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Abdul Hakim
"Latar belakang: Hipertensi dan prediabetes adalah komponen mayor sindroma metabolik dan juga faktor risiko penyakit kardiovaskular. Variabilitas tekanan darah menjadi salah satu faktor untuk penyakit kardiovaskular, beberapa data menunjukan peningkatan variabilitas tekanan darah berhubungan dengan meningkatnya kejadian stroke, penyakit jantung koroner, dan semua penyebab kematian. Variabilitas tekanan darah pada populasi prediabetes memiliki variabilitas yang lebih tinggi dibandingkan populasi normal.
Tujuan: Mengetahui efek pemberian metformin pada lisinopril selain sebagai obat oral antidiabetes memiliki efek antihipertensi dan pengaruh terhadap variabilitas tekanan darah pada populasi hipertensi dan prediabetes.
Metode: Penelitian ini merupakan uji klinis acak yang dilakukan di Rumah Sakit Jantung dan Pembuluh Darah Harapan Kita (RSJPDHK) pada karyawan yang hipertensi dengan prediabetes. Dibagi 2 kelompok yang mendapat Lisinopril 5 mg (terbuka) dan Metformin 2 x 500 mg (tersamar) atau plasebo selama 8 minggu. Dilakukan pemeriksaaan Home Blood Pressure Monitoring (HBPM) sebelum dan setelah terapi diberikan.
Hasil: Total terdapat 64 pasien menyelesaikan penelitian (31 kelompok plasebo, 33 kelompok metformin). Setelah 8 minggu follow up, variabilitas tekanan darah kelompok metformin memiliki variabilitas tekanan darah yang lebih rendah (3,8 ± 2,2 mmHg, p 0,03) dibandingkan kelompok plasebo. Perubahan rerata mean tekanan darah sistolik dan diastolik pagi kelompok metformin mengalami penurunan signifikan (p < 0,05 )
Kesimpulan: Penambahan metformin pada Subyek hipertensi dengan prediabetes yang mendapat lisinopril mengalami penurunan variabilitas tekanan darah pagi dan rerata tekanan darah pagi yang bermakna secara statistik.

Background: Hypertension and prediabetes are major components of metabolic syndrome and also risk factors for cardiovascular disease. Variability of blood pressure is one factor for cardiovascular disease, some data show an increase in blood pressure variability associated with increased incidence of stroke, coronary heart disease, and all causes of death. Blood pressure variability in the prediabetes population has a higher variability than the normal population.
Objective: To determine the effect of adding metformin to lisinopril as well as an oral antidiabetic drug that has antihypertensive effects and influence on blood pressure variability in the hypertensive population and prediabetes.
Method: This study was a randomized clinical trial conducted at National Cardiac Center Harapan Kita Hospital (NCCHK) in hypertensive employees with prediabetes. Divided into 2 groups that received Lisinopril 5 mg (open) and Metformin 2x500 mg (disguised) or placebo for 8 weeks. Examination of Home Blood Pressure Monitoring (HBPM) is carried out before and after therapy is given.
Results: A total of 64 patients completed the study (31 placebo groups, 33 metformin groups). After 8 weeks of follow-up, the blood pressure variability of the metformin group had lower blood pressure variability (3.8±2.2 mmHg, p=0.03) than in the placebo group. The mean change in mean systolic and diastolic blood pressure in the metformin group decreased significantly (p<0.05)
Conclusion: Addition of metformin to hypertensive subjects with prediabetes who received lisinopril decreased morning blood pressure variability and morning mean blood pressure which was statistically significant.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Lia Valentina Astari
"[ABSTRAK
Latar belakang. Patogenesis dari pre-diabetes terhadap vascular sudah terjadi sejak awal sebelum ada manifestasi klinis sehingga sudah seharusnya ditatalaksana sejak awal untuk mencegah komplikasi lanjut. Metformin sebagai terapi antihiperglikemik oral memiliki efek pleiotropik yang dapat memperbaiki disfungsi endotel pada keadaan resistensi insulin.
Metode. Penelitian ini merupakan suatu studi longitudinal observasi-intervensi non randomisasi. Observasi dilakukan pada 62 pasien hipertensi dan IGT di Pusat Jantung Nasional Harapan Kita dari bulan Agustus 2014 hingga bulan Januari 2015. Pasien dibagi menjadi tiga kelompok yaitu plasebo (n=18 orang), kelompok metformin 1x500 mg (n=21 orang) dan kelompok metformin 2x500 mg (n=23 orang). Pemeriksaan FMD diambil dua kali (0 dan 3 bulan). Dilakukan analisis statistik untuk menilai efek pemberian Metformin yang dinilai dengan delta FMD dan melihat perbandingan efektifitas dosis 1x500 mg dibandingkan dengan dosis 2x500 mg.
Hasil. Tidak terdapat perbedaan bermakna pada data dasar ketiga kelompok dalam hal umur, jenis kelamin dan terapi hipertensi yang diberikan. Nilai delta FMD menunjukkan peningkatan yang signifikan pada kelompok Metformin 2x500 mg (p <0,001). Analisa regresi linear (adjusted analysis; sesuai usia, jenis kelamin, riwayat merokok dan BMI) menunjukkan koefisiensi 0,89 dengan nilai p 0,394 pada kelompok metformin 1x500 mg dan koefisien 7,88 dengan nilai p <0,001 pada kelompok metformin 2x500 mg.
