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 hypotensionSBP=systolic blood pressure; DBP=diastolic blood pressure; ACEI=angiotensin- converting enzyme inhibitor; ARB=angiotensin receptor blocker; BB=?-blocker; CCB=calcium channel blockerJNC 7. May 2003. NIH publication 03--bination for most?(usuallythiazide-type diuretic and ACEI or ARB or BB B).Yesor ?100?160Stage 2 hypertensionDrug(s) pelling indications.? Other antihypertensive drugs (diuretic, ACEI, ARB, BB, CCB) as -type diuretic for most. May consider ACEI, ARB, BB, CCB, 90–99140–159Stage 1 hypertensionYesor 80–89120–139PrehypertensionDrug(s) pelling indications.?No antihypertensive drug <80<pelling pelling IndicationsLifestyle ModificationDBP*(mm Hg)SBP*(mm Hg)BP ClassificationInitial Drug TherapyJNC 7: Treatment Algorithm for HypertensionSBP=systolic blood pressure; DBP=diastolic blood pressure; ACEI=angiotensin- converting enzyme inhibitor; ARB=angiotensin receptor blocker; BB=?-blocker; CCB=calcium channel blockerJNC 7. May 2003. NIH publication 03- dosages or add additional drugs until goal blood pressure is consultation with hypertension at goal blood pelling indicationsStage 1 hypertension(SBP 140–159 or DBP 90–99 mm Hg)Thiazide-type diuretic for consider ACEI, ARB, BB, CCB, 2 hypertension(SBP ?160 or DBP ?100 mm Hg)Two-bination for most (usually thiazide-type diuretic and ACEI or ARB or BB B).Lifestyle modificationsNot at goal blood pressure (<140/90 mm Hg)(<130/80 mm Hg for those with diabetes or chronic kidney disease)Initial drug pelling indicationsDrugs pelling indicationsOther antihypertensive drugs (diuretic, ACEI, ARB, BB, CCB) as III: Ne