A Review of the JNC 8 Blood Pressure Guideline

Hernandez-Vila, Eduardo A.

doi:10.14503/thij-15-5067

Cited by 70 publications

(63 citation statements)

References 11 publications

(6 reference statements)

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“…Based on the Joint National Committee VIII Criteria, BP was said to be uncontrolled when the study participant with age of 18-59 years had a systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and participant with age >60 years had a systolic BP ≥ 150 mm Hg and/or diastolic BP ≥ 90 mm Hg. [20] Furthermore, anthropometric measurements of height and weight were taken using standardized methods. Socioeconomic class of the families was ascertained using Modified B G Prasad classification.…”

Section: Study Variablesmentioning

confidence: 99%

A community-based study to assess the treatment adherence and its determinants among hypertensive patients residing in a rural area of Kancheepuram district, Tamil Nadu

Shrivastava¹,

Shrivastava²,

S³

2017

Int J Med Sci Public Health

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the health-care delivery system in India. [1,2] Hypertension has been identified as the direct cause of deaths in more than 55% and 25% of all stroke and all coronary heart disease-related deaths reported in India.[3] Even on a global scale, hypertension is one of the most important causes of premature death as per the World Health Organization. [4] Current estimates reveal that hypertension affects more than 30% of adults with age 25 years and above which accounts for almost 1 billion people worldwide.[5] Furthermore, as per trend analysis, it has been estimated that more than 20 million cardiovascular deaths will be attributed to hypertension, by the year 2030, of which in excess of four-fifths will be from Background: Hypertension exerts a massive public health burden on cardiovascular health and health system in India. Objectives: The aim of this study is to assess the level of treatment adherence among the known hypertensive patients in a rural community and identify the determinants for non-adherence to treatment among them. Materials and Methods: A communitybased cross-sectional descriptive study was conducted for 2 months in Sembakkam and Kottamedu villages under the rural field practice area of a medical college among known cases of hypertension diagnosed and initiated on antihypertensive therapy at least 3 months back. A total of 170 hypertensive patients were included as study participants using random sampling, and the desired information was obtained using a semi-structured schedule, and details about treatment adherence based on the Morisky Medication Adherence Scale. Ethical clearance was obtained from the Institutional Ethics Committee before the start of the study. Written informed consent was obtained from the study participants before eliciting any information from them. Statistical analysis was done using SPSS version 18. Frequency distributions were calculated for all the variables. Chi-square test was used for testing the significance of association at P = 0.05. Results: Among the study participants, 81 (47.6%) had good medication adherence, whereas 89 (52.4%) had poor adherence. A statistically significant association was observed between indulging in regular physical activity and use of salt-restricted diet and a good level of treatment adherence. Poor adherence to treatment was found more commonly among patients who were prescribed multiple antihypertensive drugs and those with more than once daily dose formulation. Conclusion: The study indicates that prevalence of treatment adherence among hypertensive patients in rural areas of Tamil Nadu was only 47.6% and there is a lot of scope for improvement. The study has also identified the crucial factors responsible for non-compliance to antihypertensive treatment which can assist the health-care policy makers to formulate a comprehensive strategy to achieve adequate compliance.

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Section: Study Variablesmentioning

confidence: 99%

A community-based study to assess the treatment adherence and its determinants among hypertensive patients residing in a rural area of Kancheepuram district, Tamil Nadu

Shrivastava¹,

Shrivastava²,

S³

2017

Int J Med Sci Public Health

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“…These include France 7 Table 2. Back in 2014, the Joint National Committee (JNC 8) published guidelines for the management of essential hypertension 5,17,18 . This often-quoted reference in the management of hypertension stated clearly (in recommendation 6) that the first line drug for patients with recently detected hypertension could be a thiazide diuretic, a calcium channel blocker, an ACE inhibitor or an angiotensin receptor antagonist.…”

Section: Discussionmentioning

confidence: 99%

“A Cross Sectional, Observational Study of the Antihypertensive Pharmacotherapeutic Profile in an Urban Indian Adult Population”

Mujeeb¹,

Jambunathan²,

Tyagi³

2017

IOSR JDMS

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“…Hypertension patients do not feel anything wrong in their health, but high blood pressure is a leading risk factor for stroke. Therefore, hypertension is called the silent killer [1][2][3][4]25].…”

Section: Discussionmentioning

confidence: 99%

“…Hypertension barely causes symptoms. Therefore, it is called an invisible killer or a silent killer [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Blood Pressure Profiles Among East Bongas and West Bongas People in Effort and Support From Universitas Padjadjaran and the Regent of Majalengka Regency and Chieves of the Villages

Dhianawaty

Heryaman

Syamsunarno

2017

Int J Pharm Pharm Sci

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Objective: To support the people in East Bongas and West Bongas villages to prevent and treatment the hypertension disease.Methods: This was a cross-sectional design while the subjects were taken by a simple random sampling. A total of 323 families were included, and blood pressure of the male and female subjects aged between 18 to 65 y was measured and had been given a question relating to their blood pressure. Results:The blood pressure profile was classified based on the seventh report of the Joint National Committee (JNC 7). The youngest male and female participants of pre-hypertension were 18 and 22 y, respectively. The normal blood pressure, pre-hypertension, hypertension stage-1, and hypertension stage-2 were 34.3%, 49.5%, 12.1%, and 4.1%, respectively. Prevalence of patients with hypertension based on the age groups 30-39, 40-49, 50-59, and 60-69 y were 6.8%, 15.6%, 33.9%, and 37.3%, respectively. Prevalence of patients with hypertension in male was 16.8%, the female was 15.7%, and the total of both were 16.2%. Prevalence based on gender showed that those who had information about hypertension in male was 46.8%, the female was 47.9%, and the total of both were 47.4%. Prevalence of hypertension patients increased, for a male was 8.9%, the female was 8.2%, and the total of both were 8.5% after the participants declared that they were not hypertension patients. Conclusion:In both villages occurred an increase of hypertension prevalence. Based on this information, the people in two villages should be given the appropriate knowledge and awareness regarding hypertension.

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A Review of the JNC 8 Blood Pressure Guideline

Cited by 70 publications

References 11 publications

A community-based study to assess the treatment adherence and its determinants among hypertensive patients residing in a rural area of Kancheepuram district, Tamil Nadu

A community-based study to assess the treatment adherence and its determinants among hypertensive patients residing in a rural area of Kancheepuram district, Tamil Nadu

“A Cross Sectional, Observational Study of the Antihypertensive Pharmacotherapeutic Profile in an Urban Indian Adult Population”

Blood Pressure Profiles Among East Bongas and West Bongas People in Effort and Support From Universitas Padjadjaran and the Regent of Majalengka Regency and Chieves of the Villages

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