Evidencebased guideline penanganan pasien hipertensi. The seventh report of the joint national committee on. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Jnc 8 versus jnc 7 understanding the evidences i research article.
These were endorsed by the american college of physicians acp and american academy of family practitioners aafp in 2018. Reduced role for betablockers as initial therapy still pre eminent for hfref and cad, particularly atenolol. Recognize the jnc 8 recommendations for the treatment of hypertension have a plan for addressing the hypertension patient adequately treated per jnc 8, but whose blood pressure does not satisfy the current dot regulation identify and avoid common errors in blood pressure measurement. Tekanan darahnya sebesar 240120 mmhg saat masuk ke rumah sakit disertai retinopati hipertensi derajat iii dan didapatkan peningkatan kreatinin setelah pemberian aceinhibitor, namun arteriografi. Hypertension occurs in approximately 810% of pregnancies. Terdapat tingkat keyakinan yang tinggi berbasis bukti bahwa hal yang direkomendasikan tersebut. In 2014, the eighth joint national committee jnc 8 published the evidencebased guideline for the management of high bp in adults. Batas tekanan darah yang dapat digunakan sebagai acuan untuk menentukan normal atau tidaknya tekanan darah adalah tekanan sistolik dan diastolik. Hipertensi lebih umum terjadi pada bayi baru lahir berisiko tinggi. Ppt jnc 8 powerpoint presentation free to download id. Although the nih ultimately withdrew from the guideline development process at a late stage in the development of jnc 8, the panel decided. The eighth joint national committee jnc 8 recently issued the most anticipated guideline in some time. These guidelines were published by the 8th joint national committee on prevention, detection, evaluation, and treatment of high blood pressure, known as jnc 8. Jnc 8 penanganan hipertensi dewasa saat ini rekomendasi terapi profilaksis preeklampsia salah satunya adalah dengan terapi aspirin dosis rendah 60 81 mg.
Strong recommendation grade a high certainty based on evidence that net benefit is substantial. James pa, oparil s, carter bl, cushman wc, dennisonhimmelfarb c, handler j, et al. Ketika tekanan darah sistole di atas atau sama dengan 140 mmhg, dan tekanan darah diastole di atas atau sama dengan 90 mmhg. Controversy, the jnc8 hypertension guidelines christopher j. More than 2 decades have passed since the publication of the jnc 7 guidelines. Rekomendasi jnc 8 dibuat berdasarkan buktibukti dari berbagai studi acak terkontrol. The joint national committee jnc released htn guidelines, most recently jnc 8 in 2014. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Jika taret tekanan darah tidak tercapai dalam 1 bulan perawatan. New hypertension guidelines published jnc 8 darrell hulisz, rph, pharmd associate professor, cwru, school of medicine the wait is finally over for the eighth joint national committee jnc 8 guideline on managing hypertension in adults. Bedasarkan jnc joint national comitee vii, seorang dikatakan. Diagnosis hipertensi grade i apabila selama 2 kali pemeriksaan berturutturut dalam rentang waktu seminggu pasien menunjukkan tekanan darah tersebut.
The previous guidelines jnc 7 was in 2003 and this focused. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure provides a new guideline for hypertension prevention and management. Report from the panel members appointed to the eighth joint national committee jnc 8 jama. How joint national committee jnc 8 report is different from jnc 7. Oleh karena itu, tercapainya target penurunan tekanan darah pasien hipertensi sangat penting. Ppt jnc 8 powerpoint presentation free to download. Firstly, the definitions of hypertension and prehypertension, which were welldefined in jnc 7 has not been addressed in jnc 8. Jnc 8 hypertension guideline algorithm initial drugs of. Dalam proses penyusunan jnc 8 terlibat lebih dari 400 orang ahli dibidang hipertensi.