Kesimpulan. Pemberian Metformin 2x500 mg pada subjek pre-diabetes dengan hipertensi dapat memperbaiki fungsi endothel pembuluh darah yang ditandai dengan perbaikan nilai FMD setelah 3 bulan.

ABSTRACT
Background : The vascular effect of insulin resistance had been known to cause serious damage on endothelial function, especially nitric oxide (NO) system, that may cause an earlier onset of cardiovascular disease.
Objective : To explore the pleiotropic effect of Metformin on improving endothelial function.
Method and Results : A quasi experimental study of 62 hypertensive and pre-diabetic (IGT) patients showed a significant improvement of Flow Mediated Dilatation (FMD) within 3 months in those who received added theraphy of Metformin 500 mg twice daily (n=23) on their routine anti-hypertensive drugs (p<0,001). It also showed a moderate correlation between improvement of FMD that reflects the endothelial function with good achivement of targeted blood pressure (R 0,421). Linear regression analysis (adjusted analysis to confounder factors such as age, sex, BMI, history of smoking, aspilet added therapy, anti-hypertensive drugs) showed Metformin as the only factor that influenced the improvement FMD (OR 7,88; p<0,001).
Conclusion : This study showed that Metformin 2x500 mg as an add-on therapy in hypertensive pre-diabetic subject plays a positive role in improving the endothelial function as seen on the FMD measurement, Background : The vascular effect of insulin resistance had been known to cause serious damage on endothelial function, especially nitric oxide (NO) system, that may cause an earlier onset of cardiovascular disease.
Objective : To explore the pleiotropic effect of Metformin on improving endothelial function.
Method and Results : A quasi experimental study of 62 hypertensive and pre-diabetic (IGT) patients showed a significant improvement of Flow Mediated Dilatation (FMD) within 3 months in those who received added theraphy of Metformin 500 mg twice daily (n=23) on their routine anti-hypertensive drugs (p<0,001). It also showed a moderate correlation between improvement of FMD that reflects the endothelial function with good achivement of targeted blood pressure (R 0,421). Linear regression analysis (adjusted analysis to confounder factors such as age, sex, BMI, history of smoking, aspilet added therapy, anti-hypertensive drugs) showed Metformin as the only factor that influenced the improvement FMD (OR 7,88; p<0,001).
Conclusion : This study showed that Metformin 2x500 mg as an add-on therapy in hypertensive pre-diabetic subject plays a positive role in improving the endothelial function as seen on the FMD measurement]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Rezavitawanti
"Berdasarkan Riskesdas 2018 terjadi peningkatan tren dari obesitas sentral yaitu 31,0% dibandingkan tahun 2013 sebesar 26,6%. Seiring dengan meningkatnya prevalensi obesitas sentral dapat meningkatkan penyakit degeneratif antara lain diabetes mellitus. Sebelum terjadinya diabetes pada seseorang maka didahului oleh suatu keadaan yang disebut prediabetes. Prevalensi prediabetes lebih besar dibandingkan prevalensi diabetes mellitus. Menurut Data IDF 2021 orang dewasa yang dapat mengalami TGT sebesar 10,6% pada tahun 2021, dan diperkirakan akan meningkat menjadi 11,4% pada tahun 2045. Adapun yang dapat mengalami GDPT sebesar 6,2% pada tahun 2021 dan diperkirakan meningkat menjadi 6,9% pada tahun 2045. Hasil Riskesdas 2018, penduduk usia 15 tahun ke atas yang dapat mengalami TGT sebesar 30,8% sedangkan yang dapat mengalami GDPT sebesar 26,3%. Hasil Riset Kesehatan Dasar (Riskesdas) tahun 2007 menunjukkan bahwa prevalensi prediabetes hampir dua kali lipat dari prevalensi Diabetes Melitus tipe 2 yaitu sebesar 10,2%. Penelitian ini bertujuan untuk mengetahui hubungan obesitas sentral dengan kejadian prediabetes di Puskesmas Jati Ranggon Kota Bekasi tahun 2023. Penelitian ini menggunakan desain studi cross sectional dengan data sekunder Puskesmas Jati Ranggon . Jumlah sampel 1241 orang yang memenuhi kriterian inklusi dan eksklusi dalam penelitian ini. Analisis data menggunakan cox regression. Prevalensi prediabtes sebesar 18,8%. Pada model akhir penelitian ini diketahui bahwa obesitas sentral mempunyai hubungan terhadap kejadian prediabetes setelah dikontrol dengan obesitas umum dengan nilai p=<0,001 dan PR=1,87 (95% CI; 1,40- 2,50).

