HIPERTENSI

Hipertensi
Hipertensi: Peningkatan tekanan darah,
Bila tekanan sistolik > 140 mmHg, dan
atau tekanan diastolik > 90 mmHg
Dilakukan dua kali atau lebih pengukuran
pada dua kali atau lebih kunjungan.
Klasifikasi hipertensi menurut JNC 7 :
normal BP, prehypertension, stage 1
hypertension, and stage 2 hypertension.
 Classification of hypertension
(JNC 7)
SBP DBP
Classification
(mmHg) (mmHg)

Normal 120 And 80

prehypertension 120139 Or 8089

stage 1 hypertension 140159 Or 9099

stage 2 hypertension 160 Or 100

Algorithm for Treatment of
Hypertension

With Compelling
Indications
 Lifestyle Modification
Modification Approximate SBP
reduction
(range)
Weight reduction 520mmHg/10 kg weight loss

Adopt DASH eating 814 mmHg

plan
Dietary sodium 28 mmHg
reduction
Physical activity 49 mmHg
Moderation of 24 mmHg
alcohol consumption
Lifestyle Recommendations for
Hypertension: Physical Activity
Should be prescribed to reduce blood pressure

F Frequency - Four or five times per week

I Intensity - Moderate

T Time - 45-60 minutes

Type Dynamic exercise

T - Walking
- Cycling
- Non-competitive swimming

For patients who are prescribed pharmacological therapy: Exercise should be prescribed as adjunctive therapy
 Rekomendasi kombinasi obat
antihipertensi

The preferred combinations in general hypertensive population are

represented as thick lines. The frames indicate classes of agents proven
to be beneficial in controlled interventional trials
ESH ESC Guidelines Committee. J Hypertens 2007; 25: 11051187
 Recommended BP goals (ESH/ESC 2007)

<140/90 mm Hg in all patients with

hypertension
<130/80 mm Hg in patients with diabetes
mellitus and patients with high added risk,
with compelling diseases - stroke,
myocardial infarction (MI), renal
dysfunction or proteinuria
< 150/90 mm Hg for 60 y.o patients
ESH ESC Guidelines Committee. J Hypertens 2007; 25: 11051187
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