ABSTRACT
La enfermedad cardiovascular (ECV) es una causa importante de morbimortalidad que incrementa el coste asistencial. Actualmente existe un bajo grado de control de los principales factores de riesgo cardiovascular, a pesar de que disponemos de un buen arsenal terapéutico. Para lograr la mejora de esta realidad es fundamental la coordinación y participación multiprofesional. El desarrollo de nuevos modelos organizativos, como el Área de Atención Integrada de Riesgo Vascular, puede facilitar la armonización terapéutica y la unificación de los mensajes sanitarios ofrecidos por los distintos niveles asistenciales, basados en las guías de práctica clínica, con el fin de ofrecer una atención integrada y centrada en el paciente
Cardiovascular disease (CVD), is a major cause of morbidity and mortality that increases the cost of care. Currently there is a low degree of control of the main cardiovascular risk factors, although we have a good therapeutic arsenal. To achieve the improvement of this reality, a good coordination and multidisciplinary participation are essential. The development of new organizational models such as the Integrated Management Area of Vascular Risk can facilitate the therapeutic harmonization and unification of the health messages offered by different levels of care, based on clinical practice guidelines, in order to provide patient-centred integrated care
Subject(s)
Humans , Hypertension/prevention & control , Cardiovascular Diseases/prevention & control , Risk Factors , Models, Organizational , Comprehensive Health Care/organization & administration , Hospital Units/organization & administration , Quality ImprovementABSTRACT
Cardiovascular disease (CVD), is a major cause of morbidity and mortality that increases the cost of care. Currently there is a low degree of control of the main cardiovascular risk factors, although we have a good therapeutic arsenal. To achieve the improvement of this reality, a good coordination and multidisciplinary participation are essential. The development of new organizational models such as the Integrated Management Area of Vascular Risk can facilitate the therapeutic harmonization and unification of the health messages offered by different levels of care, based on clinical practice guidelines, in order to provide patient-centred integrated care.
Subject(s)
Cardiovascular Diseases/prevention & control , Delivery of Health Care, Integrated/organization & administration , Models, Organizational , Cardiovascular Diseases/diagnosis , Cardiovascular Diseases/economics , Cardiovascular Diseases/epidemiology , Cost-Benefit Analysis , Delivery of Health Care, Integrated/economics , Disease Management , Europe/epidemiology , Humans , Interdisciplinary Communication , Patient-Centered Care/organization & administration , Registries , Risk Factors , Risk ManagementABSTRACT
La alteración brusca de la visión es una urgencia médica en la cual se deben descartar entidades como la vasculitis sistémica, el ictus isquémico y la hipertensión acelerada-maligna. La neuropatía isquémica óptica anterior (NOIA) no arterítica es otra entidad a tener en cuenta, ya que no es infrecuente en jóvenes (12,7% en una serie de 848 casos). Se ha descrito su asociación con la hipertensión arterial en un 32% de casos
The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases
Subject(s)
Humans , Male , Adult , Hypertension/complications , Vision Disorders/etiology , Hypertension, Malignant/diagnosis , Antihypertensive Agents/therapeutic use , Diagnosis, Differential , Takayasu Arteritis/diagnosis , Autoimmune Diseases/diagnosis , Risk Factors , Optic Neuritis/diagnosis , Systemic Vasculitis/diagnosis , Stroke/diagnosisABSTRACT
The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases.
