Five members of the eighth joint national committee jnc 8 are adding their voices to the cacophony. The committee recognizes that the responsible clinicians judgment of the individual patients. In jnc 7, thiazidetype diuretics were recommended as initial drug therapy unless compelling reasons dictated another drug class, with ccbs, ace inhibitors, arbs, and. Whelton et al 2017 high blood pressure clinical practice guideline. Report from the panel member appointed to the eight joint national committee jnc 8. 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. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that.
Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. As a primary care physician i found it very useful to hear dr. 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. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Ppt jnc 8 powerpoint presentation free to download id. Description download pedoman tatalaksana hipertensi jnc 8 comments. 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. Reference card from the seventh report of the joint national. 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.
Jnc 8 guidelines for the management of hypertension. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. The sixth report of the joint national committee on. Whitecoat hypertension htn antihypertensive medications and their monitoring parameters lifestyle recommendations for htn additional readings. How joint national committee jnc 8 report is different from jnc 7. Unlike the jnc 7 guidelines, jnc 8 guidelines do not focus on the definition of hypertension and pre. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from.
The seventh report of the joint national committee on. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. These days, nevertheless, more readers ask about the ebook availability of my novels instead of print, and while i spend. Joint national committee jnc guidelines for hypertension. Jnc 8 guidelines for the management of hypertension in adults. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. Hypertension debate continues, as jnc 8 minority speaks. Update on the therapeutic management of hypertension.
Firstly, the definitions of hypertension and prehypertension, which were welldefined in jnc 7 has not been addressed in jnc 8. Jnc 7 recommended a treatment threshold of 14090 mm hg regardless of age, whereas jnc 8 raises the systolic threshold at age 60. There was an aha scientific session in 2007 that dealt with hypertension and other. Jnc 8 report on prevention, evaluation, and treatment of. 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.
Staying up to date with the jnc 8 hypertension guideline jaapa journal of the american academy of physician assistants. Jnc 8 hypertension guideline algorithm initial drugs of. Jnc8 hypertension guidelines 2014 right care initiative. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Hypertension debate continues, as jnc 8 minority speaks out. Ppt jnc 8 powerpoint presentation free to download. Report from the panel members appointed to the eighth joint national committee jnc 8 appendix to 2014 evidencebased guideline for the management of high. In adults with hypertension, does initiating medication therapy at specific bp. Pdf pedoman tatalaksana hipertensi jnc 8 free download pdf. Guideline comparisons of goal bp and initial drug therapy for adults with hypertension. Most people between 9 mmhg sbp or 8089 mmhg dbp will not require medication. It discusses both the prevalence of hypertension and the relationship between blood pressure and the risk of cardiovascular disease.
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. Joint national committee 8 jnc 8 guidelines for management of hypertension source. Update on the therapeutic management of hypertension baseline knowledge statements readers of this chapter are presumed to be familiar with the following. The eighth joint national committee jnc 8 the new guideline has simpli. Eighth joint national committee jnc8 guidelines and the. Pdf jnc 8 hypertension guideline algorithm witri chan. Joint national committee 8 jnc 8 guidelines for management. Jaap 47 britain 2011, canada 20, europe 20, and the. 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. Hidden camera investigation on what really happens to your car cbc marketplace duration. Evidencebased guideline for the management of high blood pressure in adults in 2014. Reduced role for betablockers as initial therapy still pre. Smoking cessation control blood glucose and lipids diet eat healthy i.
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. Reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Pdf staying up to date with the jnc 8 hypertension guideline. Metodologi yang digunakan dalam jnc 8 adalah metodologi. See the synopsis section for a summary of the updated hypertension treatment recommendations from the eighth joint national committee jnc 8.
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. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. 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. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Jnc 7 was published 10 years earlier than jnc 8 was published. Pdf eighth joint national committee jnc8 guidelines. 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. Dalam proses penyusunan jnc 8 terlibat lebih dari 400 orang ahli dibidang hipertensi. Keep up to date with clinical guidelines, original research articles, videos, and webinars from jama and jama network specialty journals. Controversy, the jnc8 hypertension guidelines christopher j. Explore the latest in hypertension, including the epidemiology, prevention, treatment, and longterm outcomes of high blood pressure. 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.
Current strategies in hypertension current strategies in hypertension. Ferdinands opinion about whats to come with respect to jnc 8 s hypertension guidelines. American college of cardiologyamerican heart association whelton pk et al, jacc 71. 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.
The jnc 8 guideline itself has been quite controversial. Oct 01, 2014 the eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. Eighth joint national committee jnc 8 guidelines and the outpatient management of hypertension in the africanamerican population. 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. January 27, 2015 april 18, 2016 medicinesia 0 comments acei, arb, ccb, diuretik, download jnc 8, guideline, hipertensi, jnc 8, jnc 8 pdf, kardiovaskular, tekanan darah tinggi, thiazide pada tahun 20, joint national committee 8 telah mengeluarkan guideline terbaru mengenai tatalaksana hipertensi atau tekanan darah tinggi. Five of the 17 panel members opposed this recommendation strongly enough that. Explore jnc 8 hypertension guidelines from jama network. 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. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Problem magnitude 35 million office visits are as the primary diagnosis of htn. 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. Jun 01, 2015 in 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. Report pedoman tatalaksana hipertensi jnc 8 please fill this form, we will try to respond as soon as possible.
Jama guidelines and featured content from jama the journal. Secondly, similar treatment goals have been defined for all hypertensive population and no distinction between uncomplicated hypertension and. 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. Baron md professor of medicine associate dean for gme and cme declaration of full disclosure. Jnc 8 blood pressure guidelines faculty disclosure suzanne oparil, md the below relationships listed are potential conflict of interest, but are not considered. 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.
This was a departure from the prior processes used to form the recommendations. Whats new in hypertension with jnc 8 on the horizon. Report from the panel members appointed to the eighth joint national committee jnc 8. More attention is likely to be given to beta blocker selection on the basis of demonstrated cardiovascular outcomes metoprolol, carvedilol in jnc 8.
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. The sixth report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure national high blood pressure education program. James pa, oparil s, carter bl, cushman wc, dennison c, handler j, dkk. Worldwide prevalence estimates for htn may be as much as 1 billion. Jnc 8 hypertension guideline algorithm lifestyle changes. 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.