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TREATMENT OF
HYPERTENSION
Stella Palar
Hypertension treatment strategy: JNC VII
Lifestyle modifications
Optimize dosages or add additional drugs until goal blood pressure is achieved.
Consider consultation with hypertension specialist.
SBP, systolic blood pressure; DBP, diastolic blood pressure; ACE-I,
angiotensin-converting enzyme inhibitor; ARB, angiotensin II JNC VII. JAMA 2003;289:2560-2572
receptor blocker; BB, beta-blocker; CCB, calcium-channel blocker
Treatment initiation: JNC VII
Normal Pre- Stage 1 Stage 2
hypertension hypertension hypertension
Pharmacological management
HIPERTENSI STAGE 2
BP 166/100 mmHg
Pharmacological management
Hypertension prevalence:
BMI >30 38% (male), 32% (female)
BMI <25 18% (male), 17% (female)
Reducing 5 kg BW:
BP 10/5 mmHg
improving profile lipid & blood glucose.
Overweight Management
Hypertension Stage 1 BW BP normal
Other benefit:
Synergic effect to anti hypertensive medicine
BW dosage & amount of anti
hypertensiove.
Gizi DASH
DASH
3. Salt
4. Exercise
Physical activity
Regular physical activity reduce risk of
hypertension by 30-50%