JNC 7: Algorithm for Hypertension
{"Image DocumentName": "JNC 7: Algorithm for Hypertension", "Image ImageDescription": "LIFESTYLE MODIFICATIONS. Not at Goal BP (<140/90 mm Hg, or <130/80 mm Hg for patients with diabetes or chronic kidney disease) INITIAL DRUG CHOICES. Without Compelling Indications. With Compelling Indications. Stage 1 Hypertension. Thiazide-type diuretics for most; may consider ACEI, ARB, BB, CCB, or combo. Stage 2 Hypertension. 2-drug combos for most (usually thiazide-type diuretics and ACEI, or ARB, or BB, or CCB) Compelling Indications. Other drugs (diuretic, ACEI, ARB, BB, CCB) as needed. Pharmacologic therapy is usually needed to treat high blood pressure. Recent clinical trials (eg, ALLHAT) have shown that blood pressure control can be achieved in most patients with hypertension. The majority of patients require \uf0b32 antihypertensive agents to achieve goal blood pressure (<140/90 mm Hg, or <130/80 mm Hg for patients with diabetes or chronic kidney disease). A thiazide-type diuretic is recommended as initial therapy for uncomplicated hypertension, either alone or in combination with an antihypertensive agent from another class (ACE inhibitor, angiotensin receptor blocker [ARB], \u03b2-blocker, or CCB). A drug from a different class should be added if the first drug is insufficient for achieving goal blood pressure. Patients whose blood pressure is >20/10 mm Hg above goal should receive pharmacologic therapy, either singly or in a fixed-dose combination. National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Bethesda, Md: National Heart, Lung, and Blood Institute; NIH Publication No If not at goal BP, optimize dosages or add drugs until. goal BP achieved; consider consultation with hypertension specialist. Chobanian AV et al, for the NHBPEPCC. Bethesda, Md: NHLBI; NIH Publication No Available at:", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}