IMPACT OF ARTERIAL HYPERTENSION ON THE DEVELOPMENT OF CARDIVOSACULAR DISEASES
DOI:
https://doi.org/10.19230/jonnpr.4806Abstract
Introduction: Cardiovascular diseases (CVD) are the leading cause of death worldwide. They are strongly influenced by some risk factors (RF), some of them modifiable with changes in lifestyle. Of all the RFs, one of the most prevalent in the population is arterial hypertension (AHT), defined by blood pressure values ???140-90mmHg.
Objectives: Know the relationship between HTA and the rest RF with the development of different CVDs, identify the ideal threshold to avoid overdiagnosis and overtreatment of HTN, and recognize the importance of good lifestyle habits as prevention.
Results and Discussion: In the study by FÉLIX-REDONDO et al. it was shown that the most influential RF in CVD was AHT. However, this may vary according to age, as observed by VERA-REMARTÍNEZ et al. with his study, whose mean age was 30 years, and the most prevalent factor was tobacco. The control of lifestyle habits that help reduce both hypertension and the rest of the factors will be beneficial for the primary and secondary prevention of CVD. To avoid overly intensive treatment, a stepwise approach is recommended, starting with prevention goals for all patients, regardless of risk, followed by CVD risk stratification and discussion of the potential benefits of treatment with the patient.
Conclusions: CVD, specifically ischemic heart disease and cerebrovascular diseases, are the main cause of death in the world, so it is very important to control those RFs that accelerate their appearance. The most prevalent of them is high blood pressure.
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References
MORTALIDAD POR ENFERMEDADES CEREBROVASCULARES [Internet]. [citado 24 de abril de 2022]. Disponible en: https://www.svneurologia.org/congreso/epidemiol-5-2.html
Genes-dieta-y-enfermedades-cardiovasculares.pdf [Internet]. [citado 21 de enero de 2022]. Disponible en: https://www.researchgate.net/profile/Dolores-Corella/publication/28182228_Genes_dieta_y_enfermedades_cardiovasculares/links/0c96052728750821c5000000/Genes-dieta-y-enfermedades-cardiovasculares.pdf
Orozco-Beltrán D, Brotons Cuixart C, Alemán Sánchez JJ, Banegas Banegas JR, Cebrián-Cuenca AM, Gil Guillen VF, et al. Recomendaciones preventivas cardiovasculares. Actualización PAPPS 2020. Aten Primaria. 1 de noviembre de 2020;52:5-31.
Bragulat E. Hipertensión arterial y riesgo cardiovascular. :6.
Blood pressure and the new ACC/AHA hypertension guidelines - ScienceDirect [Internet]. [citado 24 de abril de 2022]. Disponible en: https://www.sciencedirect.com/science/article/pii/S1050173819300684
Gijón-Conde T, Gorostidi M, Camafort M, Abad-Cardiel M, Martín-Rioboo E, Morales-Olivas F, et al. Documento de la Sociedad Española de Hipertensión-Liga Española para la Lucha contra la Hipertensión Arterial (SEH-LELHA) sobre las guías ACC/AHA 2017 de hipertensión arterial. Hipertens Riesgo Vasc. 1 de julio de 2018;35(3):119-29.
Gopar-Nieto R, Ezquerra-Osorio A, Chávez-Gómez NL, Manzur-Sandoval D, Raymundo-Martínez GIM. ¿Cómo tratar la hipertensión arterial sistémica? Estrategias de tratamiento actuales. Arch Cardiol México. 2021;91(4):493-9.
Overview | Hypertension in adults: diagnosis and management | Guidance | NICE [Internet]. NICE; [citado 24 de abril de 2022]. Disponible en: https://www.nice.org.uk/guidance/ng136
Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies With the special contribution of the European Association of Preventive Cardiology (EAPC). Eur Heart J. 7 de septiembre de 2021;42(34):3227-337.
Guía ESC/EAS 2019 sobre el tratamiento de las dislipemias: modificación de los lípidos para reducir el riesgo cardiovascular. Rev Esp Cardiol. 1 de mayo de 2020;73(5):403.e1-403.e70.
Castillo Sánchez M, Galera Morcillo L, Sánchez Sánchez JA, Menárguez Puche JF. Sobrediagnóstico y sobretratamiento en el ámbito cardiovascular: factores de riesgo, no enfermedades. Aten Primaria. 1 de noviembre de 2018;50:20-9.
Fernández-Travieso JC. Incidencia actual de la obesidad en las enfermedades cardiovasculares. Rev CENIC Cienc Biológicas. 2016;47(1):1-11.
Bryce-Moncloa A, Alegría-Valdivia E, San Martin-San Martin MG. Obesidad y riesgo de enfermedad cardiovascular. An Fac Med. abril de 2017;78(2):202-6.
