ABSTRACT
No disponible
Subject(s)
Humans , Consensus , Hypertension/epidemiology , Hypertension/prevention & control , Cardiovascular Diseases/complications , Hydroxymethylglutaryl-CoA Reductase Inhibitors/therapeutic use , Cardiovascular Diseases/prevention & control , Holistic Health/trends , Life StyleSubject(s)
Antihypertensive Agents/therapeutic use , Hypertension/drug therapy , Adult , Aged , Cardiovascular Diseases/complications , Cardiovascular Diseases/prevention & control , Consensus Development Conferences as Topic , Cost-Benefit Analysis , Disease Management , Evidence-Based Medicine , Female , Health Behavior , Holistic Health , Humans , Hypertension/complications , Hypertension/therapy , Life Style , Male , Middle Aged , Risk , Social Determinants of HealthSubject(s)
Humans , 25631 , Blood Pressure Determination/methods , Hypertension/diagnosis , Risk FactorsABSTRACT
La reactividad vascular medida a través de la Prueba del peso sostenido ha mostrado excelente correlación con el método convencional de diagnóstico de hipertensión arterial, pero no hay estudios que apoyen lo anterior desde el punto de vista hemodinámico. En este trabajo nos propusimos valorar las características ecocardiográficas de pacientes considerados normotensos por sus cifras basales de tensión arterial, pero con diferentes grados de reactividad vascular en la prueba del peso sostenido. Para lo cual se estudió a 60 individuos varones, blancos y jóvenes procedentes del municipio Santa Clara, que se dividieron en dos grupos: controles (30 casos) e hiperreactivos (30 casos), de acuerdo a la reactividad vascular en la prueba. Todos debían tener además, al momento de iniciar la Prueba del peso sostenido, valores normales de presión arterial en reposo. A la totalidad de los pacientes se les realizó estudio ecocardiográfico para estimar su estado hemodinámico. Se pudo comprobar que los pacientes clasificados como hiperreactivos se caracterizaron por tener un índice de resistencia periférica total, índice de trabajo del ventrículo izquierdo por latido y estrés parietal telesistólico del ventrículo izquierdo significativamente superiores a los observados en los pacientes del grupo control. Se concluyó que los casos definidos como hipertensos por la Prueba del peso sostenido tienen un comportamiento hemodinámico compatible con el descrito en la hipertensión arterial esencial
The reactivity vascular measure through the Test of the sustained weight has shown excellent correlation with the conventional method of diagnostic of arterial hypertension, but there are not studies that support the above-mentioned from the hemodynamic point of view. In this work we intended to value the characteristic echocardiography of patients considered normal for their basal blood pressure, but with different grades of vascular reactivity in the Test of the sustained weight. For that which was studied 60 male, white and young individuals coming from the municipality Santa Clara that were divided in two groups: control (30 cases) and hyperreactives (30 cases), according to the vascular reactivity in the test. All should also have, to the moment to begin the Test of the sustained weight, value normal of arterial pressure in rest. To the entirety of the patients they were carried out study echocardiographic to estimate their hemodynamic state. It could be proven that the patients classified as hyperreactives were characterized to have, index of total peripheral resistance, stroke work index of the left ventricle and end-systolic wall stress significantly superior those observed in the patients of the group control. You concluded that the defined cases as hyperreactives for the Test of the sustained weight have a compatible hemodynamic behavior with the one described in the essential hypertension
Subject(s)
Male , Humans , Hypertension , Blood Pressure/physiology , Hemodynamics , Reactivity-Stability , Case-Control StudiesABSTRACT
No disponible
Subject(s)
Humans , Cardiovascular Diseases/prevention & control , Hyperlipidemias/drug therapy , Lipoproteins, LDL/analysis , Lipoproteins, HDL/analysis , Risk FactorsABSTRACT
No disponible
