e2 Journal of Hypertension Vol 35, e-Supplement 3, November 2017
hypertrophy (p = 0.003), and abnormal fasting blood glucose (p = 0.001) were found
to have a significant relation with left ventricular diastolic dysfunction and became a
final model variables of scoring system. Left ventricular diastolic dysfunction scor-
ing system could be generated form those variables final models. Calibration and
internal validation tests for this scoring system showed good results.
Conclusion : A scoring system can be generated to detect left ventricular diastolic
dysfunction in hypertensive patients.
Keyword: Hypertension, scoring system, left ventricular diastolic dysfunction.
10 EFFECTS OF AGE, SEX AND SMOKING STATUS ON ANKLE-
BRACHIAL INDEKS IN POPULATION AT RISK
FOR PERIPHERAL ARTERIAL DISEASE
Fitri Rahmalia Akbar1, Nurhidayati, Yusra Pintaningrum2. 1Faculty of Medicine,
Mataram University, 2Departement of Cardiology, West Nusa Tenggara General
Hospital
Background: Asymptomatic peripheral arterial diseases is several times more
common in population, hence early detection with Ankle-Brachial Index (ABI) is
needed. Many risk factors can lead to Peripheral Arterial Disease (PAD). Increas-
ing age and smoking is often associated with increases in PAD. Some research
also suggests that sex differences influence the prevalence of PAD.
Objectives: The purpose of this study was to investigate correlation between age,
sex, and smoking with ankle brachial index in population at risk for PAD.
Methods: This is an observational study with cross-sectional design conducted
at NTB General Hospital, Risa Sentra Medika Hospital, and Harapan Keluarga
Hospital. Data of Age, sex, and smoking were obtained through anamnesis.
Results: A total of 133 respondents, most respondents are in 60–69 years old
group (38.3%), 53.4% males and 63,1% non-smoker. We found subject with ABI
at risk in 34 (25.6%) respondents. Statistical analysis showed there was no cor-
relation between risk factors of sex (p = 0.392) and smoking (p = 0.979) with
ABI value. A kolmogorov-smirnov test also showed no correlation between age
(p = 0.980) with ABI value.
Conclusion: In this small study, we observed no correlation between age, sex
and smoking status with ABI.
15 PATIENT’S RECEPTION ON HYPERTENSION
MANAGEMENT EDUCATION IN PUSKESMAS JATINANGOR
Helida Amalia Putri1, Yulia Sofiatin2, Rully M.A. Roesli3. 1Faculty of Medicine,
Universitas Padjadjaran, Sumedang, Indonesia, 2Department of Public Health,
Universitas Padjadjaran, Bandung, Indonesia, 3Department of Internal Medicine,
Faculty of Medicine, UniversitasPadjadjaran/ Dr. Hasan Sadikin General Hospital,
Bandung, Indonesia
Background: Patient education is essential for controlling blood pressure and
improving compliance. Patient has to be aware that they received the infor-
mation. A priorqualitative study towards hypertensive patients at Jatinangor
showed that patients do not aware of receiving a hypertension management
education from their health providers. This study is conducted to explore the
extent of awareness on hypertension education given to the patient at the con-
sultation room of Public Health Center (PusatKesehatanMasyarakat, Puskes-
mas) in Jatinangor.
Methods: This is cross-sectional descriptive study which was conducted on De-
cember 2015 – July 2016 in Puskesmas Jatinangor. A minimum sample size of
97 patients was needed. Patients were taken consecutively during their visit the
clinic of Puskesmas Jatinangor and diagnosed with hypertension. Data regard-
ing the conformity of delivery and acceptance of education about diagnosis,
lifestyle modification, and pharmacology was collected through a checklist. The
checklist was developed following the diagnosis and management protocol for
hypertension.
Result: A hundred patients were observed. In diagnosis process, 84% of patients
aware of the blood pressure confirmation. More than 90% of the patients received
none about lifestyle modification, if it is delivered, less than a half of patient aware
of receiving it. The exception is salt intake reduction which is delivered to 44 re-
spondents and accepted by 77% of them. Education about medication is delivered
to a very small portion of the patients, but when it was delivered, it was accepted
by less than half of them.
Conclusion: Most of the patients are not aware of education of hypertension man-
agement delivered by health professionals, except for blood pressure confirmation
and salt intake reduction.
Keywords: education acceptance, hypertension, public health center
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
18 CLINICAL CHARACTERISTICS AND ANTIHYPERTENSIVE
AGENTS USED AT HEMODIALYSIS CLINICS IN JAKARTA
Kalis Waren1, Prio Wibisono1, Karunia Valeriani Japar1, Sheila Tanzil1,
Akhil Deepak Vatvani 1, Theo Audi Yanto Lemuel2. 1Faculty of Medicine,
Universitas Pelita Harapan, Lippo Karawaci, Tangerang, 2Department of
Internal Medicine, Faculty of Medicine, Universitas Pelita Harapan, Lippo
Karawaci, Tangerang, Indonesia
Background: Chronic kidney disease (CKD) has emerged as a public health chal-
lenge in developing countries like Indonesia. Hypertension as one of the most com-
mon etiology of CKD could also be a complication of CKD itself. Hypertension is
seen in majority of patients undergoing hemodialysis and should be controlled prop-
erly in order to prevent major cardiovascular outcome and reduce mortality rate.