Based on Riskesdas 2018, there was an increasing trend in central obesity, namely 31.0% compared to 2013, which was 26.6%. Along with the increasing prevalence of central obesity, degenerative diseases, including diabetes mellitus, can increase. Before diabetes occurs in a person, it is preceded by a condition called prediabetes. The prevalence of prediabetes is greater than the prevalence of diabetes mellitus. According to IDF 2021 data, adults who can experience TGT are 10.6% in 2021, and it is estimated that this will increase to 11.4% in 2045. Meanwhile, those who can experience GDPT are 6.2% in 2021 and are estimated to increase to 6 .9% in 2045. The 2018 Riskesdas results showed that 30.8% of the population aged 15 years and over could experience TGT, while 26.3% could experience GDPT. The results of Basic Health Research (Riskesdas) in 2007 showed that the prevalence of prediabetes was almost double the prevalence of type 2 diabetes mellitus, namely 10.2%. This study aims to determine the relationship between central obesity and the incidence of prediabetes at the Jati Ranggon Community Health Center, Bekasi City in 2023. This research uses a cross-sectional study design with secondary data from the Jati Ranggon Public Health Center. The total sample was 1241 people who met the inclusion and exclusion criteria in this study. Data analysis uses cox regression. The prevalence of prediabetes was 18.8%. In the final model of this study, it is known that central obesity has a relationship with the incidence of prediabetes after controlling for general obesity with a value of p=<0.001 and PR=1.87 (95% CI; 1.40-2.50)."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2024
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
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Sri Wahyuni Dewanti
"Rendahnya kepatuhan dan self efficacy menjadi masalah yang signifikan untuk penggunaan obat hipertensi. Keterbatasan tenaga kesehatan menyebabkan pemberian informasi sulit dilakukan. Tujuan penelitian ini adalah untuk mengevaluasi efektivitas konseling dibandingkan dengan leaflet terhadap peningkatan self efficacy dan kepatuhan pasien serta penurunan tekanan darah pasien menggunakan obat hipertensi di Puskesmas Pancoran Mas dan Puskesmas Beji Depok. Rancangan penelitian ini menggunakan quasi eksperimen. Pengambilan data dilakukan dari bulan Maret sampai Juni 2013 dengan 37 pasien pada kelompok yang mendapatkan konseling dan 36 pasien pada kelompok yang mendapatkan leaflet. Penilaian self efficacy menggunakan skala MUSE dan untuk kepatuhan menggunakan MMAS 8.
Hasil penelitian menunjukkan konseling dan leaflet dapat meningkatkan self efficacy (P=0,000) dan kepatuhan (P=0,000) pasien, serta dapat menurunkan tekanan darah sistol (P=,010) pada kelompok konseling dan menurunkan tekanan darah sistol (P=0,000) maupun diastol (P=0,019) pada kelompok leaflet. Tidak ada perbedaan antara kelompok konseling dan leaflet dalam meningkatkan self efficacy (P=0,401) dan kepatuhan pasien P=(0,374) serta menurunkan tekanan sistol (P=0,663) dan tekanan diastol (P=0,466).

Low adherence and self efficacy was significant problem for using medication. However, the limitation of medical personnel makes medical information service is very hard to be done. The research purpose was to evaluate the effectiveness of counselling and leaflet againts self efficacy and adherence as well as the blood pressure of hypertension patients using the medication in Puskesmas Beji and Puskesmas Pancoran Mas Depok. Data collection was conducted from March to June 2013 with with 37 patients in the group receiving counseling and 36 patients in the group receiving leaflets. Self efficacy assessment using MUSE scale and adherence using the MMAS 8.
The result showed that counselling and leaflet can increase patient adherence (P=0.000) and self efficacy (P=0.000) and can lower systolic blood pressures (P=0.010) in group counseling and lowers systolic (P=0.000) and diastolic blood (P=0.019) pressure in the leaflet group. There was no difference between group counseling and leaflets to increase self-efficacy (P= 0.401) and patient adherence (P=0.374) and lower systolic pressure (P = 0.663) and diastolic pressure (P = 0.466).
"
Depok: Fakultas Farmasi Universitas Indonesia, 2013
T35256
UI - Tesis Membership  Universitas Indonesia Library
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Oktorilla Fiskasianita
"Tidur yang cukup merupakan kebutuhan dasar yang sangat dibutuhkan untuk pemeliharaan fungsi kardiovaskular. Penelitan ini merupakan penelitian descriptive correlative dengan desain studi cross sectional yang bertujuan mengidentifikasi hubungan antara kualitas tidur dengan tekanan darah pada pasien hipertensi. Penelitian dilakukan di Puskesmas Beji-Depok terhadap 97 pasien hipertensi rawat jalan yang dipilih dengan teknik consecutive sampling. Kualitas tidur diukur menggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI), sedangkan tekanan darah diukur menggunakan sphygmomanometer digital.
Hasil penelitian menunjukkan mayoritas responden yaitu sebanyak 87 orang (89,7 %) memiliki kualitas tidur buruk (PSQI ≥ 5), sedangkan hanya 10 orang (10,3 %) memiliki kualitas tidur baik (PSQI ≤ 5). Rata-rata tekanan darah responden secara keseluruhan 145,19/86,15 mmHg. Hasil analisis uji T independent menunjukan secara statistik tidak ada hubungan yang signifikan antara kualitas tidur dengan tekanan darah. Namun, secara klinis hasil analisis data menunjukkan responden yang memiliki kualitas tidur buruk memiliki tekanan darah lebih tinggi daripada responden yang memiliki kualitas tidur baik dengan mean differece sistolik sebesar 6,228 mmHg dan mean difference diastolik 4,409 mmHg.

