Jnc 8 reference card pdf metabolic syndrome

Jnc 7 classification of blood pressure pre stage 1 sbp 1209 mm hg or. Treatments like the jnc 7 panel, the jnc 8 panel recommended thiazidetype diuretics as initial therapy for most patients. Jama cardiology the latest in cardiovascular medicine. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. This book explains the aetiology, pathogenesis and clinical treatment of all risk factors as well as the relationship with diabetes, nonalcoholic fatty liver.

Note that jnc 7 recommends more invasive testing for secondary causes of hypertension. On the other side, patients with metabolic syndrome have a 5. Eighth joint national committee jnc8 guidelines and the. Recommendations for treatment once a diagnosis of the metabolic syndrome is made, the future management of the condition should be aggressive and uncompromising in its aim to reduce the risk of cvd and type 2 diabetes. Reference card from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 7 ev al ua t ion classification of bl category ood pressure bp sbp mmhg dbp mmhg normal jnc 8 toward personalized medicine between jnc 1 andjnc 8,dramatic improvements were made in our knowledge of hypertension and effective treatment methods. Metabolic syndrome is defined by a constellation of interconnected physiological, biochemical, clinical, and metabolic factors that directly increases the risk of cardiovascular disease, type 2 diabetes mellitus, and all cause mortality. Hypertension classification according to jnc 8 summary of jnc 7 and jnc 8 recommendations. For patients with diabetes and patients with chronic kidney disease, the threshold to initiate drug therapy is 14090 mm hg.

Comorbidities must be managed for comprehensive care 9. Majority of patients will require two medications to reach goal. Metabolic syndrome is a name for a group of risk factors that occur together and increase the risk for coronary artery disease, stroke, and type 2 diabetes. Choice of therapy includes ease of use and affordability 11. Start studying jnc 8 guidelines and stepwise approach to the treatment of htn. The disorder is defined in various ways, but in the near future a new definitions. The metabolic syndrome is a valuable reference text, covering all aspects of the metabolic syndrome and its constituent diseases including inflammation, oxidation and adipocytokines. Reference card from the 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 hypertension. Metabolic syndrome is the name for a group of risk factors for heart disease, diabetes, and other health problems. Jnc 8 new guideline hypertension chart pharmacy exam. Learn vocabulary, terms, and more with flashcards, games, and other study tools. There have been controversial discussions regarding the most evidencebased blood pressure management guidelines after the release of the eighth joint national committee on prevention, detection, evaluation, and treatment of high blood pressure jnc 8 guidelines. Symptoms of hyperglycemia and casual plasma glucose 200 mgdl 11. Coenzyme q10 improves insulin resistance in metabolic syndrome.

Reference card from the 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 jnc 8 guidelines. Jnc 8 guidelines for the management of hypertension in adults. The idf consensus worldwide definition of the metabolic. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. A panel for early detection, management, and risk stratification in the west virginian population krithika srikanthan 1, andrew feyh, haresh visweshwar, joseph i. Note that jnc 7 recommends more invasive testing for. Some male patients can develop multiple metabolic risk factors when the waist circumference is only marginally increased, e. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here.

Abdominal obesity is frequently associated with a collection of metabolic disorders that include elevated blood pressure, characteristic lipid abnormalities low highdensity lipoprotein cholesterol and high. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Insulin resistance, visceral adiposity, atherogenic dyslipidemia. Explore jnc 8 hypertension guidelines from jama network. You can have just one risk factor, but people often have several of them together. Dec 24, 20 jnc 7 recommended a treatment threshold of 14090 mm hg regardless of age, whereas jnc 8 raises the systolic threshold at age 60.

Cvd risk factorscvd risk factors hypertension and diabetes michael b. Worldwide prevalence estimates for htn may be as much as 1 billion. Diabetes was defined using the american diabetes association criteria as follows. Cvd risk factorscvd risk factors hypertension and diabetes. The metabolic syndrome has also been called syndrome x or insulin resistance syndrome. Mar 30, 2015 discover how thousands of men and women worldwide have already used the reverse diabetes today system to lower blood sugar to normal and safely reverse their type 2 diabetes without drugs or insulin. Sox points out that the jnc 8 guidance adheres much more closely to quality standards published by the institutes of medicine iom in 2011 clinical practice guidelines we can trust than it. Mar 17, 2019 t2dm, defined as a hemoglobin a1c hba1c 6. Updated hypertension recommendations from panel members previously appointed to the eight joint national committee jnc 8 raised blood pressure goals in adults age 60 and older to less than 15090 mm hg, with patients younger than 60 years old including those with chronic kidney disease and diabetes having a target of less than 14090 mm hg. For example, jnc 7 and other guidelines recommended treatment to lower bp goals in patients with diabetes and ckd based on observational. Identify metabolic syndrome and treat, if present, after 3 months of tlc. The number of metabolic syndrome components also influences the degree of risk. Whats good, whats missing, and why are most of the recommendations based on expert opinion.

