文档介绍：JNC 7: Classification and Management of Blood Pressure for Adults*
*Treatment determined by highest BP category †Treat patients with chronic kidney disease or diabetes to BP goal of <130/80 mm Hg ‡bined therapy should be used cautiously in those at risk for orthostatic hypotension
SBP=systolic blood pressure; DBP=diastolic blood pressure; ACEI=angiotensin- converting enzyme inhibitor; ARB=angiotensin receptor blocker; BB=b-blocker; CCB=calcium channel blocker
JNC 7. May 2003. NIH publication 03-5233.
Initial Drug Therapy
BP Classification
SBP* (mm Hg)
DBP* (mm Hg)
Lifestyle Modification
Without Compelling Indications
With Compelling Indications
Normal
<120
and <80
Encourage
No antihypertensive drug indicated.
Drug(s) pelling indications.†
Prehypertension
120–139
or 80–89
Yes
Stage 1 hypertension
140–159
or 90–99
Yes
Thiazide-type diuretic for most. May consider ACEI, ARB, BB, CCB, bination.
Drug(s) pelling indications.† Other antihypertensive drugs (diuretic, ACEI, ARB, BB, CCB) as needed.
Stage 2 hypertension
³160
or ³100
Yes
Two-bination for most‡(usually thiazide-type diuretic and ACEI or ARB or BB B).
JNC 7: Treatment Algorithm for Hypertension
SBP=systolic blood pressure; DBP=diastolic blood pressure; ACEI=angiotensin- converting enzyme inhibitor; ARB=angiotensin receptor blocker; BB=b-blocker; CCB=calcium channel blocker
JNC 7. May 2003. NIH publication 03-5233.
Optimize dosages or add additional drugs until goal blood pressure is achieved.
Consider consultation with hypertension specialist.
Not at goal blood pressure
pelling indications
Stage 1 hypertension
(SBP 140–159 or DBP 90–99 mm Hg)
Thiazide-type diuretic for most.
May consider ACEI, ARB, BB, CCB, bination.
Stage 2 hypertension
(SBP ³160 or DBP ³100 mm Hg)
Two-bination for most (usually thiazide-type diuretic and ACEI or ARB or BB B).
Lifestyle modifications
Not at goal blood pressure (<140/90 mm Hg) (<130/80 mm Hg for those with diabetes or chro