JNC 7

VS

JNC 8

JNC 7 JNC 8

. 6
2

OUTLINE
Introduction

JNC 7

VS

JNC 8

JNC 7
JNC7 Express
The Seventh Report
of the Joint National
Committee on
Prevention,
Detection,
Evaluation, and
Treatment of
High Blood Pressure

VS

JNC 8

2014 Evidence-Based
Guideline for the
Management
of High Blood Pressure
in Adults
Report From the Panel
Members Appointed
to the Eighth Joint
National Committee
(JNC 8)

STATUS
JNC 8: published December 2013
JNC 7: published December 2003
JNC 6: published 1997
JNC 5: published 1992
JNC 4: published 1988
JNC 3: published 1984

JNC 2: published 1980

JNC 1: published 1976

10

 JNC 7 JNC 8

JNC 7 :
PREHYPERTENSION, HYPERTENSION STAGE 1 2

JNC 7 :
PREHYPERTENSION, HYPERTENSION STAGE 1 2

Normal : BP < 120/80 mmHg

-->

JNC 7 :
PREHYPERTENSION, HYPERTENSION STAGE 1 2

Prehypertension : BP 120 - 139/80 89 mmHg

-->

JNC 7 :
PREHYPERTENSION, HYPERTENSION STAGE 1 2

Stage 1 hypertension : BP 140 - 159/90 99 mmHg

-->
Thiazide-type diuretics (),
ACEIs, ARBs, BBs, CCBs

JNC 7 :
PREHYPERTENSION, HYPERTENSION STAGE 1 2

Stage 2 hypertension : BP 160/100 mmHg

--> 2
Thiazide diuretics
ACEIs, ARBs, BBs, CCBs

JNC 8 :

60 -->
SBP 150 mmHg
DBP 90 mmHg

JNC 8 :

< 60
-->
SBP 140 mmHg
DBP 90 mmHg

JNC 8 :

1818
+
+

--> -->

SBP

SBP140
140
mmHg
mmHg

DBP
DBP 90
90 mmHg
mmHg

JNC 8 :

1818
+
+

--> -->

SBP

SBP140
140
mmHg
mmHg

DBP
DBP 90
90 mmHg
mmHg

 JNC 7 JNC 8

JNC 7 :

JNC 8 :

60
BP < 150/90 mmHg

JNC 8 :

60
BP < 150/90 mmHg

JNC 8 :

< 60
BP < 140/90 mmHg

JNC 8 :

< 60
BP < 140/90 mmHg

JNC 8 :

18

BP < 140/90 mmHg

JNC 8 :

18

BP < 140/90 mmHg

 JNC 7 JNC 8

 JNC 7

Thiazide-type
diuretics

(ACEIs, ARBs, BBs, CCBs)

 JNC 8

Thiazide-type
diuretics, CCBs, ACEIs ARBs

 JNC 8

Thiazide-type
diuretics CCBs

 JNC 8

Thiazide-type
diuretics CCBs

 JNC 8

18
(CKD)

(add 0n) ACEIs

ARBs

CKD

 JNC 8

BBs

BBs
Cardiovascular, Myocardial
infarction Stroke

 JNC 7 JNC 8

JNC 7

JNC 8

Normal : BP < 120/80 mmHg

Prehypertension : BP 120 - 139/80 -89 mmHg

Stage 1 hypertension : BP 140 - 159/90 99

mmHg
Thiazide-type diuretics
(),ACEIs, ARBs, BBs, CCBs

Stage 2 hypertension : BP 160/100 mmHg

2 Thiazide
diuretics ACEIs, ARBs, BBs,
CCBs

60
SBP 150 mmHg DBP 90
mmHg
< 60
SBP 140 mmHg DBP 90
mmHg
18 +
SBP 140 mmHg
DBP 90 mmHg

 JNC 7 JNC 8

JNC 7

BP <
140/90 mmHg

BP < 130/80
mmHg

JNC 8

60
BP < 150/90 mmHg
< 60
BP < 140/90 mmHg
18

BP < 140/90 mmHg

 JNC 7 JNC 8

JNC 7

JNC 8

Thiazide-type diuretics


(ACEIs, ARBs, BBs, CCBs)

Thiazide-type
diuretics, CCBs, ACEIs ARBs

Thiazide-type diuretics CCBs

18
(CKD)
(add 0n) ACEIs
ARBs

CKD

THANK YOU