Treatment of Hypertension JNC 7 - Flowchart
Treatment of Hypertension JNC 7 - Flowchart Treatment of Hypertension JNC 7 Treatment of Hypertension JNC 7
«Flowchart»

Hypertension

Hypertension

Hypertension

Lifestyle Modification

Lifestyle Modification

Lifestyle Modification

Not at Goal BP (140/90 mmHg or 130/80 mHg for those with Diabetes or Chronic Kidney Disease)

Not at Goal BP (140/90 mmHg or 130/80 mHg for those with Diabetes or Chronic Kidney Disease)

Not at Goal BP (140/90 mmHg or 130/80 mHg for those with Diabetes or Chronic Kidney Disease)

Weight reduction, DASH eating plan, sodium restriction, physical activity, moderation of alcohol consumption

Weight reduction, DASH eating plan, sodium restriction, physical activity, moderation of alcohol consumption

Weight reduction, DASH eating plan, sodium restriction, physical activity, moderation of alcohol consumption

Drug(s) for the Compelling Indications
Other Antihypertensive Drugs (Diuretics ACE inhibitor or ARB or beta-blocker or CCB) as needed

Drug(s) for the Compelling Indications
Other Antihypertensive Drugs (Diuretics ACE inhibitor or ARB or beta-blocker or CCB) as needed

Drug(s) for the Compelling Indications
Other Antihypertensive Drugs (Diuretics ACE inhibitor or ARB or beta-blocker or CCB) as needed


Not at Goal BP

Not at Goal BP

Not at Goal BP

Initial Drug Choices

Initial Drug Choices

Initial Drug Choices

Hypertension without Compelling Indications

Hypertension without Compelling Indications

Hypertension without Compelling Indications

Hypertension with Compelling Indications

Hypertension with Compelling Indications

Hypertension with Compelling Indications

Stage 1 Hypertension
SBP 140-159 mmHg or DBP 90-99 mmHg

Thiazide-Type Diuretics for Most
May consider ACE inhibitor, ARB, beta-blocker, CCB or Combination

Stage 1 Hypertension
SBP 140-159 mmHg or DBP 90-99 mmHg


Thiazide-Type Diuretics for Most
May consider ACE inhibitor, ARB, beta-blocker, CCB or Combination


Stage 1 Hypertension

Stage 2 Hypertension
SBP≥160 mmHg or DBP≥100 mmHg

2-Drug Combination for Most
Usually Thiazide-Type Diuretic and ACE inhibitor or ARB or beta-blocker or CCB

Stage 2 Hypertension
SBP≥160 mmHg or DBP≥100 mmHg


2-Drug Combination for Most
Usually Thiazide-Type Diuretic and ACE inhibitor or ARB or beta-blocker or CCB


Stage 2 Hypertension

Optimize dosage or add Additional Drugs until Goal BP is Achieved
Consider Consultation with Hypertension Specialist

Optimize dosage or add Additional Drugs until Goal BP is Achieved
Consider Consultation with Hypertension Specialist

Optimize dosage or add Additional Drugs until Goal BP is Achieved
Consider Consultation with Hypertension Specialist


End

End

End

Heart failure, post-myocardial infarction, high coronary disease risk, diabetes, chronic kidney disease, recurrent stroke prevention

Heart failure, post-myocardial infarction, high coronary disease risk, diabetes, chronic kidney disease, recurrent stroke prevention

Heart failure, post-myocardial infarction, high coronary disease risk, diabetes, chronic kidney disease, recurrent stroke prevention