結果今年內專就考了，果然CV已經進入GDMT (guideline directed management therapy)的時代了。
上複習班時，學長覺得JNC8的參考性較低，而且我也沒看，所以我也沒寫對，所以就把recommendations寫上來吧！
Recommendation 1
大於等於60歲，SBP大於等於150 mmHg或DBP大於等於90 mmHg時，可給予藥物治療。目標是SBP/DBP小於150/90 mmHg. (Strong Recommendation – Grade A)
Corollary (推論的) Recommendation
In the general population aged >= 60 years, if pharmacologic treatment for high BP results in lower achieved SBP (eg, <140 mm Hg) and treatment is well tolerated and without adverse effects on health or quality of life, treat- ment does not need to be adjusted. (Expert Opinion – Grade E)
Recommendation 2
In the general population <60 years, initiate pharmacologic treatment to lower BP at DBP >=90 mm Hg and treat to a goal DBP <90 mm Hg. (For ages 30-59 years, Strong Recommendation – Grade A; For ages 18-29 years, Expert Opinion – Grade E)
Recommendation 3
In the general population <60 years, initiate pharmacologic treatment to lower BP at SBP >=140 mm Hg and treat to a goal SBP <140 mm Hg. (Expert Opinion – Grade E)
Recommendation 4
In the population aged >=18 years with chronic kidney disease (CKD), ini- tiate pharmacologic treatment to lower BP at SBP >=140 mm Hg or DBP >=90 mm Hg and treat to goal SBP <140 mm Hg and goal DBP <90 mm Hg. (Expert Opinion – Grade E)
Recommendation 5
In the population aged >=18 years with diabetes, initiate pharmacologic treatment to lower BP at SBP>=140mmHg or DBP>= 90mmHg and treat to a goal SBP <140 mm Hg and goal DBP <90 mm Hg. (Expert Opinion – Grade E)
Recommendation 6
In the general nonblack population, including those with diabetes, initial antihypertensive treatment should include a thiazide-type diuretic, calcium channel blocker (CCB), angiotensin-converting enzyme inhibitor (ACEI), or angiotensin receptor blocker (ARB). (Moderate Recommendation – Grade B)
Recommendation 7
In the general black population, including those with diabetes, initial anti- hypertensive treatment should include a thiazide-type diuretic or CCB. (For general black population: Moderate Recommendation – Grade B; for black patients with diabetes: Weak Recommendation – Grade C)
Recommendation 8
In the population aged >=18 years with CKD, initial (or add-on) antihyper- tensive treatment should include an ACEI or ARB to improve kidney out- comes. This applies to all CKD patients with hypertension regardless of race or diabetes status. (Moderate Recommendation – Grade B
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