Ppt managing hypertension in ckd powerpoint presentation. The interactive hypertension guideline tool implements the jnc 7 high blood pressure guidelines for use at the point of care. Hypertension with neurologic syndromes consensus rather than evidencebased good control of bp is needed for thrombolytic therapy lowering bp with. Dec 24, 20 jnc 7, the predecessor of this guideline, was a comprehensive document that covered not only hypertension treatment, but also definitions of hypertension, issues in bp measurement, public health perspectives, lifestyle modification, and special situations in hypertension management. High blood pressure remains a leading public health threat. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Renal venous hypertension as a cause of arterial hypertension. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. The jnc8 guidelines differ from the jnc 7 guidelines in two key areas. Causes of secondary hypertension with clinical indications and. Hypertension is present in approximately 69% of patients with a first myocardial infarction 1, in approximately 77% of patients. Reference card from the seventh report of the joint national. Problem magnitude 35 million office visits are as the primary diagnosis of htn.
Whitecoat hypertension htn antihypertensive medications and their monitoring parameters lifestyle recommendations for htn additional readings. Hidden camera investigation on what really happens to your car cbc marketplace duration. Current strategies in hypertension current strategies. Openclinical clinical applications jnc 7 hypertension. Arterial hypertension and other risk factors associated with.
Young women with blood pressures of 12080 mm hg are at very low absolute risk of adverse cardiovascular events. The jnc 7 hypertension guidelinesthe jnc 7 hypertension. Pdf uncontrolled arterial hypertension in primary care. Selexipag in the treatment of pulmonary arterial hypertension pdf nhs england, july 2016 detection and management of high blood pressure. Detection, evaluation and treatment of high blood pressure jnc 7 and is a comprehensive resource for the clinical and public health practice communities. Crossclassification of jnc vi blood pressure stages and. On the other hand, accaha reduced these cutoff values on andor 80 mmhg. Tumor necrosis factoralpha antagonist etanercept decreases blood pressure and protects the kidney in a mouse model of systemic lupus erythematosus. Revisiting the jnc 7 recommendations jeffery martin, m. Apply evidence from recently published landmark clinical studies in formulating evidencebased treatment. The clinical core of the jnc 8 hypertension guidelines. Jnc 8 guidelines for the management of hypertension in adults.
Update on the therapeutic management of hypertension. Ppt jnc 8 powerpoint presentation free to download id. Worldwide prevalence estimates for htn may be as much as 1 billion. Jnc 7 2014 evidencebased guideline for the management of high blood pressure in adults 2. Prevention, detection, evaluation and treatment of high blood pressure jnc 7 and is a. Pdf national heart foundation hypertension guideline 2016. Current strategies in hypertension current strategies in. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Classification of blood pressure the seventh report of. In order to evaluate the state of the renal venous system, selective renal venography and pharmacophlebography were performed in 30 patients with arterial hypertension in addition to abdominal aortography and selective renal arteriography. Meets criteria for htnmeets criteria for htn results from an identifiable, potentially correctable cause accounts for significant number of resistant htn cases estimated to account for 515% of cases of htn prevalence of hypertension in adults between 2030% 5070 million people. Hypertension affects 29% us adult population estimated 72 million people, with a prevalence of 65% in persons older than 60 yrs, 1 in 3 adults hypertension disproportionately affects the african american community with over 45% aa males and 46% aa females affected by high blood pressure compared to a national rate of 33%. A view from a member of jnc 7 benefit either as 1 st or 2 ndline therapy ctd twice as potent as hctz ctd longer duration of action hctz 2550 mgd vs.