Reference card from the 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 metabolic syndrome is defined by a constellation of interconnected physiological, biochemical, clinical, and metabolic factors that directly increases the risk of cardiovascular disease, type 2. Jnc 8 hypertension guidelines acp arizona chapter annual meeting 2014 shakaib rehman, md, sch, facp, faach associate chief of staff for education phoenix va healthcare systems professor of medicine professor of biomedical informatics university of arizona college of medicinephoenix. Jnc 8 guidelines and stepwise approach to the treatment of. Prevalence of metabolic syndrome among adults 20 years of age and over, by sex, age, race and ethnicity, and body mass index.

Raygan f, rezavandi z, dadkhah tehrani s, farrokhian a, asemi z. While we were waiting for jnc 8, the american society of hypertension ash in collaboration with the international society of hypertension released their own expert opinion piece aimed at prescribers. The idf consensus worldwide definition of the metabolic syndrome page 4 of 7 part 3. In 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Atp iii guidelines ataglance quick desk reference ldl cholesterol primary target of therapy 190 very high. Ncepatp iii and idf criteria for metabolic syndrome. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Metabolic syndrome is diagnosed when 3 of 5 signs listed in table 1 are present. A paper was published in the journal of the american medical association in 2014 that is generally referred to as jnc 8 but officially, there are no jnc 8 guidelines sanctioned by the nhlbi, nor has jnc 8 been endorsed by the aha, acc, or many other organizations that endorsed jnc7.

Sox points out that the jnc 8 guidance adheres much more closely to quality standards published by the institutes of medicine iom in 2011 clinical practice guidelines we can trust than it does. Obesity and overweight are nowadays very prevalent worldwide. The february 15, 2006, issue of jama includes an article about the metabolic syndrome. The ranking of abdominal adiposity as the first risk factor in table 1 reflects its priority as a contributor to the pathogenesis of metabolic syndrome.

Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Titrate meds to maximum doses, add another med andor refer to hypertension specialist. Jun 01, 2015 in 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. The metabolic syndrome is a common metabolic disorder that results from the increasing prevalence of obesity. Consider starting at 14090 mmhg in those with diabetes or ckd. Moreover, the study of hypertension in the context of the metabolic syndrome has provided. Under jnc 8, in all cases, goal blood pressure targets should be reached within a month of starting treatment either by increasing the dose of an initial drug or by using a combination of medications. In addition, jnc 7 recommended a lower treatment threshold 80 mm hg for patients with diabetes or chronic kidney disease, but jnc 8 does not. Chapter 39 diabetes mellitus and metabolic syndrome 873 table 391 diagnostic criteria for diabetes 1.

Even a modest increase in waist circumference, with the final circumference being reference card jnc 8 20 jnc 7 versus jnc 8 topic. Edwards school of medicine, marshall university, usa 2. The same thresholds and goals are recommended for hypertensive adults with diabetes or nondiabetic chronic kidney disease ckd as for the. This study was limited by its brief duration of only 8 weeks, but the results suggest that coq10 may offer some metabolic benefit, particularly by improving markers of insulin resistance, in adults with metabolic syndrome. Discover how thousands of men and women worldwide have already used the reverse diabetes today system to lower blood sugar to normal and safely reverse their type 2 diabetes without drugs or insulin. Jnc 7 recommended a treatment threshold of 14090 mm hg regardless of age, whereas jnc 8 raises the systolic threshold at age 60. Reference card from the seventh report of the joint. Mar 07, 2017 this study was limited by its brief duration of only 8 weeks, but the results suggest that coq10 may offer some metabolic benefit, particularly by improving markers of insulin resistance, in adults with metabolic syndrome. They are known to be linked with an increased risk of developing cardiovascular comorbidities and mortality. In one study, the presence of four or more metabolic syndrome risk factors was associated with a 3. In the report from the panel members appointed to the eighth joint national committee jnc 8, the guideline authors provide evidencebased recommendations for the management of hypertension including specific goals by age, race, and comorbidities. Causes, incidence, and risk factors metabolic syndrome is becoming more and more common in the united states. Reference card from the seventh report of the joint national.