What are the most current guidelines for managing hypertension 2020?
Treatment for Hypertension
- Aim for BP control within 3 months.
- Aim for at least a 20/10 mmHg BP reduction, ideally to <140/90 mmHg.
- <65 years: Target BP <130/80 mmHg if tolerated (but >120/70 mmHg)
What are the current guidelines for blood pressure?
The new blood pressure categories.
- Normal = less than 120 and less than 80.
- Elevated = 120-129 and less than 80.
- High Blood Pressure Stage 1 = 130-139 or 80-89.
- High Blood Pressure Stage 2 = 140 or higher or 90 or higher.
- Hypertensive Crisis (call your doctor immediately) = Higher than 180 and/or higher than 120.
What are the interventions for hypertension?
Here’s what you can do:
- Eat healthy foods. Eat a heart-healthy diet.
- Decrease the salt in your diet. Aim to limit sodium to less than 2,300 milligrams (mg) a day or less.
- Maintain a healthy weight.
- Increase physical activity.
- Limit alcohol.
- Don’t smoke.
- Manage stress.
- Monitor your blood pressure at home.
What is the parameters to start treatment for BP?
For patients aged 18 years or older with diabetes, the 2013 Eighth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (“JNC 8”) recommends initiating treatment at systolic blood pressure (SBP) levels of 140 mm Hg or greater or at diastolic BP (DBP) levels …
What are the AHA guidelines for blood pressure?
Table 1.
Parameter | ACC/AHA | ESC/ESH |
---|---|---|
Definition of hypertension, mm Hg | >130/80 | >140/90 |
Grading of normal pressure, mm Hg | Normal <120/80 | Optimal <120/80 |
Elevated 120–129/<80 | Normal 120–129/80–84 | |
High normal 130–139/85–89 |
What are the 4 stages of hypertension?
Doctors classify blood pressure into four categories: normal, prehypertension (mild), stage 1 (moderate) and stage 2 (severe). Treatment depends on which category your pressure consistently falls in when readings are taken.
What is a normal blood pressure in 2021?
Normal — Blood pressure readings of less than 120/80 mm Hg are considered in the normal range. Elevated — Readings consistently ranging from 120–129 systolic and less than 80 mm Hg diastolic are considered elevated.
Who hypertension guidelines?
The target of treatment should be to achieve an upper number less than 130 in high-risk patients and below 140/90 in others. The guidelines recommend a monthly follow-up after start of therapy until the target is achieved and a follow-up in three to six months for blood pressure under control.
How do you evaluate hypertension?
The evaluation of hypertension involves accurately measuring the patient’s blood pressure, performing a focused medical history and physical examination, and obtaining results of routine laboratory studies. A 12-lead electrocardiogram should also be obtained.
What is first line treatment for hypertension?
Initial first-line therapy for stage 1 hypertension includes thiazide diuretics, CCBs, and ACE inhibitors or ARBs. Two first-line drugs of different classes are recommended with stage 2 hypertension and average BP of 20/10 mm Hg above the BP target.
How do you start a hypertensive treatment?
Lifestyle changes should be the initial approach to hypertension management and include dietary interventions (reducing salt, increasing potassium, alcohol avoidance, and multifactorial diet control), weight reduction, tobacco cessation, physical exercise, and stress management.
What is the cutoff for hypertension?
The 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guidelines lowered the threshold of blood pressure (BP) for hypertension to 130/80 mm Hg.
Are there clinical guidelines for the management of hypertension?
To improve the management of hypertension, the ISH has published in 2014 with the American Society of Hypertension, Clinical Practice Guidelines for the Management of Hypertension in the Community (See Section 11: Resources).
What are the guidelines for JNC 8 hypertension?
JNC 8 Hypertension Guideline Algorithm Lifestyle changes: • Smoking Cessation • Control blood glucose and lipids • Diet Eat healthy (i.e., DASH diet) Moderate alcohol consumption Reduce sodium intake to no more than 2,400 mg/day •Physical activity Moderate-to-vigorous activity 3-4 days a week averaging 40 min per session.
When was the high blood pressure guideline published?
The 2017 guideline is an update of the “Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure” (JNC 7), published in 2003. The 2017 guideline is a comprehensive guideline incorporating new information from studies regarding blood pressure…
What are the 2020 ish global hypertension guidelines?
The 2020 ISH Global Hypertension Practice Guidelines were developed by the ISH Hypertension Guidelines Committee based on evidence criteria, (1) to be used globally; (2) to be fit for application in low and high resource settings by advising on essential and optimal standards; and (3) to be concise, simplified, and easy to use.