Adequate sleep is a basic need which is important to maintain cardiovascular system function. It is a descriptive correlative study using cross sectional approach which aims to identify the relationship between sleep quality and blood pressure on hypertensive patient. The research was conducted in Public Health Center of Beji-Depok towards 97 participants recruited using consecutive sample method. Sleep quality is measured using Pittsburgh Sleep Quality Index (PSQI) and blood pressure is measured using digital sphygmomanometer.
The result shows that 83 participants (89.7 %) have poor sleep quality (PSQI ≥ 5) while only 10 partcipants (10.3 %) have good sleep quality (PSQI ≤ 5). The average blood pressure of all participants is 145.19/86.15 mmHg. Statistical analysis using T independent test shows there is no significant relationship between sleep quality and blood pressure. However, in clinical basis the result shows a significant difference. Clinically speaking, participants with poor sleep quality indicates higher blood pressure compare to those with better sleep quality with systolic mean difference of 6.228 mmHg and diastolic mean difference of 4.409 mmHg.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
S47215
UI - Skripsi Membership  Universitas Indonesia Library
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I Made Putra Swi Antara
"Latar Belakang. Hipertensi merupakan faktor utama penyebab gagal jantung yang saat ini sudah menjadi pandemi dunia, terutama dalam bentuk gagal jantung dengan preservasi fraksi ejeksi ventrikel. Kontrol terhadap hipertensi secara tradisional dilakukan berdasarkan pemeriksaan rutin ke fasilitas kesehatan yang diikuti dengan pengaturan terapi yang diberikan. Saat ini pengukuran tekanan darah rumah ditempatkan sebagai pemeriksaan tambahan yang dapat memberikan informasi tambahan mengenai kontrol tekanan darah sehingga mencegah terjadinya kerusakan target organ. Penelitian ini bertujuan untuk mengevaluasi hubungan antara nilai pengukuran tekanan darah rumah dengan derajat disfungsi diastolik sebagai indikator kerusakan target organ.
Metode. Studi potong lintang yang dilakukan di Departemen Kardiologi dan Kedokteran Vaskular FK UI / RS Pusat Jantung Nasional Harapan Kita, Jakarta pada kelompok pasien hipertensi dari poliklinik rawat jalan yang telah mendapatkan terapi rutin. Pengukuran tekanan darah rumah dilakukan dengan alat yang terstandarisasi. Pemeriksaan ekokardiografi lengkap terhadap parameter diastolik dilakukan dan dikelompokkan berdasarkan derajat disfungsi diastoliknya.
Hasil. Sebanyak 56 pasien ikut dianalisa dalam penelitian ini, dengan rerata umur subyek adalah 51,2 + 7,2 thn dan sebagian besar wanita (58,9%). Didapatkan disfungsi diastolik derajat I pada 11 subyek (19,6%), derajat II pada 19 subyek (33,9%). Parameter fungsi diastolik E/A memiliki hubungan linear yang paling signifikan terhadap TD Rumah sistolik setelah dikontrol terhadap usia, jenis kelamin, IMT, dan DM (R2=0,27;p<0,01). Uji ANOVA menemukan perbedaan rerata TD Rumah Sistolik yang signifikan antara fungsi diastolik normal dan disfungsi diastolik derajat 2 (p=0,02). Uji regresi logistik menemukan perbedaan yang signifikan antara TD Rumah sistolik <127 mmHg dengan TD >135 dengan OR 12,68 (IK 2.03-79.08;p<0.01).
Kesimpulan. Pengukuran TD Rumah Sistolik memiliki hubungan signifikan terhadap derajat disfungsi diastolik. Gangguan parameter fungsi diastolik dapat terjadi pada tekanan darah yang lebih rendah daripada target yang umum digunakan saat ini.

Background. Hypertension the main factor leading to heart failure which has become a world pandemic, especially in the form of heart failure with preserved ejection fraction. Traditional control for hypertension comprise of regular outpatient clinic visits followed by adjustment of the drug regimen. Recently, home blood pressure monitoring has been been accepted as an additional tool to provide more information on blood pressure control and prevent target organ damage. This study aim to evaluate the relationship between home blood pressure measurement with the degree of diastolic dysfunction as an indicator of target organ damage.
Methods. A cross-sectional study performed at Cardiology and Vascular Medicine Department FK UI / National Cardiac Centre Harapan Kita, Jakarta, on a group of hypertensive patients in the outpatient clinic currently receiving active treatment. Home blood pressure measurement are performed with a standarized device. Full echocardiography study on diastolic function parameters are performed and grouped based on the diastolic dysfunction grade criteria.
