HYPERTENSION

( High Blood Pressure )

By dr. Haryo Pujanarto

BLOOD PRESSURE
• Blood pressure is the
force of blood against the
walls of arteries.
• Blood pressure is
measured in mmHg.
Recorded as two number
:
– the systolic pressure -
as the heart beats,
– the diastolic pressure -
as the heart relaxes
between beats
• A typical normal blood
pressure is 120/80 mmHg
• Greater than 140/90
mmHg is considered high
~ hypertension
 Classification of Blood Pressure

CATEGORY SYSTOLIC DIASTOLIC

< 120 < 80

optimal

< 130 < 85

normal

130 - 139 85 - 89
high-normal

hypertension

Stage 1 140 – 159 90 - 99

160 – 179 100 – 109

Stage 2

> or = 180 > or = 110

Stage 3
 Facts about Hypertension

• Hypertension is a condition in which the pressure, that blood

exerts on the walls of blood vessels goes up and stays high,
which can damage the blood vessels, the heart and other
organs.

• 83 of 1000 peoples have hypertension (Indonesia, 1995)

• No identified causes in 90 – 95 percent of people who have it.

• One of the most important risk factor for coronary heart

disease, stroke (3rd), heart failure (1st) and kidney disease.

• Mostly without any symptoms Silent killer

Type of Hypertension

• Primary Hypertension
– Essential Hypertension
– No cause can be found
– 90 – 95 percent

• Secondary Hypertension
– Non essential Hypertension
– A definite cause can be found
– 5 – 10 percent
Causes of Secondary Hypertension

• Renal diseases
• Endocrine disorder, such as:
– Adrenal gland tumor
– Hyperthyroidism
– Hyperparatyroidism
• Pregnancy
• Drugs (birth control pill,
corticosteroids, nasal
decongestants, cocaine)
Signs & Symptoms

• Mostly without any

symptoms
• Headache
• Vertigo
• Blurred vision
 Management
• Diet
– healthy eating
– reduce sodium
• Healthy Lifestyle
– Maintaining a healthy weight
– Being physically active
– Limiting alcohol intake
– Quitting smoking
– Managing stress
• Medicines
 Need to remember

Mostly without any symptoms

“ SILENT KILLER “

Mostly without any causes is identified

Need to Long Life Medications

Failure to control Hypertension can lead

to serious health problem, even DEATH.
 Fit for Offshore ?
• UKOOA ~ Guidelines for Medical Aspects of
Fitness for Offshore Work
• As a general rule hypertension is acceptable
provided it is uncomplicated and well controlled by
treatment

• BP ~ Fitness for Work Guidelines

• Those who have been diagnosed as hypertension but
do not have any organ damage or do not show
sustained blood pressure levels above 160/90 can be
accepted as fit.
 Know it
as well as
You know her

Quarters
Clinic