Objective:To investigate the clinical characteristics and the types of antihyperten-
sive agents used at hemodialysis clinics in Jakarta.
Methods: This is a descriptive study that took place in 4 local hemodialysis clin-
ics from October to December 2016. Clinical, laboratory data and antihyperten-
sive medications used were recorded.
Results: A total of 138 patients were included in our study, out of which 86(62.3%)
were male. The mean age of the patients were 49.3(±12.4) years. The most com-
mon etiology of CKD was hypertension (56.5%) and diabetes (29.7%). The mean
duration of HD was 38.6(1–216) months. There were 23(16.6%) patients with
BMI >25 kg/m2. Median hemoglobin values were 8.3(1–11.8) mg/dl. The me-
dian creatinine levels were 9.71(2.8–31.4) mg/dl. The median sodium levels were
138(101–147) mEq/L.41(29.7%) patients had potassium greater than 5.0mEq/L.
Median systolic BP pre and post HD was both 140 mmHg. 106(76.8%) had hy-
pertension, 46(33.3%) had diabetes mellitus, 24(17.3%) had hyperlipidemia. The
median number of antihypertensive drugs were 2(1–4).43% received CCB, 32.5%
received ACEI or ARB, 6.97% received beta blockers, 8.1% received alpha block-
ers and 9.3% received diuretics.
Conclusion: Most of our patients use CCB, ACEI or ARB to control their blood
pressure. By knowing the characteristics of the patients, we can treat the underly-
ing causes better and prevent further complications from happening.
19 PREVALENCE AND CHARACTERISTICS OF PATIENTS WITH
INTRADIALYTIC HYPERTENSION IN INDONESIA
Karunia Valeriani Japar1, Akhil Deepak Vatvani1, Kalis Waren1, Prio Wibisono1,
Karlina Alferinda1, Theo Audi Yanto Lemuel2. 1Faculty of Medicine, Universitas
Pelita Harapan, Lippo Karawaci, Tangerang, Indonesia, 2Department of Inter-
nal Medicine, Faculty of Medicine Universitas Pelita Harapan, Lippo Karawaci,
Tangerang, Indonesia
Background: Intradialytic hypertension (IDH) is common and it increases the in-
cidence of cardiovascular morbidity and mortality, however this is often ignored.
The pathophysiological mechanisms are still unclear. Little is known about the
demographic, clinical and laboratory characteristics.
Objective: The aim of this study is to identify the prevalence of IDH and compare
the clinical characteristics of patients with and without IDH.
Methods: This is a multicenter cross sectional study that took place in 3 hemodialysis
clinics. We compared characteristics such as age, BMI, duration of hemodialysis,
hemoglobin, hematocrit, ureum, creatinine, sodium, potassium, calcium, uric acid,
ferritin, erythrocyte, iron, total cholesterol, MAP and dry body weight in patients
with IDH and control group without IDH. IDH was defined as >10 mmHg increase
in systolic BP in atleast four of six prior consecutive hemodialysis sessions. Analysis
was done using T-test or Mann-Whitney, depending on the distribution of data.
Results: Out of 114 patients, 86(62.3%) were male. IDH was present in 47(34.1%)
patients. The mean age in IDH and control group were 53.4(±13.2) and 52.8(±12.4)
years respectively (p: 0.800). The mean BMI of IDH and control group were
21.8(±3.7) and 24.0(±4.4) kg/m2 respectively (p: 0.031). The meanMAP during
dialysis of IDH and control group were 108(±13.1) and 98.6(±23.2) mmHg re-
spectively (p: 0.011). The median creatinine levels of IDH and control group were
8.1(3.02–22.20) mg/dl and 10.8(2.89–22.0) mg/dl respectively (p: 0.008). Other
variables did not have any significant difference between the 2 groups.
Conclusion: The prevalence of IDH ishigher than previously reported. Patients
with IDH have lower BMI, higher MAP and lower creatinine levels than in controls.
20 QUALITY OF LIFE OF HYPERTENSIVE AND NON-
HYPERTENSIVE END STAGE RENAL DISEASE PATIENTS
UNDERGOING HEMODIALYSIS
Karunia Valeriani Japar1, Prio Wibisono1, Kalis Waren1, Akhil Deepak Vatvani1, Flor-
ence1, Theo Audi Yanto Lemuel2. 1Faculty of Medicine, Universitas Pelita Harapan,