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HIPERTENSIÓN ARTERIAL Y DIABETES: GUÍAS DE RECOMENDACIONES PARA LA PRÁCTICA CLÍNICA. 2015. COMITÉ DE HIPERTENSIÓN ARTERIAL Y OTROS FRCV- SAD

Silvana Milrad, Ángela Luongo, Eva López, Alicia García, Solange Houssay, Lidia Ruiz Morosini, Cristina Varela, Amelia Linari, Claudio González, Martha de Sereday, Teresa Bensusan, Gabriel Waissman, Carolina Gómez Martín, Hugo Sanabria, Isac Sinay, Cristina Grosso, Fernando Krynski15, Estrella Menéndez, Agustín Ramírez, Bárbara Arinovich Arinovich, Carlos Busso, Gloria Viñes, Ramiro Sánchez, Guillermo Burlando

Resumen


Introducción: la hipertensión arterial (HA) y la diabetes mellitus (DM) son enfermedades crónicas de alta prevalencia que se encuentran frecuentemente asociadas.

Conclusiones: la HA aumenta la progresión y el desarrollo de las complicaciones crónicas micro y macrovasculares de la DM. El impacto del tratamiento de la HA es significativo en la reducción de la morbimortalidad de las personas con DM. Por ello, el tratamiento debe ser temprano y las metas de objetivo terapéutico deberán ser individualizadas según grupo etario, comorbilidades y daño de órgano blanco. En todas las personas con HA, tengan o no DM y/o enfermedad renal crónica (ERC), el objetivo es alcanzar una PA <140/90 mmHg.

Podrán considerarse objetivos más cercanos a 130/80 mmHg en jóvenes, sin comorbilidades, con larga expectativa de vida y menor tiempo de diagnóstico de DM: en quienes tendrían beneficios a nivel renal o en quienes el riesgo de ACV es sustancial, si se logran sin efectos adversos asociados al tratamiento. Los IECA o ARA II son los fármacos de primera elección excepto en casos de intolerancia o contraindicación.Un bajo porcentaje de personas logra el objetivo terapéutico. La educación es una herramienta fundamental para mejorar la adherencia al tratamiento.

 


Palabras clave


diabetes; hipertensión arterial; diagnóstico; tratamiento.

Texto completo:

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DOI: http://dx.doi.org/10.47196/diab.v49i2.201

Copyright (c) 2020 Sociedad Argentina de Diabetes Asociación Civil

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