Ppt jnc 8 powerpoint presentation free to download. These trials are often discussed in isolation, but their data have. A free powerpoint ppt presentation displayed as a flash slide show on id. In an accompanying editorial, dr thomas e kottke cardiovision 2020, olmstead county, mn and colleagues write that while the new jnc 7 report documents ways that the burden of hypertension can. Cdc will be examining the updated recommendations closely to determine their effect on national cardiovascular disease prevention activities. Paicandu, pr, brazil, 2011 table 2 prevalence of arterial hypertension according to cardiovascular risk factors and selfreported morbidities. Systemic hypertension is a major risk factor for coronary events 2, 7 12, for stroke 2, 7, 8, 1215, for congestive heart failure chf 2, 7, 8, 16, 17, and for peripheral arterial disease 2, 1822. 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. We crossclassified men and women separately according to their jnc vi blood pressure stages and risk groups. Available free of charge to registered health professionals. New features and key messages of jnc 7 patient evaluation why prehypertension. Hypertension and european society of cardiology jnc 8 versus jnc 7 understanding the evidences i research article.
Jnc 7 used cut off of 140 andor 90 mmhg for systolic and diastolic bp, respectively. The latest joint national committee guidelines jnc 8 are based on 27 large clinical trials concerning hypertension management. This is a pdf document titled hypertension jnc 7 guideline. Pseudo hypertension, a contributing factor to resistant hypertension, may occur in older patients with thick calcified arteries which lead to falsely elevated blood pressure. Hypertension is defined as consistently having a systolic blood pressure of 140 mm hg or a diastolic blood pressure of 90 mm hg. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. The treatment of arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong. Uncontrolled arterial hypertension in primary care patient characteristics and associated factors. Hypertension course ceufast nursing continuing education. Referral to a hypertension specialist may be indicated for patients in whom goal bp cannot be attained using the above strategy or for the management of complicated needed. Table 1 prevalence of arterial hypertension according to sociodemographic profile. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Smoking cessation control blood glucose and lipids diet eat healthy i. Winner of the standing ovation award for best powerpoint templates from presentations magazine.
Discuss differences in existing hypertension htn treatment recommendations and apply these recommendations to clinical practice. A service of the national library of medicine, national institutes of health. Riociguat for pulmonary arterial hypertension pdf nhs england, february 2017 clinical commissioning policy. Paicandu, pr, brazil, 2011 only valid data were considered chisquare test was used to verify association with the.
Arterial hypertension and other risk factors associated. I am concerned that the prehypertension classification in the jnc 7 guidelines1 threatens to medicalize most of the adult population. A specific cause of hypertension, also known as secondary hypertension, can be determined in 10% to 15% of all diagnosed cases. Update on the therapeutic management of hypertension baseline knowledge statements readers of this chapter are presumed to be familiar with the following. Cutoff values for the definition of hypertension by home and ambulatory bp are reported in table 6. Jnc 7, the predecessor of this guideline, was a comprehensive document that covered not only hypertension treatment, but also definitions of hypertension, issues in bp measurement, public health perspectives, lifestyle modification, and special situations in hypertension management. In the case of an active competitive athlete, it is recommended that once the blood pressure is well controlled, regular followup should be continued with by. The prevalence of hypertension is lower in women compared with men until about the hipertension arterial jnc 7 decade, but is higher later in life. Hypertension is the most significant cardiac risk factor in older adults. Eighth joint national committee jnc8 guidelines and the. May 30, 2003 using jnc 7 as a point of departure, an editorialist argues that hypertension control will improve only with substantial changes in the delivery of chronicdisease care and in how the public views lifestyle changes. Jnc 8 hypertension guideline algorithm initial drugs of. Hypertension is one of the most common conditions seen in primary care and optimal management of hypertension is an important intervention in prevention of stroke, myocardial infarction, renal failure and death.
The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure provides a new guideline for hypertension prevention and management. The seventh report of the joint national committee on the. Does the change of hypertension guidelines actually affect. Hypertension is present in approximately 69% of patients with a first. Use of jnc 7 high blood pressure tool is restricted to health professionals. Hypertension jnc 7 guideline pdf document free medical. The seventh report of the joint national committee on. 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 goal is to get to goal approach to rational therapy what to choose first.
