{"id":89,"date":"2009-02-28T15:13:28","date_gmt":"2009-02-28T15:13:28","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/carjncvii\/"},"modified":"2025-05-14T19:11:58","modified_gmt":"2025-05-14T19:11:58","slug":"carjncvii","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/carjncvii\/","title":{"rendered":"JNC-VII Classification and management of blood pressure for adults"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The classification is based on the average of two or more properly measured, seated blood pressure readings on each of two or more office visits.<br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"border: 1pt solid windowtext; padding: 0cm 3.5pt; width: 74.8pt;\" rowspan=\"2\" valign=\"top\" width=\"100\">\n<p class=\"MsoNormal\"><strong>BP <\/strong><strong>Classification<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.2pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\"><strong>SBP* <\/strong><strong>mmHg<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.6pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\"><strong>DBP* <\/strong><strong>mmHg<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 2cm; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\"><strong>Lifestyle <\/strong><strong>Modification<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 218.6pt; border: 1pt 1pt 1pt medium solid solid solid none windowtext windowtext windowtext -moz-use-text-color;\" colspan=\"2\" valign=\"top\" width=\"291\">\n<p class=\"MsoNormal\"><strong>Initial drug therapy<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 0cm 3.5pt; width: 106.35pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"142\">\n<p class=\"MsoNormal\"><strong>Without Compelling <\/strong><strong style=\"font-family: inherit; font-size: inherit;\">Indication<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 112.25pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"150\">\n<p class=\"MsoNormal\"><strong>With Compelling <\/strong><strong>Indications<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 0cm 3.5pt; width: 74.8pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"100\">\n<p class=\"MsoNormal\"><strong>Normal<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.2pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">&lt;120<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">and &lt;80<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 2cm; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">Encourage<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 106.35pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"142\">\n<p class=\"MsoNormal\">No antihypertensive drug indicated.<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 112.25pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"150\">\n<p class=\"MsoNormal\">Drug(s) for compelling indications.<\/p>\n<\/td>\n<\/tr>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 0cm 3.5pt; width: 74.8pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"100\">\n<p class=\"MsoNormal\"><strong>Prehypertension<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.2pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">120-139<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">or 80-89<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 2cm; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">Yes<\/p>\n<\/td>\n<\/tr>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 0cm 3.5pt; width: 74.8pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"100\">\n<p class=\"MsoNormal\"><strong>Stage 1<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Hypertension<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.2pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">140-159<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">or 90-99<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 2cm; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">Yes<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 106.35pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"142\">\n<p class=\"MsoNormal\">Thiazide-type diuretics for most. May consider ACEI, ARB, BB, CCB, or combination.<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 112.25pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" rowspan=\"2\" valign=\"top\" width=\"150\">\n<p class=\"MsoNormal\">Drug(s) for the compelling indications.<\/p>\n<p class=\"MsoNormal\">Other antihypertensive drugs (diuretics, ACEI, ARB, BB, CCB) as needed.<\/p>\n<\/td>\n<\/tr>\n<tr style=\"page-break-inside: avoid;\">\n<td style=\"padding: 0cm 3.5pt; width: 74.8pt; border: medium 1pt 1pt none solid solid -moz-use-text-color windowtext windowtext;\" valign=\"top\" width=\"100\">\n<p class=\"MsoNormal\"><strong>Stage 2<\/strong><\/p>\n<p class=\"MsoNormal\"><strong>Hypertension<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.2pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">&gt;\/=160<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 49.6pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"66\">\n<p class=\"MsoNormal\">or &gt;\/=100<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 2cm; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">Yes<\/p>\n<\/td>\n<td style=\"padding: 0cm 3.5pt; width: 106.35pt; border: medium 1pt 1pt medium none solid solid none -moz-use-text-color windowtext windowtext -moz-use-text-color;\" valign=\"top\" width=\"142\">\n<p class=\"MsoNormal\">Two-drug combination for most\u2020 (usually thiazide-type diuretic and ACEI or ARB or BB or CCB).<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\">DBP, diastolic blood pressure; SBP, systolic blood pressure.<\/p>\n<p class=\"MsoNormal\">Drug abbreviations: ACEI, angiotensin converting enzyme inhibitor; ARB, angiotensin receptor blocker; BB, beta-blocker; CCB, calcium channel blocker.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol>\n<li>\n<p class=\"MsoNormal\">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 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12748199\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"color: windowtext; text-decoration: none;\">[Medline]<\/span><\/a><\/p>\n<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: April 29, 2005<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[656,384,848,1348,166,167,67,383,259,70,69,1990],"class_list":["post-89","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-adults","tag-arterial","tag-blood","tag-cardiology","tag-clasificacion","tag-classification","tag-hipertension","tag-jnc","tag-management","tag-presion","tag-pressure","tag-vii"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/89","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=89"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/89\/revisions"}],"predecessor-version":[{"id":8740,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/89\/revisions\/8740"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=89"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=89"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=89"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}