Fernández González EM, Figueroa Oliva DA. Tabaquismo y su relación con las enfermedades cardiovasculares. Rev Habanera Cienc Médicas. abril de 2018;17(2):225-35.
Teo KK, Rafiq T. Cardiovascular Risk Factors and Prevention: A Perspective From Developing Countries. Can J Cardiol. 1 de mayo de 2021;37(5):733-43.
Impacto de los factores de riesgo cardiovascular en la población extremeña: aportación de la cohorte HERMEX para una estrategia preventiva | Elsevier Enhanced Reader [Internet]. [citado 30 de marzo de 2022]. Disponible en: https://reader.elsevier.com/reader/sd/pii/S0212656718304839?token=B5B9255D695FBE665B36ABF6B50D7E1F1017AD248F2CFA11510422BE48B9985C8BA02C19E6A988483E311F5CC7790C3F&originRegion=eu-west-1&originCreation=20220330091558
Vera-Remartínez EJ, Lázaro Monge R, Granero Chinesta S, Sánchez-Alcón Rodríguez D, Planelles Ramos MV. [Cardiovascular risk factors in young adults of a penitentiary center]. Rev Esp Salud Publica. 6 de julio de 2018;92:e201807037.
Mendoza Alarcón MÁ, Tejero Mas M, Morales-Gabardino JA, Buitrago-Ramírez F. [Prevalence and degree of control of cardiovascular risk factors in patients with ischemic cardiopathy of an urban health center.]. Rev Esp Salud Publica. 16 de febrero de 2021;95:e202102040.
Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. Eur J Prev Cardiol. 1 de mayo de 2019;26(8):824-35.
Osorio-Bedoya EJ, Amariles P. Hipertensión arterial en pacientes de edad avanzada: una revisión estructurada. Rev Colomb Cardiol. 1 de mayo de 2018;25(3):209-21.
Gasowski J, Staessen JA, Celis H, Fagard RH, Thijs L, Birkenhäger WH, et al. Systolic Hypertension in Europe (Syst-Eur) Trial Phase 2: objectives, protocol, and initial progress. J Hum Hypertens. febrero de 1999;13(2):135-45.
García Pastor A, López-Cancio Martínez E, Rodríguez-Yáñez M, Alonso de Leciñana M, Amaro S, Arenillas JF, et al. Recomendaciones de la Sociedad Española de Neurología para la prevención del ictus. Actuación sobre los hábitos de vida y la contaminación atmosférica. Neurología. 1 de junio de 2021;36(5):377-87.
O’Keefe EL, DiNicolantonio JJ, O’Keefe JH, Lavie CJ. Alcohol and CV Health: Jekyll and Hyde J-Curves. Prog Cardiovasc Dis. 1 de mayo de 2018;61(1):68-75.
O’Donnell MJ, Chin SL, Rangarajan S, Xavier D, Liu L, Zhang H, et al. Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries (INTERSTROKE): a case-control study. The Lancet. 20 de agosto de 2016;388(10046):761-75.
Seguimiento de las recomendaciones en prevención secundaria cerebrovascular en atención primaria | Elsevier Enhanced Reader [Internet]. [citado 28 de marzo de 2022]. Disponible en: https://reader.elsevier.com/reader/sd/pii/S0212656716305625?token=D60013650D0DE2654C760AD027ECF3C68B370D3EF034C2CB7A10E207563A1E67898A849D15AD4FB3E567A35BC3986ADD&originRegion=eu-west-1&originCreation=20220328115313
Iadecola C, Gottesman RF. Neurovascular and Cognitive Dysfunction in Hypertension. Circ Res. 29 de marzo de 2019;124(7):1025-44.
Liu Y, Dong YH, Lyu PY, Chen WH, Li R. Hypertension-Induced Cerebral Small Vessel Disease Leading to Cognitive Impairment. Chin Med J (Engl). 5 de marzo de 2018;131(5):615-9.
Farah BQ, Cucato GG, Andrade-Lima A, Soares AHG, Wolosker N, Ritti-Dias RM, et al. Impact of hypertension on arterial stiffness and cardiac autonomic modulation in patients with peripheral artery disease: a cross-sectional study. Einstein. 24 de noviembre de 2021;19:eA06100.
Skórkowska-Telichowska K, Kropielnicka K, Buli?ska K, Pilch U, Wo?niewski M, Szuba A, et al. Insufficient modification of atherosclerosis risk factors in PAD patients. Adv Clin Exp Med Off Organ Wroclaw Med Univ. junio de 2018;27(6):819-26.
Beneficios y riesgos potenciales de las metas intensivas en el tratamiento de la hipertensión arterial. Revisión sistemática y metaanálisis de ensayos clínicos | Archivos de Cardiología de México [Internet]. [citado 19 de enero de 2022]. Disponible en: http://www.archivoscardiologia.com/frame_esp.php?id=285
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