Академический Документы
Профессиональный Документы
Культура Документы
Objectives
Age
Race
Diabetes
Kidney disease
Cost
Side effect profile
DASH diet
Reduce sodium
(<1500mg/day)
Increase physical
activity
3 to 4 sessions a week,
lasting on average 40 minutes
per session, and
involving moderate to vigorous
intensity physical activities
Age <60
Any Age
+DM, -CKD
Any Age
+CKD, +/-DM
BP Goal
<150/<90
BP Goal
<140/<90
BP Goal
<140/<90
BP Goal
<140/<90
Non-black
Initiate thiazide or ACEI or
ARB or CCB, alone or
combo
Black
Initiate thiazide or
CCB, alone or combo
All races
Initiate ACEI or ARB, alone
or combo w/other class
ACEI = ACE Inhibitor ARB = Angiotensin Receptor Blocker CCB = Calcium Channel Blocker
Adapted from James PA, et al. 2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth
Joint National Committee (JNC 8). JAMA. 2014;311(5):507-520. doi:10.1001/jama.2013.284427.
Risk factors age, LDL-C, total and HDLcholesterol, systolic BP, treatment status for
hypertension, diabetes, current smoking status
Diet :
Physical activity:
No
Yes
LDL-C
190 mg/dL
No
Yes
No
No
Yes
Yes
High Intensity
Age > 75
Yes
Diabetes
Age 40 - 75
10 Year
Yes
ASCVD Risk >
or
7.5%
Moderate Intensity
No
ASCVD = Atherosclerotic
cardiovascular disease
Adapted from Stone NJ, et al. 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the
American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2013 Nov 12. [Epub ahead of print].
References
U.S. Preventive Services Task Force. Screening for high blood pressure: U.S.
Preventive Services Task Force recommendation statement. Ann Intern
Med 2007:147-783-786.
2014 Evidence-Based Guideline for the Management of High Blood Pressure in
Adults: Report From the Panel Members Appointed to the Eighth Joint National
Committee (JNC 8). JAMA. 2014;311(5):507-520.
doi:10.1001/jama.2013.284427
2013 AHA/ACC Guideline on Lifestyle Management to Reduce Cardiovascular
Risk. A Report of the American College of Cardiology/American Heart
Association Task Force on Practice Guidelines. doi: 0.1016/j.jacc.2013.11.003
ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce
Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College
of Cardiology/American Heart Association Task Force on Practice Guidelines.
Circulation. 2013 Nov 12. [Epub ahead of print].
2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk. A Report
of the American College of Cardiology/American Heart Association Task Force
on Practice Guidelines. 2013;01.cir.0000437741.48606.98published online
before print November 12 2013
This material was prepared by Alliant GMCF, the Medicare Quality Improvement Organization for Georgia, under contract with the Centers for Medicare & Medicaid Services
(CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. Publication No. 10SOW-GA-IHPC-14-30