MÉDICINA INTERNA-HRDT CRISIS HIPERTENSIVA Dr Julio César Cruzado Castañeda MÉDICINA INTERNA-HRDT
DEFINICIÓN Es una elevación aguda de la presión arterial (PA) capaz de producir lesiones en órganos diana. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. August 2004
EPIDEMIOLOGIA La hipertensión arterial afecta al 25% de la población general. Cerca del 50% de casos de IMA y 60% EVC se deben a cuadros hipertensivos Conforma el 1% - 7% de casos atendidos en la emergencia.
PAS ≥ 180 Y/O PAD ≥ 110 CRISIS HIPERTENSIVA EMERGENCIA URGENCIA ORGANO DIANA SIN ORGANO DIANA
SOCIEDAD AMERICANA DE CARDIOLOGIA ≥ 180/110
CUADRO CLÍNICO URGENCIA HIPERTENSIVA EMERGENCIA HIPERTENSIVA SINTÓMATICOS ASINTOMÁTICOS CEFALEA EPISTAXIS VISION BORROSA MAREOS DOLOR TORAXICO DEFICIT MOTOR CONVULSIONES PAPILEDEMA INFARTO AGUDO DE MIOCARDIO FALLA RENAL AGUDA URGENCIA HIPERTENSIVA EMERGENCIA HIPERTENSIVA
Clinical Presentation of Hypertensive Crises in Emergency Medical Services; Medicine Education Centre, Community Health Centre Tuzla2 Faculty of Medicine, University of Tuzla3; Mater Sociomed. 2014 Feb; 26(1): 12-16
NORMAL IMA ST ELEVADO
Anon. WHO - International Society of Hypertension Guidelines for the management of hypertension. J Hypertension. 1999; 17: 151-183. Aggarwal M, Khan IA. Hypertensive crisis: hypertensive emergencies and urgencies. Cardiol Clin. 2006; 24(1):135-146. Anon. National High Blood Pressure Education Program. The seventh report of the Joint National Committee on prevention, detection, evaluation and treatment of high blood pressure. Bethesda (MD): Dept. of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute Martin JF, Higashiama E, Garcia E, Luizon MR, Cipullo JP. Hypertensive crisis profile. Prevalence and clinical presentation. Arq Bras Cardiol. 2004; 83(2): 131-136.
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