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DIANA A. CHAVEZ CABRERA<br />PATRICIA TRESPALACIOS PRIETO<br />HIPERTENSIÓN ARTERIAL EN EL ADULTO MAYOR<br />
INTRODUCCION<br />
DEFINICIÓN & CLASIFICACIÓN<br />Elevación permanente de la presión en el <br />sistema arterial mas allá del limite establ...
EPIDEMIOLOGÍA<br />
FISIOPATOLOGÍA<br />
Características hemodinámicas<br /><ul><li>Resistencias periféricas aumentadas:
Disminución en la respuesta B adrenérgica  vasodilatación.
El efecto vasoconstrictor  adrenérgico intacto.
Lesión del endotelio  HTA, Aterosclerosis o ruptura.
Regula el tono muscular:
Vasodilatación: PGI, ON.
Vasoconstricción: Endotelina, ATII.</li></li></ul><li>FACTOR DE RIESGO CARDIOVASCULAR<br />
CUADRO CLÍNICO<br />
COMPLICACIONES HAS<br />Isquemia cerebral transitoria<br />
RIESGO DE INFARTO CEREBRAL POSTERIOR A UN  AIT <br />
Territorios arteriales<br />Posterior cerebral<br />Vertebrobasilar<br />Base <br />
HIPERTENSIÓN ARTERIAL SECUNDARIA<br />
DIAGNÓSTICO<br />3-5 tomas de presión arterial en días distintos.<br />Evitar las variaciones: estrés, ejercicio, alimenta...
TRATAMIENTO<br />
TERAPÉUTICA<br />
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Hipertension arterial del adulto mayor

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HIPERTENSION EN EL ADULTO MAYOR
DIANA AMERICA CHÁVEZ CABRERA
PATRICIA TRESPALACIOS PRIETO
GERIATRÍA
DR. EDUARDO REYES HIDALGO

Published in: Health & Medicine, Travel
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  • Exelentes Trabajos, me han sido de mucha ayuda
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Hipertension arterial del adulto mayor

  1. 1. DIANA A. CHAVEZ CABRERA<br />PATRICIA TRESPALACIOS PRIETO<br />HIPERTENSIÓN ARTERIAL EN EL ADULTO MAYOR<br />
  2. 2. INTRODUCCION<br />
  3. 3. DEFINICIÓN & CLASIFICACIÓN<br />Elevación permanente de la presión en el <br />sistema arterial mas allá del limite establecido.<br />The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7)<br />
  4. 4. EPIDEMIOLOGÍA<br />
  5. 5. FISIOPATOLOGÍA<br />
  6. 6. Características hemodinámicas<br /><ul><li>Resistencias periféricas aumentadas:
  7. 7. Disminución en la respuesta B adrenérgica  vasodilatación.
  8. 8. El efecto vasoconstrictor  adrenérgico intacto.
  9. 9. Lesión del endotelio  HTA, Aterosclerosis o ruptura.
  10. 10. Regula el tono muscular:
  11. 11. Vasodilatación: PGI, ON.
  12. 12. Vasoconstricción: Endotelina, ATII.</li></li></ul><li>FACTOR DE RIESGO CARDIOVASCULAR<br />
  13. 13. CUADRO CLÍNICO<br />
  14. 14. COMPLICACIONES HAS<br />Isquemia cerebral transitoria<br />
  15. 15. RIESGO DE INFARTO CEREBRAL POSTERIOR A UN AIT <br />
  16. 16.
  17. 17. Territorios arteriales<br />Posterior cerebral<br />Vertebrobasilar<br />Base <br />
  18. 18.
  19. 19. HIPERTENSIÓN ARTERIAL SECUNDARIA<br />
  20. 20.
  21. 21. DIAGNÓSTICO<br />3-5 tomas de presión arterial en días distintos.<br />Evitar las variaciones: estrés, ejercicio, alimentación.<br />MAPA: Monitorización ambulatoria de la presión arterial.<br />No invasivo, aparato pequeño y poco peso.<br />Múltiples lecturas durante 24 hrs o varios días.<br />Edema, petequias, hematomas, dolor.<br />El paciente no altera sus actividades diarias. <br />Cifras normales durante el día: < 130/80 y durante la noche <120/80.<br /> Estudio de fondo de ojo, existencia de 3° o 4° ruido o soplos, reforzamiento del 2° ruido en foco aórtico<br />
  22. 22. TRATAMIENTO<br />
  23. 23. TERAPÉUTICA<br />
  24. 24. Antihipertensivos primarios<br />
  25. 25. ARA II<br />CANDESARTAN 8 y 16 mg Atacand (8 mg/24 hrs)<br />IRBERSARTÁN 150 y 300 mg Aprovel (150 mg/24 hrs)<br />LOSARTÁN 50 mgsCozaar (50 mg/24 hrs)<br />TELMISARTÁN 150 mgsMicardis (150 mg/24 hrs)<br />VALSARTAN 80 y160 mgsDiovan (80 mgs/24 hrs)<br />
  26. 26.
  27. 27. Otros antihipertensivos<br />Diuréticos tiazídicos<br />Uso solo: hipokalemia<br />Con IECAS: se compensa<br />Suelen elevar niveles de ácido urico gota AINEs innecesarios<br />Betabloqueadores<br />Cuidado en pacientes con EPOC, Asma, y diabéticos<br />Calcioantagonistas<br />Usar los de liberación prolongada<br />Tx de la Hipertensión sistólica aislada.<br />Cefalea, vasodilatación y taquicardia secundaria.<br />
  28. 28. HAS en la Edad Mayor<br />La población entre 60 y 69 años sufre hipertensión sistólica y sistodiastólicade origen esencial.<br />LA HTA de bata blanca tiene menor frecuencia.<br />Mas frecuente HTA secundaria a consumo de medicamentos naturistas<br />HTA es un Factor de riesgo para ICC, IRC <br />Puede presentarse pseudohipertensión arterial por falsas lecturas de la presión secundaria al endurecimiento de las arterias.<br />

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