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2008, Número S2

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Arch Cardiol Mex 2008; 78 (S2)


Prevención y tratamiento de la hipertensión arterial sistémica en el paciente con enfermedad arterial coronaria

Mendoza-González C, Rosas M, Lomelí EC, Lorenzo JA, Méndez A, Martínez-Reding J, Martínez-Sánchez C, Pastelín G, Férez-Santander SM, Attie F

Idioma: Español
Referencias bibliográficas: 90
Paginas: 58-73
Archivo PDF: 174.83 Kb.


RESUMEN

La asociación entre hipertensión arterial sistémica (HAS) y enfermedad arterial coronaria está bien demostrada a través de diversos estudios epidemiológicos. La hipertensión arterial es un factor de riesgo independiente importante para el desarrollo de coronariopatía, enfermedad vascular cerebral y nefropatía. Existen avances importantes en el conocimiento de factores neurohumorales y hemodinámicos que confluyen en la fisiopatología de la hipertensión y en el desarrollo de enfermedad coronaria que permiten establecer mejores estrategias no sólo de tratamiento sino también de prevención, con la finalidad de disminuir la mortalidad cardiovascular. El espectro de la cardiopatía aterosclerosa es amplio y las estrategias de tratamiento de la hipertensión deben adecuarse a la forma de manifestación de la enfermedad coronaria que se presente. El tratamiento de ambas condiciones requiere de lineamientos específicos de acuerdo a las condiciones del paciente y la forma de presentación de cada una de estas patologías.


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