Result. Fifty six patients are enrolled in this study with average age of 51,2 + 7,2 y.o. which are mostly women (58,9%). Grade I diastolic dysfunction was found in 11 subjects (19,6%), Grade II on 19 subjects (33,9%). One parameter of diastolic dysfunction, E/A ratio, have the strongest linear correlation with systolic HBP after adjusted for age, sex, BMI, and DM (R2=0,27;p<0.01). ANOVA test found a significant difference on mean of systolic HBPM between normal and grade II diastolic dysfunction (p=0.02). Logistic regression test showed significant difference between <127 and >135 mmHg of systolic HBPM with OR 12,68 (CI 2.03-79.08;p<0.01).
Conclusion. Systolic HBPM have a significant relationship to the degree of diastolic dysfunction. A worsening of diastolic function parameter can occur on a level of blood pressure lower then the target level commonly used today.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
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Syamsyuriyana Sabar
"ABSTRAK
Isometric Handgrip Exercise merupakan salah satu terapi non farmakologis yang dikembangkan untuk menurunkan tekanan darah pasien hipertensi. Penelitian ini bertujuan untuk mengidentifikasi pengaruh isometric handgrip exercise terhadap perubahan tekanan darah pasien hipertensi. Desain penelitian quasi experiment dengan pendekatan control group pretest posttest design pada 44 responden meliputi kelompok kontrol dan kelompok intervensi. Kelompok intervensi mendapatkan latihan handgrip selama 3 menit, sekali sehari dan dilakukan selama 5 hari. Kedua kelompok dilakukan pengukuran tekanan darah sebelum dan setelah latihan pada hari 1 dan ke 5. Hasil penelitian menunjukkan bahwa ada pengaruh isometric handgrip exercise (IHG) terhadap perubahan tekanan darah pasien hipertensi. kesimpulan penelitian ini adalah isometric handgrip exercise secara bermakna dapat menurunkan tekanan darah sistolik dan tekanan darah diastolik. Hasil penelitian ini diharapakan menjadi dasar isometric handgrip exercise (IHG) sebagai intervensi keperawatan yang mandiri dan inovatif pada asuhan keperawatan klien dengan hipertensi

ABSTRACT
An Isometric Handgrip Exercise is one of the non-pharmacological therapies that is developed to lower blood pressure in hypertensive patients. The aim of the study was to identify the effect of isometric handgrip exercise on changes in blood pressure in hypertensive patients. A Quasi experimental research design approach pretest posttest control group design was employed with 44 respondents included control and intervention groups. The intervention group got handgrip exercise for 3 minutes, once a day and performed for 5 days. Both groups performed measurements of blood pressure before and after exercise on days 1 and 5. The results showed that there is influence of isometric handgrip exercise on changes in blood pressure in hypertensive patients. Conclusion of this study is the isometric handgrip exercise (IHG) can significantly lower systolic blood pressure and diastolic blood pressure. The result of this study recommended that isometric handgrip exercise (IHG) can bean independen and innovative therapeutic nursing intervension in nursing care of patients with hypertension.
"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
T42776
UI - Tesis Membership  Universitas Indonesia Library
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Yusak Alfrets Porotuo
"ABSTRAK
Latar belakang. Hipertensi merupakan salah satu kondisi yang paling banyak
ditemukan pada pelayanan kesehatan primer yang dapat meningkatkan mortalitas dan
morbidita apabila tidak mendapatkan pengobatan yang tepat. Beberapa penelitian
menunjukkan respon penurunan tekanandarah pada ras kulit hitam berbeda dibanding
ras kulit putih dengan antihipertensi golongan penyekat EKA, hal ini ditunjang
dengan perbedaan PRA pada kedua kelompok ras ini. Belum terdapat data tentang
respon tekanan darah pasien hipertensi ras melanesiadengan pemberian penyekat
EKA yang ditunjang dengan pemeriksaan kadar PRA pada kelompok ras ini.
Objektif. Menilai apakah terdapat perbedaan respon terapi terhadap penyekat enzim
konversi angiotensin (EKA) pada pasien hipertensi ras melanesia dan ras non
melanesia.
Metode. Penelitian ini adalah penelitian kohort prospektif yangdilakukan di kota
Jayapura bulan September-November 2015terhadap 85 subyek usia 30 sampai 55
tahun dengan hipertensi yang belum pernah diobati sebelumnya. Subyek terbagi atas
2 grup yaitu ras Melanesia (n=34) dan ras Non Melanesia(n=51). Kedua grup tersebut
diberikan lisinopril dosis awal 5 mg. Pemeriksaan tekanan darah dilakukan pada awal
dan diulangi setiap 7 hari selama 4 minggu berturut-turut.
Hasil. Terdapat perbedaan respon tekanan darah pasien hipertensi ras Melanesia dan
ras Non Melanesia. Perbedaan tekanan darah sistolik sebesar 24,5 ± 9,4 mmHg pada
subyek ras Melanesia dan pada subyek Non Melanesia sebesar 34,5 ± 13,5 mmHg
(p<0,001). Perbedaan tekanan darah diastolik subyek ras Melanesia sebesar 13,3±5,5
mmHg dan pada subyek Non Melanesia sebesar 22,6±9,3 mmHg (p<0,001).
