REFRAT

Oleh : Chang jin young

Pembimbing : dr. Toton Suryotono, Sp.PD
 ABSTRAK
CAD

INFARK STROKE
MIOKARD HIPERTENSI ISKEMIK

CHF
 ABSTRAK
• EARLY IDENTIFICATION OF YOUNG
INDIVIDUALS WITH HYPERTENSION MAY
PREVENT DEVELOPING OF ESTABLISHED
HYPERTENSION IN ADULTHOOD
 PENDAHULUAN
• 10 tahun terakhir menunjukan bahwa
peningkatan hipertensi pada anak dan dewasa
muda telah meningkat secara signifikan dan
secara progresif terus meningkat
 PENDAHULUAN
• FENOMENA INI DISEBABKAN
– MENINGKATNYA PREVALENSI OBESITAS
– VIDEO GAMES
– HIGH SALT JUNK FOOD
– POOR PHYSICAL ACTIVITY
 PENDAHULUAN
• BP TRACKING
“THE FACT THAT A CERTAIN LEVEL OF BP IN THE
EARLY YEARS OF LIFE MAY ANTICIPATE AND PREDICT
BP LEVELS IN THE LATER STAGE OF LIFE”
 EPIDEMIOLOGI

Attributable risks of hypertension and other cardiovascular risk

factors for the coronary artery disease (A) and cerebrovascular
diseases (B) in Korean male population (Korean Medical
Insurance Corporation study).
 EPIDEMIOLOGI
14,000 participants aged 24-32 in USA

high BP
normal
EPIDEMIOLOGI
2060 people aged 23-25 Brazil

borderline BP value
hipertensi esensial
normal
 EPIDEMIOLOGI
• 20-29 years old in India
– 15,3% IN WOMEN
– 30.5% IN MEN
SCREENING and
DIAGNOSIS
2013 Korean Society of Hypertension
guidelines for the management of
hypertension: part I–epidemiology and
diagnosis of hypertension
Requirement
Upper arm cuff
Time of measurement
 
 
Frequency of measurement
Period of measurement
SCREENING and
DIAGNOSIS
Description
Wrist device is used only when extreme obesity can cause
error and the device should be kept at the level of heart
1. Morning: within 1 h after waking up, after urination,
before taking antihypertensive drugs, before breakfast,
after 5-min rest in a seated position
2. Night: before retiring, after 5-min rest in a seated
position
3. Other conditions if necessary
One to three times per occasion
As long as possible; 1 week or more for the diagnosis of
hypertension; over at least 5 to 7 days immediately
preceding the visit during follow-up of treatment
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TERIMA KASIH