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Seminar Hipertensi Dan Komplikasi Kardiovaskular Final
Seminar Hipertensi Dan Komplikasi Kardiovaskular Final
KOMPLIKASI
KARDIOVASKULAR
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Criteria of Hypertension
Organ Damage by Hypertension
(Lilly, 2011)
Target Organ damage in Hypertension
(Lilly, 2011)
LVH and Diastolic Dysfunction
The high arterial pressure (heightened afterload) wall tension of
LV increases hypertrophy
Heart failure
Post-myocardial infarction
Diabetes
Kidney Albuminuria
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Most hypertensive patients should initiate treatment
with a single pill combination comprising two
antihypertensive drugs
EXCEPT
Thiazide Diuretics
-
ARBs
blockers
Other
antihypertensives CCBs
ACE inhibitors
Mancia G, et al. J Hypertens 2013; 31: 1281–1357
Mancia G, et al. J Hypertens 2013; 31: 1281–1357
First step combination treatment in
some specific conditions
Diabetes: RAS blocker+CCB or D (IA)
CAD: BB or CCB+RAS blocker (IA)
CKD: RAS blocker+ CCB or D (loop D)
Cerebrovascular Disease:RAS Blocker+CCB or D(IA)
AF: BB and/or nondihCCB (IIaB)
Hf(r/p*EF):RAS blocker+BB,D+Antialdo(IA)(*IIaB)
COPD: RAS blocker+CCB
LEAD: RAS blocker+CCB or D (*BB may be considered)
Uncomplicated hypertension
No Compelling Indications
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