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Tables for:
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and the Treatment of High Blood Pressure -- the NHLBI JNC 7 Press Conference

[Medscape Cardiology 7(1), 2003. © 2003 Medscape]


Table 1. Classification of Blood Pressure for Adults Aged >/= 18 Years: JNC 7 vs JNC 6


JNC 7 Blood
Pressure Category
JNC 6 Blood
Pressure Category
SBP (mm Hg) and/or DBP (mm Hg)
NormalOptimal< 120and< 80
Prehypertension
120-139or80-89
--Normal< 130and< 85
--High-normal130-139or85-89
Hypertension:Hypertension:


Stage 1Stage 1140-159or90-99
Stage 2
>/= 160or>/= 100
--Stage 2160-179or100-109
--Stage 3>/= 180or>/= 110


Table 2. JNC 7: Management of Hypertension in Adults Aged >/= 18 Years


Blood Pressure ClassificationLifestyle ModificationInitial Drug Therapy


Without compelling indicationWith compelling indication
NormalEncourage

PrehypertensionYesNo antihypertensive drug indicatedDrug(s) for the compelling indications
Stage 1 hypertensionYesThiazide-type diuretics for most; may consider ACE inhibitor, ARB, beta-blocker, CCB, or combinationDrug(s) for the compelling indications; other antihypertensive drugs (diuretics, ACE inhibitor, ARB, beta-blocker, CCB) as needed
Stage 2 hypertensionYes2-drug combination for most (usually thiazide-type diuretic and ACE inhibitor or ARB or beta-blocker or CCB)Drug(s) for the compelling indications; other antihypertensive drugs (diuretics, ACE inhibitor, ARB, beta-blocker, CCB) as needed


Table 3. Compelling Indications for Individual Drug Classes


Compelling IndicationInitial Therapy Options
Heart failureThiazide-type diuretic, beta-blocker, ACE inhibitor, ARB, aldosterone antagonist
Post MIBeta-blocker, ACE inhibitor, aldosterone antagonist
High CVD riskThiazide-type diuretic, beta-blocker, ACE inhibitor, CCB
DiabetesThiazide-type diuretic, beta-blocker, ACE inhibitor, ARB, CCB
Chronic kidney diseaseACE inhibitor, ARB
Recurrent stroke preventionThiazide-type diuretic, ACE inhibitor

ARB = angiotensin receptor blocker; CCB = calcium channel blocker; CVD = cardiovascular disease