Update on the therapeutic management of hypertension baseline knowledge statements readers of this chapter are presumed to be familiar with the following. There have been controversial discussions regarding the most evidencebased blood pressure management guidelines after the release of the eighth joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 8 guidelines. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Ppt jnc 8 powerpoint presentation free to download.
Pdf jnc 8 hypertension guideline algorithm witri chan. Pdf eighth joint national committee jnc8 guidelines. The sixth report of the joint national committee on. Jnc8 hypertension guidelines 2014 right care initiative. Dec 24, 20 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. Whelton et al 2017 high blood pressure clinical practice guideline. Report from the panel members appointed to the eighth joint national committee jnc 8 appendix to 2014 evidencebased guideline for the management of high. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that. Jnc 8 reference card pdf journal articles in and and download jnc 8 reference card provider reference guide july 2011 cma foundation 8 quick reference card start screen keyboard shortcuts. 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. Income and life expectancy in the us jnc 8 guideline for management of high blood pressure. Jnc 7 recommended a treatment threshold of 14090 mm hg regardless of age, whereas jnc 8 raises the systolic threshold at age 60. In adults with hypertension, does initiating medication therapy at specific bp. Report pedoman tatalaksana hipertensi jnc 8 please fill this form, we will try to respond as soon as possible.
Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. The most hotly debated recommendation is one to loosen the blood pressure goal for healthy patients from 14090 mm hg to 15090 mm hg starting at age 60. Ppt jnc 8 powerpoint presentation free to download id. Pdf staying up to date with the jnc 8 hypertension guideline. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Betablockers are no longer considered as firstline drugs, according to jnc 8 guidelines for hypertension. The jnc 8 pdf free download was released in ebook and paperback book years before the kindle revolution, consequently i found it challenging to advertise the digital version of the book, which was also the cheaper format. Hypertension debate continues, as jnc 8 minority speaks. Jnc 8 guidelines for the management of hypertension in adults. Problem magnitude 35 million office visits are as the primary diagnosis of htn. The purpose of the sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc vi is to provide guidance for primary care clinicians. Reference card from the seventh report of the joint national.
American college of cardiologyamerican heart association whelton pk et al, jacc 71. Explore jnc 8 hypertension guidelines from jama network. Unlike the jnc 7 guidelines, jnc 8 guidelines do not focus on the definition of hypertension and pre. Oct 01, 2014 the eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. In jnc 7, thiazidetype diuretics were recommended as initial drug therapy unless compelling reasons dictated another drug class, with ccbs, ace inhibitors, arbs, and.
Five of the 17 panel members opposed this recommendation strongly enough that. Reduced role for betablockers as initial therapy still pre. Jnc 7 was published 10 years earlier than jnc 8 was published. There was an aha scientific session in 2007 that dealt with hypertension and other.
Eighth joint national committee jnc 8 guidelines and the outpatient management of hypertension in the africanamerican population. 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 of hypertension source. These days, nevertheless, more readers ask about the ebook availability of my novels instead of print, and while i spend. The committee recognizes that the responsible clinicians judgment of the individual patients. Whitecoat hypertension htn antihypertensive medications and their monitoring parameters lifestyle recommendations for htn additional readings. Jaap 47 britain 2011, canada 20, europe 20, and the. Description download pedoman tatalaksana hipertensi jnc 8 comments. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Current strategies in hypertension current strategies in hypertension. Guideline comparisons of goal bp and initial drug therapy for adults with hypertension. Cardiovascular innovations and applications cvia publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. Metodologi yang digunakan dalam jnc 8 adalah metodologi.
Secondly, similar treatment goals have been defined for all hypertensive population and no distinction between uncomplicated hypertension and. Baron md professor of medicine associate dean for gme and cme declaration of full disclosure. Ferdinands opinion about whats to come with respect to jnc 8 s hypertension guidelines. Evidencebased guideline for the management of high blood pressure in adults in 2014. As a primary care physician i found it very useful to hear dr. Joint national committee jnc guidelines for hypertension. 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 previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Report from the panel member appointed to the eight joint national committee jnc 8.
Controversy, the jnc8 hypertension guidelines christopher j. Evidencebased guideline penanganan pasien hipertensi dewasa muhadi divisi kardiologi, departemen ilmu penyakit dalam fakultas kedokteran universitas indonesiars cipto mangunkusumo jakarta, indonesia abstrakipertensi merupakan salah satu penakit an palin umum ditemukan dalam kedokteran primer. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Most people between 9 mmhg sbp or 8089 mmhg dbp will not require medication. Update on the therapeutic management of hypertension. 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. Explore the latest in hypertension, including the epidemiology, prevention, treatment, and longterm outcomes of high blood pressure. The eighth joint national committee jnc 8 the new guideline has simpli. How joint national committee jnc 8 report is different from jnc 7. Although this was a controversial publication, the intent of the jnc 8 committee was to bridge the gap between jnc 7 and the new accaha guidelines that were in development, given that jnc 7 was published in 2003 and many believed it to be outdated. Five members of the eighth joint national committee jnc 8 are adding their voices to the cacophony. Evidencebased dosing for htn drugs drug initial dose target dose doses per day lisinopril 10 mg 40 mg 1 enalapril 5 mg 20 mg 12 losartan 50 mg 100 mg 12 valsartan 4080 mg 160320 mg 1 candesartan 4 mg 1232 mg 1 atenolol 2550 mg 100 mg 1 metoprolol 50 mg 100200 mg 12. 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.
A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. James pa, oparil s, carter bl, cushman wc, dennison c, handler j, dkk. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. 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. Reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Jnc 8 report on prevention, evaluation, and treatment of. More attention is likely to be given to beta blocker selection on the basis of demonstrated cardiovascular outcomes metoprolol, carvedilol in jnc 8. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations.
In subsequent years, a series of joint national committee jnc bp guidelines were published to assist the practice community and improve prevention, awareness, treatment, and. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Jnc 8 hypertension guideline algorithm initial drugs of. Report from the panel members appointed to the eighth joint national committee jnc 8.
Worldwide prevalence estimates for htn may be as much as 1 billion. Jnc 8 hypertension guideline algorithm lifestyle changes. Dalam proses penyusunan jnc 8 terlibat lebih dari 400 orang ahli dibidang hipertensi. Pdf pedoman tatalaksana hipertensi jnc 8 free download pdf. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. The sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure national high blood pressure education program. Smoking cessation control blood glucose and lipids diet eat healthy i. Eighth joint national committee jnc8 guidelines and the. Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. Jnc 8 guidelines for the management of hypertension. Whats new in hypertension with jnc 8 on the horizon. Jun 01, 2015 in 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults.
Winner of the standing ovation award for best powerpoint templates from presentations magazine. This cohort study assesses whether longterm variability and rate of change of blood pressure from young adulthood to midlife are associated with cardiovascular disease and allcause mortality by middle age. Jnc 8 blood pressure guidelines faculty disclosure suzanne oparil, md the below relationships listed are potential conflict of interest, but are not considered. Hidden camera investigation on what really happens to your car cbc marketplace duration. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. Joint national committee 8 jnc 8 guidelines for management. Jama guidelines and featured content from jama the journal. This was a departure from the prior processes used to form the recommendations.
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