Cardiology

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Hypertension: Controversy surrounds long-awaited JNC 8 guideline

KEY POINT

Updated hypertension recommendations from panel members previously appointed to the Eighth Joint National Committee (JNC 8) raised blood pressure goals in adults age 60 and older to less than 150/90 mm Hg, with patients younger than 60 years old (including those with chronic kidney disease and diabetes) having a target of less than 140/90 mm Hg. In nonblack individuals, initial treatment should include a thiazide-type diuretic, calcium channel blocker (CCB), ACE inhibitor, or angiotensin receptor blocker (ARB). Treatment should start with a thiazide-type diuretic or CCB in black patients, including those with diabetes.