A importaÌncia do diagnóstico precoce da hipertensão maligna: Relato de caso / The importance of early diagnosis of malignant hypertension - Case report
Rev. bras. hipertens
; 29(2): 51-54, jun. 2022. ilus
Article
in Portuguese
| LILACS
| ID: biblio-1517753
Responsible library:
BR26.1
RESUMO
A hipertensaÌo maligna eÌ uma siÌndrome constituiÌda por hipertensaÌo arterial grave, retinopatia com papiledema (com ou sem insuficieÌncia renal) e necrose fibrinóide de arteriÌolas renais, a qual pode apresentar evoluçaÌo cliÌnica rapidamente progressiva e fatal.Nela ocorrem lesoÌes vasculares que consistem predominantemente de proliferaçaÌo miointimal e necrose fibrinoÌide arteriolar, as quais podem se desenvolver agudamente e comprometer o luÌmen dos pequenos vasos. O prognoÌstico da hipertensaÌo maligna eÌ quase sempre fatal se naÌo for reconhecida ou naÌo for tratada adequadamente, apresentando uma mortalidade de cerca de 80% em dois anos, principalmente em decorreÌncia da evolução para síndrome de insuficieÌncia cardiÌaca e insuficieÌncia renal terminal. (AU).
ABSTRACT
Malignant hypertension is a syndrome consisting of severe arterial hypertension, retinopathy with papilledema (with or without renal failure) and fibrinoid necrosis of renal arterioles, which may present a rapidly progressive and fatal clinical course. In this pathology may occur vascular lesions that consist mainly of myointimal proliferation and arteriolar fibrinoid necrosis, which can develop acutely and compromise the light from the small blood vessels. The prognosis of malignant hypertension is almost always fatal if it is not recognized or not adequately treated, with a mortality rate of about 80% in 2 years, mainly as a result of progression into heart failure syndrome and end-stage renal failure syndrome (AU).
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Arterial Hypertension
/
Cardiovascular Disease
Database:
LILACS
Main subject:
Hypertension, Malignant
Limits:
Adult
/
Female
/
Humans
Language:
Portuguese
Journal:
Rev. bras. hipertens
Journal subject:
Cardiology
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Universitário de Brasília Brasília/BR
/
Hospital de Base do Distrito Federal/BR
/
Universidade Estadual de Santa Cruz/BR