, and a greater contributor to events in women and African Americans compared with whites.

Published online in the AHA's Hypertension journal, the new guideline hyper. According to the AHA, the new threshold will lead to 46 percent of the U. Using the previous threshold, that figure was 32 percent of American adults. The authors said they anticipate the new guideline will primarily affect younger adults -- with the prevalence of HBP expected to triple among men younger than 45 and to double among women younger than Even so, they noted that there should only be a small increase in the number of U.



Hypertension guidelines: Treat patients, not numbers

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The JNC 8 Hypertension Guidelines: An In-Depth Guide

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2017 Guideline for High Blood Pressure in Adults

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2 COMMENTS

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