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  • Hypertension Alorithm Management

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    Iqi Siti Rizkiah
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    This document discusses guidelines for hypertension management from JNC VIII and ESH/ESC. It defines hypertension according to both sets of guidelines, with JNC VIII classifying it as normal, prehypertension, Stage 1 or Stage 2 based on systolic and diastolic blood pressure thresholds. ESH/ESC also considers white coat and masked hypertension. It outlines algorithms for treatment from both guidelines and notes when ESH/ESC recommends starting antihypertensive medications based on a patient's cardiovascular risk profile and hypertension stage. Target blood pressure levels and preferred combinations of antihypertensive drug classes are also presented.

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    This document discusses guidelines for hypertension management from JNC VIII and ESH/ESC. It defines hypertension according to both sets of guidelines, with JNC VIII classifying it as normal, prehypertension, Stage 1 or Stage 2 based on systolic and diastolic blood pressure thresholds. ESH/ESC also considers white coat and masked hypertension. It outlines algorithms for treatment from both guidelines and notes when ESH/ESC recommends starting antihypertensive medications based on a patient's cardiovascular risk profile and hypertension stage. Target blood pressure levels and preferred combinations of antihypertensive drug classes are also presented.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views21 pages

    Hypertension Alorithm Management

    Uploaded by

    Iqi Siti Rizkiah
    This document discusses guidelines for hypertension management from JNC VIII and ESH/ESC. It defines hypertension according to both sets of guidelines, with JNC VIII classifying it as normal, prehypertension, Stage 1 or Stage 2 based on systolic and diastolic blood pressure thresholds. ESH/ESC also considers white coat and masked hypertension. It outlines algorithms for treatment from both guidelines and notes when ESH/ESC recommends starting antihypertensive medications based on a patient's cardiovascular risk profile and hypertension stage. Target blood pressure levels and preferred combinations of antihypertensive drug classes are also presented.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 21

    HYPERTENSION

    ALGORITHM
    MANAGEMENT
    JNC VIII DAN ESH/ESC

    DEFINISI

    DEFINISI HIPERTENSI
    JNC VII
    Klasifikasi Tekanan
    Darah
    Normal
    Prehipertensi

    TDS (mmHg)

    TDD (mmHg)

    < 120

    < 80

    120 139

    80 89

    Hipertensi derajat I

    140 159

    90 99

    Hipertensi derajat 2

    >160

    > 100

    DEFINISI HIPERTENSI
    ESH/ESC

    * White-coat (or isolated office) hypertension


    and masked (or isolated ambulatory)
    hypertension

    ALGORITHM

    Click icon to add picture


    JN C VIII

    JNC VIII

    Click icon to add picture

    ESH/ESC

    ASSESSMENT OF TOTAL
    CARDIOVASCULAR RISK (ESH/ESC)

    KAPAN MEMBERIKAN OBAT ANTI


    HIPERTENSI?
    ESH/ESC
    Rekomendasi th 2007: Pasien dengan Diabetes, CKD
    walaupun nilai BP antara 130139/8589 mmHg.
    Rekomendasi 2013
    Grade 2 dan 3 HT (any level or CV risk) *lifestyle terlebih
    dahulu*
    High risk grade 1 HT
    Low-to-moderate risk HT grade I
    HT grade I in elderly

    TERGET TEKANAN DARAH

    ESH/ESC

    ESH/ESC

    Possible
    combinations
    of classes of
    antihypertens
    ive drugs.

    Green continuous lines: preferred combinations


    Green dashed line: useful combination (with some limitations);
    Black dashed lines: possible but less well-tested combinations;
    Red continuous line: not recommended combination.
    Although verapamil and diltiazem are sometimes used with a beta-blocker to improve ventricular rate
    control in permanent atrial fibrillation, only dihydropyridine calcium antagonists should normally be
    combined with beta-blockers.

    TERIMA
    K A SIH

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