Jnc 8 Blood Pressure Goals 2019

Target blood pressure goal according to jnc vii 140 90 mm hg for all except patients with diabetes chronic renal disease bp below 130 80 mm hg.

Jnc 8 blood pressure goals 2019. Psap 2019 book 1 t cardiology 8 hypertension readings of 130 139 80 89 mm hg should receive drug ther apy muntner 2018. Justify blood pressure goals for individual patients on the basis of the primary literature and hypertension guidelines. Jnc 8 recommends thresholds for treatment of high blood pressure blood pressure goals and evidence based medication therapy. Jnc vii bp classification.

Prevalence of hypertension treatment and blood pressure targets in canada associated with the 2017 american college of cardiology and american heart association blood pressure guidelines. Unhealthy lifestyle thiazides diuretics if not contraindicated. The data were so compelling that some members of the jnc 8 panel wanted to keep dbp 90 mmhg as the only goal among younger patients citing insufficient evidence for benefits of an sbp goal lower than 140 mmhg in patients under the age of 60. The 2018 acc aha and esc esh guidelines interpreted similar data with a fundamental difference of 2 different blood pressure goals.

Highlights blood pressure guidelines are updated as new data from clinical trials emerge. In the general population aged 60 years initiate pharmacologic treatment to lower blood pressure bp at systolic blood pressure sbp 150 mmhg or diastolic blood pressure dbp 90 mmhg to a. Under jnc 8 in all cases goal blood pressure targets should be reached within a month of starting treatment either by increasing the dose of an initial drug or by using a combination of medications. Jnc 8 hypertension guideline algorithm lifestyle changes.

Blood pressure thresholds and targets studies show that lowering blood pressure in adults with hypertension by 10 mm hg can reduce the risk of death from cardiovascular disease and stroke by 25 to 40. Stephanie garies and coauthors. Key points for practice in the general population pharmacologic treatment should be initiated when blood pressure is 150 90 mm hg or higher in adults 60 years and older or 140 90 mm hg or. Other differences include the approach to assess risk and goals in older people at 130 70 to 139 79 mm hg.

Smoking cessation control blood glucose and lipids diet eat healthy i e dash diet moderate alcohol consumption reduce sodium intake to no more than 2 400 mg day physical activity moderate to vigorous activity 3 4 days a week averaging 40 min per session. Jama network open original investigation march 8 2019.