Hipertensi Esensial: Diagnosis dan Tatalaksana Terbaru pada Dewasa

Penulis

  • Steven Johanes Adrian Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
  • Tommy Fakultas Kedokteran dan Ilmu Kesehatan, Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v46i3.491

Kata Kunci:

Hipertensi esensial, pedoman klinis, terapi kombinasi

Abstrak

Hipertensi merupakan salah satu penyebab terbesar morbiditas penyakit di dunia; penderita hipertensi diperkirakan akan mencapai 1,5 miliar pada tahun 2025 dan kematian dapat mencapai 9,4 juta individu. Hipertensi didefinisikan sebagai kondisi tekanan darah sistolik ≥ 130 mmHg atau diastolik ≥ 80 mmHg; 80 – 95% kasus hipertensi esensial. Dua faktor utama berkaitan dengan kasus hipertensi esensial adalah faktor genetik dan lingkungan. Tatalaksana kombinasi nonfarmakologis dan farmakologis dengan mempertimbangkan berbagai aspek, seperti stadium hipertensi, saat mulai pengobatan, jenis obat, target tekanan darah, komorbiditas, kontrol berkala, dan kriteria rujukan.

Hypertension causes a considerable morbidity in the world. There will be 1.5 billion hypertensive patients with mortality up to 9.4 million in 2025. Hypertension is defined as systolic blood pressure ≥130 mmHg or diastolic blood pressure ≥ 80 mmHg. Approximately 80-95% cases are essential hypertension. The most important factors associated with essential hypertension are genetic and environmental factors. The recommended treatment consists of pharmacological and non-pharmacological methods, considering the stage of hypertension, initiation, class of drugs, blood pressure target, comorbidities, follow-up, and referral criteria.

Unduhan

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Referensi

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, et al. Hypertension treatment. Harrison’s Principles of Internal Medicine. 19th ed. McGraw-Hill Co, Inc.; 2015 .p. 1622-7

Kementerian Kesehatan Republik Indonesia. Hipertensi membunuh diam-diam, ketahui tekanan darah anda [Internet]. [cited 2018 Sep 4]. Available from: http://www.depkes.go.id/article/view/18051600004/hipertensi-membunuh-diam-diam-ketahui-tekanan-darah-anda.html.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Riskesdas 2013.pdf [Internet]. [cited 2018 Sep 3]. Available from: http://www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.

Carey RM, Whelton PK, for the 2017ACC/AHA Hypertension guideline writing committee. Prevention, detection, evaluation, and management of high blood pressure in adults: Synopsis of the 2017 American College of Cardiology/American Heart Association hypertension guideline. Ann Intern Med. 2018;168(5):351

Nerenberg AK, Zarnke BK, Leung AA, Dasgupta K, Butalia S, McBrien K, et al. Hypertension Canada’s 2018 guidelines for diagnosis, risk assessment, prevention, and treatment of hypertension in adults and children. Can J Cardiol. 2018;34(5):506-25.

Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia nomor 5 tahun 2014 tentang panduan praktik klinis bagi dokter di fasilitas pelayanan kesehatan primer [Internet]. 2014: 202-8. Available from: https://peraturan.bkpm.go.id/jdih/userfiles/batang/Permenkes_5_2014.pdf

Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J. 2018;39(33):3021–104

Green LA. JNC 7 Express: New thinking in hypertension treatment. Am Fam Physician. 2003;68(2):228

Diterbitkan

2019-03-01

Cara Mengutip

Adrian, S. J., & Tommy. (2019). Hipertensi Esensial: Diagnosis dan Tatalaksana Terbaru pada Dewasa. Cermin Dunia Kedokteran, 46(3), 172–178. https://doi.org/10.55175/cdk.v46i3.491

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