CLINICAL APPROACH AND MANAGEMENT

OF HYPERTENSIVE PATIENTS
DEDDY WINATA
102015112/D4
CASE IV

Seorang laki-laki usia 55 tahun, datang ke puskesmas dengan keluhan sering sakit
kepala dan tengkuk terasa kencang sejak 2 bulan terakhir
 Anamnesis :
o Kepala sakit terasa penuh, hilang
timbul dengan durasi 10-20 menit
o Pasien sering kurang tidur
o Pasien merokok sejak 15 tahun
Pemeriksaan Penunjang :
o Hb > 14g/dL
o Ht > 40%
o Leukosit > 5500/uL
o Trombosit 165000/uL
o Foto toraks : tidak ditemukan kelainan
Pemeriksaan Fisik :
o Pasien tampak sakit sedang
dengan kesadaran compos
mentis
o Tanda-tanda vital :
Tekanan darah > 150/90 mmHg
Frekuensi nadi 88x/menit
Suhu afebris
Frekuensi napas 18x/menit
Head to toe > normal

What is the
diagnose ?
 DEFINITION
Most guidelines > Hypertension
- Sistolic pressure 140 mmHg
- Diastolic pressure 90 mmHg
The goal of treating hypertension is to reduce blood pressure to levels below the numbers used for
making the diagnosis :
- The definitions are based on the results of major clinical trials that have shown the benefits of threating
people to these levels of blood pressure
- Even though a blood pressure of 115/75 mmHg is ideal

Clinical Practice Guidlines for the management of Hypertension in the Community. A statement by the ASH & the ISH. 2015
2013 ESH/ESC Guidelines for the management of arterial hypertension
MANAGEMENT

Non- farmacology treatment Farmacologyl Treatment

- Healty lifestyle - Patient with hypertension grade 1, if
Early management for hypertension grade 1 the blood pressure not decreased after
without cardiovascular risk factor : 6 month with healty lifestyle
- 4 6 month
- If the blood pressure not decreased or obtained risk - Patient with hypertension grade 2
factors of cardiovascular > farmalogical management

2013 ESH/ESC Guidelines for the management of arterial hypertension

2013 ESH/ESC Guidelines for the management of arterial hypertension