Salah satu guideline terbaru an dapat diadikan acuan dalam penananan hipertensi di indonesia adalah guideline joint national committee jnc an dipublikasikan pada tahun 2014. Recommendations for the management of hypertension recommendation 6 in the general nonblack population, including those with diabetes, initial antihypertensive treatment should include a thiazidetype diuretic, calcium channel blocker ccb, angiotensinconverting enzyme inhibitor acei, or angiotensin receptor blocker arb. Hypertension guidelines from the eighth joint national committee jnc 8 are finally here. Compared with previous hypertension treatment guidelines, the joint national committee jnc 8 guidelines advise higher blood pressure. Jnc 8 hypertension guidelines acp arizona chapter annual meeting 2014 shakaib rehman, md, sch, facp, faach associate chief of staff for education phoenix va healthcare systems professor of medicine professor of biomedical informatics university of arizona college of medicinephoenix. Tekanan darah tidak diukur secara rutin pada bayi baru lahir yang sehat. Hipertensi tekanan darah tinggi hospital authority. You may have heard that there are guidelines for the management of high blood pressure in adults. In 2014, the eighth joint national committee jnc 8 published the. Aram chobanian was selected as the jnc 7 chair because, like his predecessors, he is well versed in hypertension, yet independent of these major studies. Gradasi tekanan darah untuk usia 18 tahun ke atas menurut who dan jnc3,4ukuran tekanan darah erat berkaitan dengan resiko penyakit kardiovaskuler, dan itulah sebabnya definisi hipertensi ditetapkan secaraarbitrary. Medication recommendations jnc7 5 drug classes to be considered as initial therapy, thiazidetype diuretics as initial therapy for most patients without compelling indication for another class, dose ranges mentioned jnc8 4 specific medication classes and doses based on rct evidence, racial, ckd, and. The jnc 7 executive committee and writing teams were selected entirely from the nhbpep cc because they are recognized as experts in their disciplines by their peers.
I have summarized them pretty easily to zip through them. If you are older than 60 years, the new guideline is. Secara umum, jnc 8 ini memberikan 9 rekomendasi terbaru terkait dengan target tekanan darah dan golongan obat hipertensi yang direkomendasikan. The national high blood pressure education program coordinating committee nhbpep cc, which represents 46 professional, voluntary, and. Pedoman tatalaksana hipertensi menurut jnc 8 dibuat berdasarkan laporan dari anggota panel yang.
Pdf pedoman tatalaksana hipertensi jnc 8 free download pdf. Hypothetical jnc 8 recommendations goal bp likely to be refined relaxed for population subgroups, particularly for those 80 and those with dm. Krisis hipertensi dapat dibagi menjadi dua kelompok, yakni hipertensi emergensi dan hipertensi urgensi. Publications home of jama and the specialty journals of. Problem magnitude 35 million office visits are as the primary diagnosis of htn. Jnc 8 hypertension guideline algorithm lifestyle changes.
Detection, evaluation, and treatment of high blood pressure jnc 6 was released in 1997, new knowledge has come to light from a variety of sources. The previous guidelines jnc 7 was in 2003 and this focused on controlling elevated systolic blood pressure in all adults with. Jnc 8 2014 evidencebased guideline for the management of high blood pressure in adultsjnc 8 recommendation 1 in the general population aged 60 years old, initial pharmacologic treatment to lower bp at sbp of 150mmhg or dbp of 90mmhg and treat to a goal sbp grade a recommendation 2 in the. Feb 26, 2018 jnc 8 guidelines to management of hypertension. History of jnc 8 the panel was originally constituted as the eighth joint national committee on the prevention, detection, evaluation, and treatment of high blood pressure jnc 8. Chlorthalidone recommended over hctz, but preeminence as first line therapy might be challenged. Nov 15, 2017 pada tanggal november 2017, american heart association aha dan american college of cardiology acc mengeluarkan pedoman hipertensi terbaru. Manfaat guideline jnc 8 untuk penanganan hipertensi di indonesia dalam penananan hipertensi pada populasi pasien berumur 60 tahun ke. Pada jnc 7 direkomendasikan bahwa setelah pemeriksaan tekanan darah tinggi awal, follow up dengan pemeriksaan konfirmasi tekanan darah harus terjadi dalan 7 hari hingga 2 bulan, tergantung seberapa tinggi pemeriksaan awal yang dilakukan dan apakah pasien tidak atau memiliki penyakit ginjal atau. Pengertian hipertensi hipertensi lebih dikenal dengan istilah penyakit tekanan darah tinggi. In march 2008 nhlbi sent letters inviting the cochairs and committee members to serve on 518. High blood pressure in pregnancy can be classified as preexisting hypertension, gestational hypertension, or preeclampsia. Kekuatan rekomendasi sesuai dengan uraian di bawah ini.
Penulis jnc 8 menyederhanakan rekomendasi follow up yang rumit pada pasien dengan hipertensi. Salah satu lompatan terbesar pedoman ini adalah perubahan klasifikasi atau bahkan definisi hipertensi dimana sebelumnya hipertensi dinyatakan. Smoking cessation control blood glucose and lipids diet eat healthy i. The last report on management guidelines of hypertension was released in 2003. Posts about grade hipertensi written by dimasoutea.
