1. KAREM A. MARTINEZ F.
RESIDENTE ANESTESIOLOGIA Y REANIMACION HSB
UNIVERSIDAD EL BOSQUE
HIPERTENSION ARTERIAL

2.  Variables fenotipicas:
ambiente/genotipo
 Multifactorial
 Poligenico

4. EPIDEMIOLOGIA
 Diagnostico primario mas frecuente
 50 millones de personas en USA
 HTA esencial 90%
 Mayores de 55 años 90% de desarrollar HTA

5. RIESGO DE ENFEREMEDAD CARDIOVASCULAR
 Relacion presion arterial/ECV continua
 Incremento de 20/10 mmHg, dobla riesgo
 Mayor posibilidad de:
1. IAM
2. Insuficiencia cardiaca
3. Enfermedad renal
4. Evento cerebro vascular

6. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.
6

7. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

8. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

9. TRATAMIENTO
 Responsabilidad del
juicio mèdico

10. 35-40%
reduccion
Eventos cerebro
vasculares
Manejo
antihipertensivo
50%
20-25% IAM Insuficiencia
cardiaca
Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

11. OBJETIVOS
 Reduccion de la morbi-mortalidad
 Adoptar estilos de vida saludables
- Bajar de peso
- Ingesta de potasio y calcio
- Disminuir ingesta de sodio
- Actividad fisica
 Disminuir TA 140/90 mmHg
 Diabeticos y E. Renal TA: 130/80

12. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

13.  Diureticos Tiazidicos base de terapia
antihipertensiva en la mayoria de los
estudios
 Ante intolerancia o contraindicacion se
continuara otro que haya demostrado
reduccion en ECV
 Adicion 2do farmaco cuando la monoterapia
a dosis adecuada falla

14. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

15. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

16. Hypertension. Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Aram
V. Chobanian, George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.

17. BIBLIOGRAFIA
1. Hypertension. Seventh Report of the Joint National Committee on Prevention,
Detection, Evaluation, and Treatment of High Blood Pressure. Aram V. Chobanian,
George L. Bakris, Henry R. Black, William C. Cushman, Lee A. Green. 2003 AHA.