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  • Hypertension

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    fachrulmirza
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    BP sudden, intracranial pressure manifestation result affected another organ, decline consciousness ETIOLOGY - Primary H : underlying disease (-), 80 % children PATHOGENESIS Hypervolemia Impaired of RAA System Vasodilators deficiency Cardiovascular disease Endocrine impairment Neurologic impairment CLINICAL manifestation Asymptomatic symptomatic Dietary - Weight loss - exercise PHARMACOLOGY : - Diuretics - Blocker -

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    BP sudden, intracranial pressure manifestation result affected another organ, decline consciousness ETIOLOGY - Primary H : underlying disease (-), 80 % children PATHOGENESIS Hypervolemia Impaired of RAA System Vasodilators deficiency Cardiovascular disease Endocrine impairment Neurologic impairment CLINICAL manifestation Asymptomatic symptomatic Dietary - Weight loss - exercise PHARMACOLOGY : - Diuretics - Blocker -

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    4 views8 pages

    Hypertension

    Uploaded by

    fachrulmirza
    BP sudden, intracranial pressure manifestation result affected another organ, decline consciousness ETIOLOGY - Primary H : underlying disease (-), 80 % children PATHOGENESIS Hypervolemia Impaired of RAA System Vasodilators deficiency Cardiovascular disease Endocrine impairment Neurologic impairment CLINICAL manifestation Asymptomatic symptomatic Dietary - Weight loss - exercise PHARMACOLOGY : - Diuretics - Blocker -

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    of 8

    HYPERTENSION

    DEFINITION BP = RVP X C Normal BP = Syst & Diast < 90th percentile Hypertension = Syst &/ Diast 95th percentile Crisis Hypertension : BP sudden , normotension/hypertension before (Syst > 180 mmHg, Diast > 120 mmHg) Hypertensive Encephalopathy : BP sudden , intracranial pressure manifestation result affected another organ, decline consciousness

    CLASSIFICATION
    Mild Hypertension : Syst/ Diast < 10 mmHg over 95th percentile (140/90 - 149/99) Moderate Hypertension : Syst/ Diast 10-20 mmHg over 95th percentile (150/100 - 159/109) Severe Hypertension : Syst/ Diast > 20 mmHg over 95th percentile (>160/110)

    ETIOLOGY - Primary H : underlying disease (-) - Secondary H : underlying disease (+), 80 % children
    PATHOGENESIS Hypervolemia Impaired of RAA System Vasodilators deficiency Cardiovascular disease Endocrine impairment Neurologic impairment

    CLINICAL MANIFESTATION Asymptomatic Symptomatic


    DIAGNOSTIC - History - Physical examination - Supporting examination : . Laboratory . ECG . IVP/ Renal ultrasound

    TREATMENT
    NON PHARMACOLOGIC : - Dietary - Weight loss - Exercise PHARMACOLOGIC : - Diuretics - Blocker - Vasodilators - ACE inhibitors - Ca glukonate

    PROGNOSIS
    Essential H : adequate treatment incidence : renal failure, stroke, congestive heart failure Secondary H : depends on underlying disease and respons of therapy

    TERIMA KASIH

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