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HIPERTENSI EMERGENSI

Femi Syahriani
Departemen Ilmu Penyakit Dalam
FK UNHAS
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HIPERTENSI Baradhi K, Update in Hypertension, ACP. 2018

American Collage of Cardiology 2017
JNC 8 2014
Europa Society of Hypertension 2018
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PENDAHULUAN
• Hipertensi (HT) dijumpai 1 dari 3 orang
dewasa di AS dan lebih dari 1 miliar orang
di seluruh dunia.
• Prevalensi akan meningkat sebesar 60% pada
tahun 2025.
• Pada 2010, hipertensi adalah penyebab utama
kematian di seluruh dunia. Diperkirakan 1
dari 8 kematian di seluruh dunia.
• Di Amerika Serikat, hipertensi menyumbang
lebih banyak kematian akibat CVD daripada
faktor risiko CVD lainnya yang dapat
dimodifikasi.
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PENDAHULUAN
• Peningkatan TD yg berat/tinggi secara
mendadak (>180/120 mmHg)  Krisis
Hipertensi.

• Krisis hipertensi :Hipertansi

emergensi dan Hipertensi Urgensi
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Hypertensive Crisis

Hypertensive Hypertensive
urgency emergency

(70-75%) (25-30%)
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Journal of Cardiovascular Medicine 2014, Vol 00 No 00

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Hipertensi Emergensi

Peningkatan TD > 180/120 mmHg yang

berkaitkan dengan kerusakan target organ
baru atau progresif dan merupakan
keadaan darurat  ICU/CVCU dan
kontrol BP segera mungkin (menit hingga
beberapa jam).
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Scott T. Benken, Pharm.D. CCSAP 2018

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Vaughan CJ, Delanty N.

THE LANCET • Vol 356 • July
29, 2000
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Hipertensi Emergensi

Gejala klinis yang sering di jumpai pada

Hipertensi Emergensi:

• Nyeri dada (27%)

• Sesak napas (22%)
• Defisit neurologi (21%)
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Hipertensi Emergensi
Anamnesis:
• RPS Hipertensi: durasi,pengobatan dan
kontrol TD
• Life style: Merokok, alcohol dll
• Riwayat kerusakan organ; Ginjal,
cardiocerebrovascular.
• Penyakit Komorbid.
• Bukti aktual adanya kerusakan target organ
(anamnesis, pemeriksaan fisik serta
penunjang)
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Journal of Cardiovascular Medicine 2014, Vol 00 No 00

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Baradhi K, Update in Hypertension, ACP. 2018

American Collage of Cardiology .2017
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Tatalaksana Hipertensi Emergensi

• Do Not Waste Time
• Segera transfer ke fasilitas ICU/CVCU
• Monitoring Hemodinamik (EKG, Central
venous pressure dan arterial line)
• M e m a s ti k a n j a l a n n a f a s b e b a s d a r i
hambatan, kontrol kejang, dan
keluaran urin yang adekuat adalah
p e n ti n g .
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Tatalaksana Hipertensi Emergensi

Prinsip Utama:
• Menghambat kerusakan target organ
• Penggunaan obat parenteral
• Pertahankan dan seimbangkan
perfusi organ vital otak, jantung
dan ginjal.
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Management of High Blood Pressure in Adults
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Management of High Blood Pressure in Adults
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Take Home Massege

• Hipertensi emergensi bagian dari
Hypertensi Crisis
• Hipertensi emergensi: Peningkatan TD
disertai kerusakan target organ
• Penangannan yang sesegera: transfer
ke ICU/CVCU dan terapi parenteral
penurunan TD (menit ke jam)
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SEKIAN
TERIMA KASIH
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