HIPERTENSI

dr. Made Winatra Satya Putra

HIPERTENSI

PREVALENSI DI INDONESIA

DEFINISI DAN KLASIFIKASI

PENYEBAB

CARA PENGUKURAN

TATA LAKSANA

HT EMERGENSI DAN URGENSI

HIPERTENSI

PREVALENSI DI INDONESIA

HIPERTENSI

DEFINISI DAN KLASIFIKASI

uh darah meningkat secara kronis

VII 2003 : tekanan darah sistolik 140 mmHg atau tekanan d

HIPERTENSI
KLASIFIKASI TEKANAN DARAH MENURUT JNC 7

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PENYEBAB

diketahui, 90-95 % kasus hipertensi tidak diketahui penye

mary Hypertension)
2. Secondary Hypertension (5 to 10%)
Kidney Abnormalities
Narrowing of certain arteries
Rare tumors
Adrenal gland abnormalities
Pregnancy

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FAKTOR RESIKO

UNCONTROLLABLE:
1. Umur
2. Degeneratif
3. Ras

HIPERTENSI
Controllable:
1. Increased salt
intake
2. Obesity
3. Alcohol
4. Stress
5. Lack of exercise

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CARA PENGUKURAN

HIPERTENSI

TATA LAKSANA

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Hipertensi emergensi: disfungsi

target organ progresif -> ICU

Drug of Choice:

HT urgensi
Sesuai tata laksana hipertensi:
Mulai dengan low dose oral anti HT
Target menurunkan < 160/110 atau 25%
MAP dalam 24 jam pertama
Captopril (ACE inhibitor)
Onset of action 15 to 30 minutes
25-mg oral dose initially, followed by
incremental doses of 50 to 100 mg 90 to 120
minutes later.

Nicardipine (CCB)
Oral dose 30 mg
Onset of action is 12 to 2 hours
Can be repeated every 8 hours
until the target blood pressure is
achieved

Labetalol (mixed 1- and -adrenergic

blocker)
Starting dose is 200 mg orally
Can be repeated every 3 to 4 hours.

not approved by the US Food and Drug Administration

ood pressure and associated risk of stroke.