Professional Documents
Culture Documents
Recommendation 2
(Strong recommendation)
General population
DBP ≥90 mm Hg DBP <90 mm Hg
<60 years
Recommendation 3 BP thresholds Goals
(Expert opinion)
General population
SBP ≥140 mm Hg SBP <140 mm Hg
<60 years
Recommendation 4
(Expert opinion)
Initial treatment
Recommendation 6
(Moderate recommendation)
Thiazide-type diuretic,
General nonblack calcium channel blocker (CCB),
population (with diabetes) angiotensin-converting enzyme inhibitor (ACEI),
or angiotensin receptor blocker (ARB)
Recommendation 7
(Moderate recommendation)
Initial treatments
Recommendation 8
Initial or add-on treatments
(Moderate recommendation)
Goal BP not reached Add and titrate a third drug (from the list provided)
with 2 drugs Do not use an ACEI and an ARB together in the same patient
• This JNC8 guideline has not redefined high BP, and considers the
140/90 mm Hg definition from JNC 7 reasonable.
• It offers clinicians an analysis of what is known and not known
about BP treatment thresholds, goals, and drug treatment
strategies to achieve those goals.
• However these recommendations are not a substitute for clinical
judgment, and decisions about care must carefully consider and
incorporate the clinical characteristics and circumstances of
each individual patient.