Perbedaan tekanan rerata arteri pada subyek ras Melanesia sebesar 17,1±5,6 mmHg
dan pada subek ras Non Melanesia sebesar 26,21±8,8 mmHg (p<0,001). Reratakadar
Plasma Renin Activity (PRA) pada subyek ras Melanesia sebesar 1,48[1,86]
ng/ml/jam dan pada subyek ras Non Melanesia rerata kadar PRA sebesar 1,1[1,47]
ng/ml/jam. Tidak terdapat hubungan yang bermakna rerata kadar PRA pada kedua
kelompok ras ini (p=0,564).
Kesimpulan. Terdapat perbedaan penurunan tekanan darah (sistolik, diastolik dan
tekanan rerata arteri) dengan pemberian penyekat EKA pada kelompok ras Melanesia
dan kelompok ras Non Melanesia dan hal ini tidak berhubungan bermakna dengan
rerata kadar PRA pada kedua kelompok ini sehingga kemungkinan terdapat faktor lain yang mempengaruhi respon penurunan tekanan darah dengan penyekat EKA.ABSTRACT
Hypertension is one of the most commonconditionsin primary health
care that increase mortality and morbidity if it does not receive appropriate therapy.
Several studies show that blacks response differently compared with white in
conjunction with a decrease of blood pressure in response to administer ACE
inhibitor. The studies supported by PRA differences in both group of race. There are
no data ofblood pressure response in hypertensive patientsinMelanesian race by
administeringACE inhibitor supported withPRA levels examination in thisgroup of
race.
Objective. To compare therapeutic response ofangiotensin converting enzyme
blockers (ACE)inhibitorinreducing blood pressure between MelanesianandNon
Melanesian hipertensive patients.
Method. This study is a prospective cohort study conducted in the city of
Jayapura September to November 2015. We found85 subjects aged 30 to 55 years
oldwith hypertensionnever be treated before. Subjects are divided into two
groups, namely the Melanesian race (n = 34) and non Melanesian race (n = 51).
Both groups were given an initial dose of 5 mg of lisinopril. Blood pressure
checks performed at baseline and repeated every 7 days for 4 weeks in a row.
Results. There are differences in the response of blood pressure in hypertensive
patientofMelanesian race and Non Melanesiarace. Reduction ofsystolic blood
pressure of 24.5 ± 9.4 mmHg in subject Melanesian race and on the subject of
Non Melanesian 34.5 ± 13.5 mmHg (p < 0.001). Reduction ofdiastolic blood
pressure of subjectsMelanesians of 13.3 ± 5.5 mmHg, and on the subject of Non
Melanesia 22.6 ± 9.3 mmHg (p<0.001). Reduction ofmean arterial pressure in
subjectMelanesian race at 17.1 ± 5.6 mmHg andNon Melanesian race at 26.21 ±
8.8 mmHg (p < 0.001). Mean Plasma Renin Activity (PRA) on the subject of the
Melanesian race at 1.48 [1.86] ng/ml/h and on the subject of nonMelanesian race
PRA average level of 1.1 [1.47] ng/ml/hr. There was no significant relationship
mean PRA levels in both these racial groups (p = 0.564).
Conclusion. There aredifferences in blood pressure reduction (systolic, diastolic
pressure and mean arterial pressure) with administer of ACE inhibitor in
Melanesianand Non Melanesiagroup of race. There is no significant relation with
averagePRAlevels in both group of race. Another factors affectsresponses of reduction blood pressure with administer ofACEinhibitor may be considered.;Background. Hypertension is one of the most commonconditionsin primary health
care that increase mortality and morbidity if it does not receive appropriate therapy.
Several studies show that blacks response differently compared with white in
conjunction with a decrease of blood pressure in response to administer ACE
inhibitor. The studies supported by PRA differences in both group of race. There are
no data ofblood pressure response in hypertensive patientsinMelanesian race by
administeringACE inhibitor supported withPRA levels examination in thisgroup of
race.
Objective. To compare therapeutic response ofangiotensin converting enzyme
blockers (ACE)inhibitorinreducing blood pressure between MelanesianandNon
Melanesian hipertensive patients.
Method. This study is a prospective cohort study conducted in the city of
Jayapura September to November 2015. We found85 subjects aged 30 to 55 years
oldwith hypertensionnever be treated before. Subjects are divided into two
groups, namely the Melanesian race (n = 34) and non Melanesian race (n = 51).
Both groups were given an initial dose of 5 mg of lisinopril. Blood pressure
checks performed at baseline and repeated every 7 days for 4 weeks in a row.
Results. There are differences in the response of blood pressure in hypertensive
patientofMelanesian race and Non Melanesiarace. Reduction ofsystolic blood
pressure of 24.5 ± 9.4 mmHg in subject Melanesian race and on the subject of
Non Melanesian 34.5 ± 13.5 mmHg (p < 0.001). Reduction ofdiastolic blood
pressure of subjectsMelanesians of 13.3 ± 5.5 mmHg, and on the subject of Non
Melanesia 22.6 ± 9.3 mmHg (p<0.001). Reduction ofmean arterial pressure in
subjectMelanesian race at 17.1 ± 5.6 mmHg andNon Melanesian race at 26.21 ±
8.8 mmHg (p < 0.001). Mean Plasma Renin Activity (PRA) on the subject of the
Melanesian race at 1.48 [1.86] ng/ml/h and on the subject of nonMelanesian race
PRA average level of 1.1 [1.47] ng/ml/hr. There was no significant relationship
mean PRA levels in both these racial groups (p = 0.564).
