Hipertension arterial fijo
-
Upload
stephany-chavez-feria -
Category
Health & Medicine
-
view
49 -
download
0
Transcript of Hipertension arterial fijo
![Page 1: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/1.jpg)
TEMA: HIPERTENSIÓN ARTERIAL
ALUMNA: STEPHANY CHAVEZ FERIADOCENTE: Dr. CHIROQUEGRUPO ROTACIÓN 76to ciclo - 2015 I
![Page 2: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/2.jpg)
![Page 3: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/3.jpg)
National HeartLung and Blood InstituteNIH Publication No.08-
5848September 2008
![Page 4: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/4.jpg)
Prevalence of Hypertension in the Urban Population of Catanduva, in
the State of São Paulo, Brazil, Arq. Bras. Cardiol. vol.77 no.1 São
Paulo July 2001
![Page 5: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/5.jpg)
PAS 130-139 mmHg
PAD 80-89 mmHg
![Page 6: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/6.jpg)
PRESIÓN ARTERIAL Y RIESGO CARDIOVASCULAR
![Page 7: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/7.jpg)
JOINT NATIONAL COMMITTEE 7
![Page 8: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/8.jpg)
![Page 9: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/9.jpg)
HIPERTENSIÓN ARTERIAL
Presión Arterial
Gasto cardíaco
Resistencia vascular periférica
Volumen sistólico
Frecuencia cardíaca
Diámetro de arteriolas, arterias de
menor calibre
![Page 10: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/10.jpg)
MECANISMOS
INGESTA excesiva de NaCl
Aumenta la excreción de H2O y Na+
Flujo sanguíneo = Presión vascular / Resistencia V.
![Page 11: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/11.jpg)
ADRENALINA
NORADRENALINA
Beta 1
Alfa 1
RENINA
++ GC
AUMENTO DE PRESIÓN ARTERIAL
![Page 12: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/12.jpg)
Disminución de Presión
Arterial
AUMENTO DE PRESIÓN ARTERIAL
Neuropatías del SNA
![Page 13: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/13.jpg)
Estimulación B1 células YG
Disminución de cloruro de Nacl –
mácula densa
Disminución de presión- células YG
![Page 14: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/14.jpg)
![Page 15: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/15.jpg)
HIPERTENSIÓN ARTERIAL
PRIMARIA
SECUNDARIA
TIPOS DE H.A
![Page 16: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/16.jpg)
![Page 17: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/17.jpg)
HIPERTENSIÓN SECUNDARIA
![Page 18: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/18.jpg)
![Page 19: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/19.jpg)
HIPERTENSIÓN MONÓGENA
![Page 20: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/20.jpg)
HIPERTENSIÓN RENOVASCULAR
- Aterosclerosis- Displasia Fibromuscular
Células yuxtaglomerulares
![Page 21: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/21.jpg)
HIPERALDOSTERONISMO PRIMARIA
Resistencia al tratamiento HTA
Hiperplasia bilateral de zona glomerular corteza GSR.
Zona glomerular
Tumores benignos en zona glomerular corteza GSR.
Carcinoma adrenal
HAP tipo I , tipo II
HTA >160/100
Cáncer ectópico – Arrenoblastoma
ovárico
![Page 22: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/22.jpg)
SÍNDROME DE CUSHING
![Page 23: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/23.jpg)
FEOCROMOCITOMA0.05% de pacientes
ADRENALINA
NORADRENALINA
Alfa 2
Beta 1
Alfa 1
Beta 2
![Page 24: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/24.jpg)
APNEA OBSTRUCTICA DEL SUEÑO
Microdespertares Actividad cerebral Acti. Sistema simpático
Vasocostricción Aumenta RVP
Aumenta PLLSAumento precarga
Aumento de GC Aumento PA
![Page 25: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/25.jpg)
JOINT NATIONAL COMMITTEE 7
![Page 26: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/26.jpg)
![Page 27: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/27.jpg)
ESQUEMA DE TTO
![Page 28: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/28.jpg)
OBJETIVOS DE TTO
![Page 29: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/29.jpg)
MODIFICACIÓN ESTILO DE VIDA
![Page 30: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/30.jpg)
Join National Committee 8
RECOMENDACIONES
![Page 31: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/31.jpg)
![Page 32: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/32.jpg)
![Page 33: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/33.jpg)
![Page 34: Hipertension arterial fijo](https://reader036.fdocuments.net/reader036/viewer/2022062304/55ca1689bb61ebb5748b456d/html5/thumbnails/34.jpg)
No combinar nunca un IECA o
un BRA