JNC 7 ????

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JNC 7 ????
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• JNC 7
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• Stages 2?3??????

JNC 7, 2003
3
JNC VII
Initial Drug Therapy
Lifestyle Modification
Without Compelling Indication
With Compelling Indication
BP Classification
Normal lt120/80 mm Hg
Encourage

Prehypertension 120-139/80-89 mm Hg
Drug(s) for the compelling indications
Yes
No drug indicated
Thiazide-type diuretics for most may consider
ACE-I, ARB, BB, CCB, or combination
Stage 1 hypertension 140-159/90-99 mm Hg
Drug(s) for the compelling indications other
antihypertensive drugs (diuretics, ACE-I, ARB,
BB, CCB) as needed
Yes
Drug(s) for the compelling indications other
antihypertensive drugs (diuretics, ACE-I, ARB,
BB, CCB) as needed
Stage 2 hypertension 160/100 mm Hg
2-drug combination for most (usually
thiazide-type diuretic and ACE-I, ARB, BB, or
CCB)
Yes
ACE-I angiotensin-converting enzyme inhibitor
ARB angiotensin-receptor blocker BB beta
blocker CCB calcium channel blocker. Chobanian
AV et al. JAMA. 20032892560-2572.