Flow chart demonstrating individualized nature of hypertension
management guidelines, taking into consideration factors such as frailty,
comorbidities, and albuminuria

FIGURE 47.

2014 Hypertension Guideline Management Algorithm, Eighth Joint National Committee.

ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; CCB, calcium channel blocker; CKD, chronic kidney disease; DBP, diastolic blood pressure; SBP, systolic blood pressure.

* ACEIs and ARBs should not be used in combination.

† If blood pressure fails to be maintained at goal, reenter the algorithm where appropriate based on the current individual therapeutic plan.

SOURCE: Reference (632), reproduced with permission, copyright © 2014 American Medical Association. All rights reserved.

From: Kidney Disease and Diabetes

Cover of Diabetes in America
Diabetes in America [Internet].
Lawrence JM, Casagrande SS, Herman WH, et al., editors.
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