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Secondary HTN
HTN that has a demonstrable underlying cause,
sach as: ABCDE
– A: apnea (sleep apnea), aldosteronism
(hyperaldosteronism)
– B: bruit (renal arteri stenosis), bad kidney
– C: catecholamine, coartatio aorta, cushing’s
– D: drug (stimulans, NSAID, contraseptives oral)
– E: eritropoitin (increase EPO)
endocrine (tyroid/paratyroid,
pheochromocytoma)
Bahan-
Asupan Jumlah
Perubahan bahan yang
garam nefron Stress Obesitas
genetis berasal dari
berlebih berkurang
endotel
Aktivitas
Retensi Penurunan Renin Perubahan
berlebih Hiper-
natrium permukaan angiotensin membran
saraf insulinesmia
ginjal filtrasi berlebih sel
simpatis
↑ Volume Konstriksi
cairan vena
Konstriksi Hipertrofi
↑ Preload ↑ Kontraktilitas struktural
fungsionil
Autoregulasi
Lifestyle Modifications to Manage HTN
Modification Recommendations Approximate Systolic
Blood Pressure
Reduction
Weight Reduction Maintain normal body 5-20 mm Hg for each
weight (BMI 18.5-24.9) 10 kg weight loss