Conclusion. There aredifferences in blood pressure reduction (systolic, diastolic
pressure and mean arterial pressure) with administer of ACE inhibitor in
Melanesianand Non Melanesiagroup of race. There is no significant relation with
averagePRAlevels in both group of race. Another factors affectsresponses of reduction blood pressure with administer ofACEinhibitor may be considered.;Background. Hypertension is one of the most commonconditionsin primary health
care that increase mortality and morbidity if it does not receive appropriate therapy.
Several studies show that blacks response differently compared with white in
conjunction with a decrease of blood pressure in response to administer ACE
inhibitor. The studies supported by PRA differences in both group of race. There are
no data ofblood pressure response in hypertensive patientsinMelanesian race by
administeringACE inhibitor supported withPRA levels examination in thisgroup of
race.
Objective. To compare therapeutic response ofangiotensin converting enzyme
blockers (ACE)inhibitorinreducing blood pressure between MelanesianandNon
Melanesian hipertensive patients.
Method. This study is a prospective cohort study conducted in the city of
Jayapura September to November 2015. We found85 subjects aged 30 to 55 years
oldwith hypertensionnever be treated before. Subjects are divided into two
groups, namely the Melanesian race (n = 34) and non Melanesian race (n = 51).
Both groups were given an initial dose of 5 mg of lisinopril. Blood pressure
checks performed at baseline and repeated every 7 days for 4 weeks in a row.
Results. There are differences in the response of blood pressure in hypertensive
patientofMelanesian race and Non Melanesiarace. Reduction ofsystolic blood
pressure of 24.5 ± 9.4 mmHg in subject Melanesian race and on the subject of
Non Melanesian 34.5 ± 13.5 mmHg (p < 0.001). Reduction ofdiastolic blood
pressure of subjectsMelanesians of 13.3 ± 5.5 mmHg, and on the subject of Non
Melanesia 22.6 ± 9.3 mmHg (p<0.001). Reduction ofmean arterial pressure in
subjectMelanesian race at 17.1 ± 5.6 mmHg andNon Melanesian race at 26.21 ±
8.8 mmHg (p < 0.001). Mean Plasma Renin Activity (PRA) on the subject of the
Melanesian race at 1.48 [1.86] ng/ml/h and on the subject of nonMelanesian race
PRA average level of 1.1 [1.47] ng/ml/hr. There was no significant relationship
mean PRA levels in both these racial groups (p = 0.564).
Conclusion. There aredifferences in blood pressure reduction (systolic, diastolic
pressure and mean arterial pressure) with administer of ACE inhibitor in
Melanesianand Non Melanesiagroup of race. There is no significant relation with
averagePRAlevels in both group of race. Another factors affectsresponses of reduction blood pressure with administer ofACEinhibitor may be considered."
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Makalah dan Kertas Kerja  Universitas Indonesia Library
cover
Edrian
"Latar belakang. Pengukuran tekanan darah di klinik (TDK) saat ini masih dianggap sebagai metoda referensi dalam mendiagnosis dan follow-up pasien hipertensi,tetapi disebabkan adanya fenomena white-coat hypertension dan masked hypertension terlihat semakin jelas informasi yang diberikan seringkali tidak adekuat tentang status tekanan darah pasien yang sebenarnya. Hipertensi sendiri dikaitkan dengan kerusakan target organ dan salah satu diantaranya ke organ ginjal. Pemeriksaan indeks resistensi renalis (RRI) dapat menjadi prediktor disfungsi ginjal dan dapat mencerminkan tingkat aterosklerosis sistemik. Khususnya pada kasus hipertensi, peningkatan RRI dihubungkan dengan berat dan lama nya durasi hipertensi esensial. Tujuan dari penelitian ini adalah melihat nilai pengukuran tekanan darah di rumah (TDR) dibandingkan TDK dalam memprediksi nilai RRI.
Metode. Tujuh puluh dua pasien hipertensi dalam terapi obat antihipertensi diambil secara konsekutif untuk studi potong lintang ini, mulai bulan Maret hingga Mei 2013 di poli rawat jalan Pusat Jantung Nasional Harapan Kita, Jakarta. Pasien menjalani pemeriksaan TDK saat kontrol dan TDR dilakukan selama 4 hari dimana keduanya memakai alat osilometri yang tervalidasi. Pemeriksaan Doppler renal dilakukan pada semua pasien untuk mendapatkan nilai RRI.
