HIPERTENSI RESISTEN: DIAGNOSIS DAN TATALAKSANA
RESISTANT HYPERTENSION: DIAGNOSIS AND MANAGEMENT
DOI:
https://doi.org/10.38215/jtkes.v8i1.161Keywords:
hypertension, resistant hypertension, pseudo-resistance, cardiovascular diseaseAbstract
Resistant hypertension is still one of the problems faced by clinicians in daily practice.
The diagnosis of resistant hypertension requires the exclusion of pseudo-resistance. This literature review aims to determine the criteria of resistant hypertension and its management so that it can be reference of optimal management. The method used was through literature review of scientific articles published in journals, ministry of health data, and guidelines, both national and international. The literature collected was related to data on the epidemiology of hypertension, resistant hypertension, diagnosis and therapeutic management. Data searches were conducted through Google Scholar, PubMed and Scopus databases by entering keywords. Resistant hypertension is diagnosed when blood pressure has not been controlled despite receiving more than 3 types of antihypertensive drugs with one of them is diuretics or the blood pressure is only controlled after receiving ³4 types of antihypertensive drugs. Therapeutic management includes non-pharmacological, pharmacological and device intervention.
Downloads
References
Buso, G., Agabiti-Rosei, C., Lemoli, M., Corvini, F., & Muiesan, M. L. (2024). The Global Burden of Resistant Hypertension and Potential Treatment Options. European Cardiology Review, 19, e07. https://doi.org/10.15420/ecr.2023.51
Carey, R. M., Calhoun, D. A., Bakris, G. L., Brook, R. D., Daugherty, S. L., Dennison-Himmelfarb, C. R., Egan, B. M., Flack, J. M., Gidding, S. S., Judd, E., Lackland, D. T., Laffer, C. L., Newton-Cheh, C., Smith, S. M., Taler, S. J., Textor, S. C., Turan, T. N., & White, W. B. (2018). Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association. Hypertension, 72(5), Article 5. https://doi.org/10.1161/HYP.0000000000000084
Carey, R. M., Calhoun, D. A., Bakris, G. L., Brook, R. D., Daugherty, S. L., Dennison-Himmelfarb, C. R., Egan, B. M., Flack, J. M., Gidding, S. S., Judd, E., Lackland, D. T., Laffer, C. L., Newton-Cheh, C., Smith, S. M., Taler, S. J., Textor, S. C., Turan, T. N., White, W. B., & on behalf of the American Heart Association Professional/Public Education and Publications Committee of the Council on Hypertension; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Genomic and Precision Medicine; Council on Peripheral Vascular Disease; Council on Quality of Care and Outcomes Research; and Stroke Council. (2018). Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association. Hypertension, 72(5). https://doi.org/10.1161/HYP.0000000000000084
Chan, R. J., Helmeczi, W., & Hiremath, S. S. (2023). Revisiting Resistant Hypertension: A Comprehensive Review. Internal Medicine Journal, 53(10), Article 10. https://doi.org/10.1111/imj.16189
Chattranukulchai, P., Roubsanthisuk, W., Kunanon, S., Kotruchin, P., Satirapoj, B., Wongpraparut, N., Sunthornyothin, S., & Sukonthasarn, A. (2024). Resistant Hypertension: Diagnosis, Evaluation, and Treatment a Clinical Consensus Statement from the Thai Hypertension Society. Hypertension Research, 47(9), 2447–2455. https://doi.org/10.1038/s41440-024-01785-6
Cheng, T. O. (1999). Osler Maneuver to Detect Pseudohypertension. JAMA, 282(10), Article 10. https://doi.org/10-1001/pubs.JAMA
Cluett, J. L., Blazek, O., Brown, A. L., East, C., Ferdinand, K. C., Fisher, N. D. L., Ford, C. D., Griffin, K. A., Mena-Hurtado, C. I., Sarathy, H., Vongpatanasin, W., Townsend, R. R., & on behalf of the American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; Council on the Kidney in Cardiovascular Disease; and Council on Peripheral Vascular Disease. (2024). Renal Denervation for the Treatment of Hypertension: A Scientific Statement From the American Heart Association. Hypertension, 81(10). https://doi.org/10.1161/HYP.0000000000000240
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jurnal Teras Kesehatan
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish articles in Jurnal Teras Kesehatan agree to the following terms:
- Authors retain copyright of the article and grant the journal right of first publication with the work simultaneously licensed under a CC-BY-SA or The Creative Commons Attribution–ShareAlike License.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)