Hipertensi Resisten: Diagnosis dan Tatalaksana
DOI:
https://doi.org/10.38215/jtkes.v8i1.161Kata Kunci:
hipertensi, hipertensi resisten, pseudo-resistensi, penyakit kardiovaskularAbstrak
Hipertensi resisten masih menjadi salah satu masalah yang dihadapi oleh klinisi dalam praktek sehari-hari. Penegakan diagnosis hipertensi resisten memerlukan eksklusi adanya pseudo-resistensi. Kajian literatur ini bertujuan untuk mengetahui kriteria diagnosis hipertensi resisten dan tatalaksananya sehingga dapat menjadi acuan dalam manajemen terapi yang optimal. Metode yang dilakukan adalah melalui kajian literatur (literature review) dari artikel ilmiah hasil penelitian yang dipublikasikan di jurnal, data kementerian kesehatan, dan pedoman tatalaksana (guidelines), baik nasional maupun internasional. Literatur yang dikumpulkan berkaitan dengan data epidemiologi hipertensi, hipertensi resisten, diagnosis dan manajemen terapi. Pencarian data dilakukan melalui database Google Scholar, PubMed dan Scopus dengan memasukkan kata kunci. Hipertensi resisten didiagnosis bila tekanan darah belum terkontrol walaupun sudah mendapatkan obat anti hipertensi lebih dari 3 jenis dengan salah satunya golongan diuretik atau tekanan darah pasien baru terkontrol setelah mendapatkan ³4 jenis obat anti hipertensi. Manajemen terapi meliputi non-farmakologis, farmakologis dan intervensi device.
Unduhan
Referensi
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
Unduhan
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 JURNAL TERAS KESEHATAN
Artikel ini berlisensiCreative 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)