Hasil. Uji korelasi antara nilai TDR dan TDK mempunyai korelasi yang baik untuk sistolik maupun diastolik (r = 0,48/0,45 , p < 0,001). Pada uji korelasi regresi didapatkan korelasi yang bermakna antara nilai sistolik TDR dengan nilai RRI (r=0,118 dengan p=0,032), dan korelasi ini tidak signifikan baik untuk sistolik TDK, dan diastolik baik TDK dan TDR. Dari uji multipel regresi melihat prediktor independen terhadap nilai RRI didapatkan nilai sistolik TDR merupakan prediktor independen.
Kesimpulan. Penelitian ini menunjukkan bahwa TDR merupakan prediktor yang baik dari nilai RRI sebagai penilaian kerusakan target organ, dan metode ini lebih superior dibandingkan TDK.

Introduction. Office blood pressure monitoring still considered as method of reference for diagnosing an follow up hypertension patients, but due to white coat hypertension and masked hypertension it seems the information inadequate for the real blood pressure status. Hypertension itself was related to target organ damage and one of them is renal damage. Renal Resistive index (RRI) can be a predictor of renal dysfunction and it reflect sistemic atherosclerosis. Especially for hypertension, increase of RRI is related to severity and duration of essential hypertension. Our objective was to assess the value of home blood pressure (HBP) monitoring in comparison to office blood pressure in predicting renal resistive index value(RRI).
Methods. Seventy two hypertension patients on medication was consecutively included in our cross sectional study, starting from March to Mei 2013 at National Cardiac Centre Harapan Kita Hospital Outpatient clinic. Office Blood pressure was measured when patients controlled to the clinic and HBP was measured for 4 workdays with the same validated electronic device. Renal Doppler was performed to measured RRI value.
Results. Correlation test between HBP and OBP showed a good correlation for systolic and diastolic (r=0,48/0,45, p<0,001). The correlation regretion test showed a good correlation between systolic HBP with renal resistive index (r=0,118 with p=0,032), and this correlation was not significant for systolic OBP, and diastolic OBP and HBP. In multiple regression analysis assessing independent predictor for RRI, systolic HBP was seen as the only independent predictor.
Conclusions. This result suggest that home BP was a better predictor of RRI as assessment for target organ damage, and this method was superior compared to the blood pressure measurement at the clinic.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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UI - Tugas Akhir  Universitas Indonesia Library
cover
Jeane Andini
"Hipertensi merupakan masalah utama kesehatan masyarakat di Indonesia. Dari Riskesdas tahun 2007 dilaporkan prevalensi penduduk Indonesia usia di atas 18 tahun yang menderita hipertensi mencapai 31,7%. Hipertensi seringkali disertai perubahan-perubahan metabolik, salah satunya dislipidemia.
Penelitian ini bertujuan untuk membuktikan hubungan kadar High Density Lipoprotein (HDL) terhadap kendali tekanan darah pada pasien hipertensi. Penelitian dilaksanakan dengan metode cross sectional menggunakan data sekunder dari 117 rekam medis pasien hipertensi poliklinik penyakit dalam RSUPN Dr. Cipto Mangunkusumo Jakarta. Uji hipotesis dilakukan menggunakan uji Chi-square.
Dari hasil penelitian didapatkan jumlah pasien hipertensi tidak terkendali sebanyak 48 pasien (41%). Jumlah pasien hipertensi tidak terkendali dengan kadar HDL rendah sebanyak 11 pasien (61,1%), sedangkan jumlah pasien hipertensi terkendali dengan kadar HDL rendah sebanyak 7 pasien (38,9%).
Dari penelitian ini didapatkan proporsi pasien hipertensi tidak terkendali dengan kadar HDL rendah secara signifikan lebih besar dibandingkan pasien hipertensi terkendali dengan kadar HDL rendah, namun nilai p=0,060 (p>0,05) yang didapatkan menyimpulkan bahwa secara statistik tidak ada hubungan bermakna antara kadar HDL terhadap kendali tekanan darah pada pasien hipertensi poliklinik penyakit dalam RSUPN Dr. Cipto Mangunkusumo Jakarta.

Hypertension is a major public health problem in Indonesia. Riskesdas 2007 reported the prevalence of Indonesia's population aged over 18 years who suffering hypertension achieve 31.7%. Hypertension is often accompanied by metabolic changes, one of them is dyslipidemia.
This study aims to prove the association of High Density Lipoprotein (HDL) level to blood pressure control in hypertensive patients. Research is carried out by cross sectional method using secondary data from 117 medical records of hypertensive patients at internal medicine clinic Cipto Mangunkusumo general hospital. Hypothesis testing is done using the Chi-square test.
From the results, the number of uncontrolled hypertensive patients were 48 patients (41%). The number of uncontrolled hypertensive patients with low HDL level were 11 patients (61.1%), while the number of controlled hypertensive patients with low HDL level were 7 patients (38.9%).
From this study, the proportion of uncontrolled hypertensive patients with low HDL level is significantly greater than controlled hypertensive patients with low HDL level, but the value of p = 0.060 (p> 0.05) were obtained concluded that no statistically significant relationship between the level of HDL to blood pressure control in hypertesive patients at internal medicine clinic Cipto Mangunkusumo general hospital.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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UI - Skripsi Membership  Universitas Indonesia Library
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