In 16 of the cases renal venous hypertension was demonstrated as the cause of arterial hypertension. Blood pressure bp thresholds and recommendations for treatment and followup. Current strategies in hypertension comorbid conditions and hypertension management clinicians are being gradedfor level of bp control 14090 held as standard in primary care visit, other factors intervene with control retrospective cohort of. The two arterial blood pressure values are systolic blood pressure. In the absence of such evidence, the panel recommends an sbp goal of lower than mm hg and a dbp goal lower than 90 mm hg in this population based on expert opinion, consistent with the bp goals in recommendation 3 for the general population younger than 60 years with hypertension. The eighth joint national committee guidelines jnc 8. Managing hypertension in ckd 2012 managing hypertension in ckd why is the control of blood pressure important. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 evaluation classification of blood pressure bp category sbp mmhg dbp mmhg normal arterial hypertension should start before significant cardiovascular damage develops and is usually lifelong.
Dnb senior interventional cardiologist fortis hospital, mohali 2. Scribd is the worlds largest social reading and publishing site. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with hypertension and recommended a bloodpressure goal for all age groups. Treatment of high blood pressure jnc 7 was based on 4 factors. All time human experience hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure 3. The etiology of elevated blood pressure is a complex process involving the interaction of genetics, demographics, comorbid disorders, and environmental. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure iii chair aram v. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. It is a primary risk factor for cardiovascular disease and its prevention. Excessive fluid may contribute to resistant hypertension.
Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Hypertension is an easily diagnosed and potentially easily treated problem. Jnc 8 hypertension guideline algorithm lifestyle changes. Approximately 80 million us adults have hypertension, and hypertension remains a leading risk factor for stroke and cardiovascular disease. The main difference between these two recommendations is the definition of arterial hypertension. The 20 joint european society of hypertension esh and the european society of cardiology esc guidelines recommend that ambulatory bloodpressure monitoring abpm be incorporated into the assessment of cardiovascular risk factors and hypertension. Department of health and human services national institutes of health national heart, lung, and blood institute. This often requires intraarterial pressure to assess the actual blood pressure.
The aim of the update was to provide simplified recommendations for the management of blood pressure based on evidence from randomized controlled trials and the panels expert opinion. National high blood pressure education program prevention, detection, evaluation, and treatment of high blood pressure the seventh report of the joint national committee on jnc 7 express u. Guidelinerecommended antihypertensive medication mostly remained the same in. With the release of the eighth joint national committee on prevention, detection, evaluation, and treatment. Systemic hypertension is a major risk factor for coronary events 2, 712, for stroke 2, 7, 8, 1215, for congestive heart failure chf 2, 7, 8, 16, 17, and for peripheral arterial disease 2, 1822. Hypertension 1 update, jnc8 and beyond tara shrout, david w rudy2 and michael t piascik3 hypertension is the most preventable major risk factor for cardiovascular morbidity and mortality. Evidencebased guideline for management of high blood pressure in adults report from the panel members appointed to the eighth joint national committee jnc 8 dr arun kochar md.
Explore jnc 8 hypertension guidelines from jama network. Hypertension the new guidelines the greatest danger to a man with high blood pressure lies in its discovery, because some fool is. In contrast, jnc 8 focuses narrowly on drug treatment. Using jnc 7 as a point of departure, an editorialist argues that hypertension control will improve only with substantial changes in the delivery of chronicdisease care and in how the public views lifestyle changes. This often requires intra arterial pressure to assess the actual blood pressure. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7. Ushering hypertension into a new era of precision medicine. Patients are categorized according to age and the presence of diabetes dm orand chronic kidney disease ckd. Installation instructions and download of hypertension guideline application jnc 7 for palm os and pocketpc 2003. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Hypertension is a common medical disease, occurring in about one third of young adults and almost two thirds of individuals over the age of 60.