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KLASIFIKASI
HIPERTENSI
Sub Program III Semester VII
FKUA 2012
Kuliah Ilmu Penyakit Dalam - Nefrologi
Divisi Nefrologi & Hipertensi Lab-SMF Penyakit Dalam
FK Unair RSU Dr. Soetomo, Surabaya
CATEGORY
Diastolic
< 120
and
< 80
Pre hypertension
120-139
or
80-89
Hypertension, stage 1
140-159
or
90-99
Hypertension, stage 2
> 160
or
> 100
Normal
Diastolic
Optimal
< 120
< 80
Normal
120-129
80-84
High Normal
130-139
85-89
140-159
90-99
160-179
100-109
> 180
> 110
> 140
< 90
When a patients systolic and diastolic blood pressure fall into different categories, the higher
category should apply. Isolated systolic hypertension can also be graded (grade 1,2,3) according to
systolic blood pressure values in the range indicated, provided diastolic values are <90.
Category
Systolic
Diastolic
Optimal
<120
and
<80
Normal
120129
and/or
8084
High normal
130139
and/or
8589
Grade 1 hypertension
140159
and/or
9099
Grade 2 hypertension
160179
and/or
100109
Grade 3 hypertension
>180
and/or
>110
>140
and
<90
Isolated systolic hypertension should be graded (1 , 2,3) according to systolic blood pressurevalues in the ranges
indicated,
provided thatdiastolicvaluesare ,90 mmHg. Grades 1 , 2and 3 correspond toclassication in mild, moderate and
severe hypertension, respectively. These terms have been now omitted to avoid confusion with quantication
of total cardiovascular risk.
No other risk
factors,
Normal SBP
120129 and/or
DBP 8084
Average risk
High normal
SBP 130139
and/or
DBP 8084
Average risk
Grade 1 HT
SBP 140159
and/or
DBP 9099
Grade 2 HT
SBP 160179
and/or
DBP 100109
Grade 3 HT
SBP >180
and/or
DBP >110
Moderate added
risk
Moderate added
risk
Moderate added
risk
3 or more risk
factors, MS, OD,
or diabetes
Moderate added
risk
Established CV or
renal disease
Stratication of CV Risk in four categories. SBP: systolic blood pressure; DBP: diastolic blood pressure; CV: cardiovascular; HT: hypertension.
Low, moderate, high and very high risk refer to 10 year risk of a CV fatal or non-fatal event. The term added indicates that in all categories risk
is greater than average. OD: subclinical organ damage; MS: metabolic syndrome. The dashed line indicates how denition of hypertension
may be variable, depending on the level of total CV risk.
Normal SBP
120129
and/or
DBP 8084
No BP intervention
High normal
SBP 130139
and/or
DBP 8084
Grade 1 HT
SBP 140159
and/or
DBP 9099
Grade 2 HT
SBP 160179
and/or
DBP 100109
Grade 3 HT
SBP >180
and/or
DBP >110
No BP intervention
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Drug treatment
Lifestyle changes
+
Drug treatment
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
Lifestyle changes
Lifestyle changes
Diabetes
Lifestyle changes
Established CV
or renal disease
Lifestyle changes
+
Immediate drug
treatment
Lifestyle changes
+
Immediate drug
treatment
Goals of treatment
TERIMA KASIH
Sub Program III Semester VII
FKUA 2012
Ilmu Penyakit Dalam Nefrologi