Dr Ginova Nainggolan Sp PDKGH Instansi Divisi Ginjal

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Dr. Ginova Nainggolan, Sp. PD-KGH Instansi : Divisi Ginjal Hipertensi Departemen Ilmu Penyakit Dalam

Dr. Ginova Nainggolan, Sp. PD-KGH Instansi : Divisi Ginjal Hipertensi Departemen Ilmu Penyakit Dalam FK UI/RSCM Jakarta Pendidikan : Dokter : FK UI, 1985 Spesialis Penyakit Dalam : FK UI, 1996 Konsultan Ginjal Hipertensi : PAPDI, 2003 Organisasi : IDI : Anggota PAPDI : Anggota PERNEFRI : Sekretaris Umum ISN : Anggota

Hipertensi Pada Kelainan Ginjal Dr. Ginova Nainggolan Divisi Ginjal Hipertensi Departemen Penyakit Dalam RSCM/FKUI

Hipertensi Pada Kelainan Ginjal Dr. Ginova Nainggolan Divisi Ginjal Hipertensi Departemen Penyakit Dalam RSCM/FKUI

Telur ayam • Hipertensi kelainan ginjal • Kelainan ginjal hipertensi

Telur ayam • Hipertensi kelainan ginjal • Kelainan ginjal hipertensi

Prevalence in Indonesia • 31, 7 % in Indonesian population has hypertension • 14,

Prevalence in Indonesia • 31, 7 % in Indonesian population has hypertension • 14, 9% of population in Kepulauan Riau province has stroke • Management of hypertension is important skilll for Indonesian physician. RISKESDAR 2007

Hypertension Awareness, Treatment and Control Joffres MR, Hamet P, Mac. Lean DR, L’italien GJ,

Hypertension Awareness, Treatment and Control Joffres MR, Hamet P, Mac. Lean DR, L’italien GJ, Fodor G. Distribution of blood pressure and hypertension in Canada and the United States. Am J Hypertens. 2001; 14(11): 1099 -1105. Leenen FHH, Dumais J, Mc. Innis NH, Turton P, Stratychuk L, Nemeth K, Lum-Kwong MM, Fodor G. Results of the Ontario Survey on the Prevalence and Control of Hypertension. CMAJ. 2008; 178(11): 1441 -1449. Wilkins K, Campbell NRC, Joffres MR, Mc. Alister FA, Nichol M, Quach S, Johansen HL, Tremblay MS. Blood pressure in Canadian adults. Health Reports. 2010; 21(1): 37 -46. Statistics Canada. Blood pressure of Canadian adults, 2009 to 2011. Ottawa, ON: Statistics Canada, 2012. http: //www. statcan. gc. ca/pub/82 -625 -x/2012001/article/11714 -eng. pdf.

Incident Rates by Primary Diagnosis (per million population, adjusted) Dialysis USRDS, 2003

Incident Rates by Primary Diagnosis (per million population, adjusted) Dialysis USRDS, 2003

The incidence of new CKD was 30. 9% (n = 142) with an annual

The incidence of new CKD was 30. 9% (n = 142) with an annual rate of 3%. factors associated were older age (odds ratio [OR] 1. 123, 95% confidence interval [CI] 1. 078 -1. 169), presence of diabetes (OR 2. 621, 95% CI 1. 490 -4. 608), lower baseline e. GFR (OR 1. 041, 95% CI 0. 943 -0. 979) and baseline hyperuricaemia (OR 1. 004, 95% CI 1. 0011. 007).

Mechanism failure of autoregulation glomerular in hypertension Systolic BP : 175 mm. Hg MAP

Mechanism failure of autoregulation glomerular in hypertension Systolic BP : 175 mm. Hg MAP PGc N/< PGc >> inflammation Kidney International, Vol. 64 (2003), pp. 1923– 1932

Medication Use and BP Control in ALLHAT % <140/90 mm Hg Cushman et al.

Medication Use and BP Control in ALLHAT % <140/90 mm Hg Cushman et al. J Clin Hypertens 2002; 4: 393 -404

Kesimpulan • Pengendalian tekanan darah penting mencegah penyakit ginjal • Pada penyakit ginjal pengendalian

Kesimpulan • Pengendalian tekanan darah penting mencegah penyakit ginjal • Pada penyakit ginjal pengendalian tekanan darah penting mencegah perburukan fungsi ginjal