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2003, Número s1

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Rev Med Inst Mex Seguro Soc 2003; 41 (s1)


Guía clínica para el diagnóstico y tratamiento de la hipertensión arterial

Oviedo MMA, Espinosa LF, Olivares SR, Reyes MH, Trejo y PJA

Idioma: Español
Referencias bibliográficas: 50
Paginas: 15-26
Archivo PDF: 225.32 Kb.


RESUMEN

La identificación oportuna y el tratamiento adecuado de la hipertensión arterial son fundamentales para reducir el riesgo de enfermedad cardiovascular, así como la morbilidad y la mortalidad asociada con la enfermedad. La relación positiva entre las cifras de presión arterial sistólica y diastólica elevadas y el riesgo cardiovascular ha sido reconocida; esta relación es fuerte, consistente, predictiva y significativamente etiológica para aquellos con y sin enfermedad coronaria. Esta guía presenta propuestas para las acciones en la detección, el diagnóstico y el manejo integral de la hipertensión arterial. Para la elaboración de la guía se seleccionaron las mejores evidencias durante los años de 1990 a 2002, de las bases de datos Cochrane Library, Medline y de las guías clínicas publicadas. Se consultaron los criterios de las revisiones nacionales de Estados Unidos y Canadá, así como el proyecto de modificación de la norma oficial mexicana para la prevención, tratamiento y control de la hipertensión arterial. La guía clínica resalta la importancia de la detección, la clasificación integral con la evaluación de los factores de riesgo cardiovascular y la presencia de daño a órgano blanco, así como el tratamiento mediante combinación de manejo farmacológico y la modificación del estilo de vida.


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