manajemen risiko kardiovaskular fadli.pdf
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Manajemen KardiovaskularTRANSCRIPT
MANAJEMENRISIKO KARDIOVASKULARDr. Fadli Aditya Rizky
Dr. Fadli Aditya Rizky
TARGET TD
•S <140 mmHg
•D <90 mmHgNon DM /
CKD tanpa Proteinuria
•S < 130 mmHg
•D < 80 mmHgDM/ CKD
dengan Proteinuria
Canadian Hypertension Education Program 2013
Dr. Fadli Aditya Rizky
MONO
•Thiazid DiuretikJNC VII,
2003
•< 55 thn ACEi
•> 55 thn CCBNICE, 2011
PILIH MANA
?
Dr. Fadli Aditya Rizky
TERAPI KOMBINASI
Dr. Fadli Aditya Rizky
KONTRA INDIKASI
ESC/ESH, 2007
Dr. Fadli Aditya Rizky
Dr. Fadli Aditya Rizky
Dr. Fadli Aditya Rizky
SKOR KARDIOVASKULAR JAKARTA
Dr. Fadli Aditya Rizky
Dr. Fadli Aditya Rizky
INTERPRETASI
-7 s/d 1 : Risiko Rendah, target LDL: <160
2 s/d 4 : Risiko Sedang, target LDL: <130
>4/ CHD-CHD Risk Equivalent, target LDL:<100
Dr. Fadli Aditya Rizky
OBAT MANA YANG DIPILIH?
Simvastatin 20 mg: 35%
Simvastatin 40 mg: 41%
Simvastatin 80 mg: 47%
Atorvastatin 10 mg: 37%
Atorvastatin 20 mg: 43%
Atorvastatin 40 mg: 49%
Atorvastatin 80 mg: 55%
Rosuvastatin 10 mg: 45%
Rosuvastatin 20 mg: 50%
Rosuvastatin 40 mg: 55%
Dr. Fadli Aditya Rizky
TRIGLISERIDA
TG > 400: langsung berikan fibrat
TG > 200 hitung kolesterol Non HDL:
Kolesterol Total – HDL
Target non-HDL = + 30 taget LDL
Jika melebihi target, berikan fibrat
Dr. Fadli Aditya Rizky