What are compelling indications?

What are compelling indications?

Compelling Indications. Compelling indications for specific therapy include high-risk conditions that can be direct sequelae of hypertension (heart failure, coronary heart disease, chronic kidney disease, recurrent stroke) or commonly associated with hypertension (diabetes, high coronary heart disease risk).

What are JNC 7 guidelines?

According to JNC 7, the general BP goal is to lower systolic BP to less than 140 mm Hg and diastolic BP to less than 90 mm Hg. This recommendation is supported by many clinical trials. A more aggressive goal of less than 130/80 mm Hg is advised for patients with diabetes or chronic kidney disease.

What is a compelling condition?

Compelling indications for specific therapy involve high-risk conditions that can be direct sequelae of hypertension (HF, IHD, chronic kidney disease, recurrent stroke) or commonly associated with hypertension (diabetes, high coronary disease risk).

What is hypertension according to JNC 8?

hypertension under the JNC 8 guidelines has a DBP goal of. <90 mm Hg. There is less evidence supporting an SBP target. of <140 mm Hg in this group of patients.

What is the criteria for diagnosing hypertension?

Hypertension is diagnosed when blood pressure is consistently ≥130 and/or ≥80 mm Hg. However, the majority of patients with hypertension between 130-139/80-89 mm Hg (stage 1 hypertension) do not qualify for immediate drug therapy. The guideline breaks new ground with some of its recommendations.

Why are beta blockers not first line for hypertension?

In summary, beta-blockers are effective in preventing cardiovascular disease but are no longer suitable for routine initial treatment of hypertension because their cardiovascular protection and metabolic effects are worse than those of other antihypertensive drugs.

What is the JNC 7 classification of high blood pressure?

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 <120 and <80 Prehypertension 120–139 or 80–89 Hypertension, Stage 1 140–159 or 90–99 Hypertension, Stage 2 ≥160 or ≥100

What are compelling indications in JNC VI?

Second, the term compelling indications was coined, meaning the use of certain agents for patients with certain complications. Third, in JNC VI, the discussion was no longer about so-called “sequential monotherapy.” Rather, adding drugs from other classes was advocated (“stepped-care”).

What are the key messages of the JNC 7 guidelines?

In summary, the key messages of the JNC 7 guidelines are as follows: SBP/DBP. For individuals older than 50 years, elevated SBP is a more important CVD risk factor than is elevated DBP. CV risk. CVD risk doubles with each 20/10-mm Hg increment greater than 115/75 mm Hg. Individuals who are normotensive at age 55 or 65 have a more than

What helped determine drug therapy recommendations in JNC 7?

Studies that helped determine JNC 7 drug therapy recommendations Several studies published after JNC VI played a critical role in shaping the drug recommendations in JNC 7. STOP-2. The Swedish Trial in