Rekomendasi jnc 8 berbeda dengan rekomendasi jnc 7 yang dikeluarkan sebelumnya, terkait perubahan dalam tatalaksana terapi farmakologi dan klasifikasi tekanan darah yang lebih spesifik dibandingkan jnc 7. Rekomendasi jnc 8 dibuat berdasarkan buktibukti dari. Jnc 8 guidelines for the management of hypertension in adults. Pada tanggal november 2017, american heart association aha dan american college of cardiology acc mengeluarkan pedoman hipertensi terbaru. Pedoman ini berisikan banyak perubahan besar dalam pengelolaan hipertensi. If you are older than 60 years, the new guideline is to treat for a blood pressure of less. Reduced role for betablockers as initial therapy still pre. Jnc 8 merupakan sebuah guideline yang melengkapi dari jnc 7 yang telah dikeluarkan sebelumnya. Derajat hipertensi pada neonatus dan bayi hipertensi pada neonatus jarang terjadi dan hanya terjadi pada sekitar 0,2 sampai 3% neonatus. Salah satu guideline terbaru yang dapat dijadikan acuan di indonesia adalah guideline joint national committee jnc 8 tahun 2014. Klasifikasi hipertensi jnc 8 pdf classification of blood pressure. Worldwide prevalence estimates for htn may be as much as 1 billion. Nov 10, 2011 presentase kasus hipertensi primer sebanyak 95% sedangkan hipertensi sekunder hanya sebesar 5%.
Jnc 8 guidelines were an evidencebased, focused set of rec. Clinical practice guidelines for the management of hypertension in the community. Selain itu terdapat pula jenis hipertensi lainnya yang disebut dengan hipertensi sekunder, yaitu hipertensi yang. Laporan kasus ini menyajikan suatu kasus anak lakilaki berusia 16 tahun dengan krisis hipertensi suspek hipertensi renovaskular. Hypertension is a major independent risk factor for coronary artery disease, stroke, heart failure, and renal failure. Two blood pressure measurements six hours apart of greater than 14090 mm hg are diagnostic of hypertension in pregnancy. Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Explore jnc 8 hypertension guidelines from jama network. As per recommendation 8 grade b recommendation, in all patients aged. While we were waiting for jnc 8, the american society of hypertension ash in collaboration with the international society of hypertension released their own expert opinion piece aimed at prescribers. The eighth joint national committee guidelines jnc 8 published in 2014 provides evidence based recommendations for management of hypertension and is an important reference for clinicians. Sembilan puluh persen sampai 95% hipertensi bersifat idiopatik hipertensi esensial, yang memungkinkan umur panjang, kecuali apabila infark miokardium, kecelakaan serebrovaskular, atau penyulit lainnya.
Diharapkan dengan guideline ini dapat memberikan pedoman penatalaksanaan hipertensi dalam menangani masalah tekanan darah tinggi pada orang dewasa. Northshore medical group hypertension guidelines target values depend on age and comorbidities a hypertensive patient is considered to be out of control if the. Sop hipertensi free download as word doc doc docx pdf file pdf text file txt or read online for free. Umumnya klasifikasi tekanan darah yang dipakai adalah menurut the sevent report of the joint national comitte on prevention, detection, evaluastion and treatment of high blood pressure jnc 7, yaitu sebagai berikut. His blood pressure was 240120 at admission with hypertensive retinopathy grade iii and there was increase. These recommendations were categorized from grades a to e and grade n. Sep 02, 2019 klasifikasi hipertensi jnc 8 pdf classification of blood pressure. Rencent developments in ckd chronic kidney disease and dm daibetes mellitus management. Sejak lebih dari tiga dasawarsa, nhlbi national heart, lung, and blood institute telah bekerja sama dengan nhbpep national high blood pressure dalam menyusun suatu guideline penanganan hipertensi secara global yang termaktub dalam jnc joint national commitee on the prevention, detection, evaluation and treatment of high blood pressure. Pdf staying up to date with the jnc 8 hypertension guideline evidence based recommendations on the diagnosis and management of hypertension high blood pressure in adults. However, the updated jnc8 guidelines do not include beta blockers as. In the report from the panel members appointed to the eighth joint national committee jnc 8, the guideline authors provide evidencebased recommendations for the management of hypertension including specific goals by age, race, and comorbidities. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Jnc 8 and more hypertension guidelines from the eighth joint national committee jnc 8 are finally here.