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CARDIOLOGIA > HIPERTENSION > Flashcards

HIPERTENSION Flashcards

1
Q

La presión arterial está determinada por cuáles variantes

A

GASTO CARDIACO X RESISTENCIA VASCULAR SISTEMICA

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2
Q

PORCENTAJE DE CASOS QUE SON HIPERTENSION PRIMARIA O ESENCIAL

A

85-95%

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3
Q

HAS ESTADIO 1

A

Tas 140-160
Tad 90-99

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4
Q

HAS ESTADIO 2

A

Tas 160-179
Tad 100-109

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5
Q

HAS ESTADIO 3

A

Tas +180
Tad +110

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6
Q

DIAGNOSTICO DE HAS

A

Tres mediciones con intervalos de un minuto entre cada una, y usando el promedio de las últimas dos en dos o tres visitas al consultorio en intervalos de 1 a 4 semanas
O en una sola visita si es mayor o igual a 180/110 y hay evidencia de enfermedad cardiovascular

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7
Q

Método dx de eleccion has

A

MAPA monitoreo ambulatorio de la presión arterial

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8
Q

Como se realiza el monitoreo MDPA

A

7 días a la semana con 2 tomas por la mañana y 2 por la tarde descartando el primer día

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9
Q

Causas de has en menores de 18 años

A

Enfermedad renal y coartacion aortica

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10
Q

Terapia inicial de HAS en px con sx metabólico, obesidad o DM

A

IECA + BCC
ARAII + BCC

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11
Q

Agente oral de inicio rápido que se puede usar en urgencia hipertensiva

A

Clonidina
Captopril
Prazosina

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12
Q

Meta has

A

Menor a 130/80

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13
Q

Tx emergencia hipertensiva por feocromocitoma

A

Fentolamina

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14
Q

Tx emergencia hipertensiva por encefalopatia hipertensica, evc isquemia, evc hemorragico, hipertension maligna

A

Labetalol o nitroprusiato de sodio

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15
Q

Tx emergencia hipertensiva por preeclampsia/eclampsia

A

Labetalol, nifedipino, hidralazina, metildopa

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16
Q

Tx emergencia hipertensiva por edema pulmonar y SCA

A

Furosemida + nitroprusiato

17
Q

Tx emergencia hipertensiva por disección aortica aguda

A

Esmolol o labetalol + nitroprusiato

18
Q

Clasificacion de Keith-Wagener-Barker

A

G1: Estrechamiento arteriolar generalizado
G2:estrechamiento focal y escotaduras o indentaciones arteriovenosas
G3: alteraciones del grado 2 con exudados,hemorragias y puntos algodonosos
G4:alteraciones del grado 3 con edema del disco optico

19
Q

HAS Referencia a segundo nivel

A

Fracaso de la ta con el uso de 3 o 4 medicamentos
Pacientes inusualmente jóvenes
Pacientes con complicaciones (nefropatia,retinopatia,etc)

CARDIOLOGIA (3 decks)

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