|
JNC-VII Classification and management of blood pressure for adults
|
BP
Classification
|
SBP*
mmHg
|
DBP*
mmHg
|
Lifestyle
Modification
|
Initial drug therapy
|
|
Without Compelling
Indication
|
With Compelling
Indications
|
|
Normal
|
<120
|
and <80
|
Encourage
|
No antihypertensive drug indicated.
|
Drug(s) for compelling indications.
|
|
Prehypertension
|
120-139
|
or 80-89
|
Yes
|
|
Stage 1
Hypertension
|
140-159
|
or 90-99
|
Yes
|
Thiazide-type diuretics for most. May consider ACEI, ARB, BB, CCB, or combination.
|
Drug(s) for the compelling indications.
Other antihypertensive drugs (diuretics, ACEI, ARB, BB, CCB) as needed.
|
|
Stage 2
Hypertension
|
>/=160
|
or >/=100
|
Yes
|
Two-drug combination for most† (usually thiazide-type diuretic and ACEI or ARB or BB or CCB).
|
DBP, diastolic blood pressure; SBP, systolic blood pressure.
Drug abbreviations: ACEI, angiotensin converting enzyme inhibitor; ARB, angiotensin receptor blocker; BB, beta-blocker; CCB, calcium channel blocker.
Related Criteria
Summary of Recommendations for Management of Hypertension in BHS-IV
British Hypertension Society
classification of blood pressure
levels (BHS-IV)
References:
-
Chobaniam AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, Jones DW, Materson BJ, Oparil S, Wright JT, Roccella EJ, and the 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. The JNC 7 Report. JAMA 2003;289:2560-2572 [Medline]
|
Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine
7th edition (October 15, 2004)
Kaplan's Clinical Hypertension
9th edition (October 5,
2005)
Hurst's The Heart
11th edition (May 28, 2004)
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