[Cardiac protection as priority strategy of cardiovascular prevention in high blood pressure]. / La protección cardíaca como estrategia prioritaria de prevención cardiovascular en hipertensión arterial.

Cardiac complications are the main cause of morbidity and mortality related with HBP in our setting and entail first magnitude human and social-health care consequences. Although the incidence of ACVA has decreased in recent decades, this has not occurred with the same intensity for cardiac complications, probably due to their multifactorial origin. Left ventricular hypertrophy, main etiologic responsible factor of hypertensive heart disease that includes heart failure, ischemic heart disease, arrhythmias and sudden death are found as nuclear element of the cardiac disease. Consequently, the magnitude, etiological diversity, vulnerability and social-health care implications grant the intervention on cardiac protection a priority role in the management of HBP and its complications.

La protección cardíaca como estrategia prioritaria de prevención cardiovascular en hipertensión arterial / Cardiac protection as priority strategy of cardiovascular prevention in high blood pressure

Las complicaciones cardíacas son la principal causa de morbilidad y mortalidad relacionada con la hipertensión arterial (HTA) en nuestro medio y conllevan unas consecuencias humanas y sociosanitarias de primera magnitud. Si bien en las últimas décadas ha disminuido la incidencia del accidente cerebrovascular agudo (ACVA), no ha ocurrido con la misma intensidad para las complicaciones cardíacas, probablemente debido a su origen multifactorial. Y como elemento nuclear de la afección cardíaca se encuentra la hipertrofia ventricular izquierda, principal responsable etiológico de la cardiopatía hipertensiva, que incluye la insuficiencia cardíaca, la cardiopatía isquémica, las arritmias y la muerte súbita. En consecuencia, la magnitud, la diversidad etiológica, la vulnerabilidad y las implicaciones sociosanitarias otorgan a la intervención sobre la protección cardíaca un papel prioritario en el manejo de la HTA y sus complicaciones (AU)

Cardiac complications are the main cause of morbidity and mortality related with HBP in our setting and entail first magnitude human and social-health care consequences. Although the incidence of ACVA has decreased in recent decades, this has not occurred with the same intensity for cardiac complications, probably due to their multifactorial origin. Left ventricular hypertrophy, main etiologic responsible factor of hypertensive heart disease that includes heart failure, ischemic heart disease, arrhythmias and sudden death are found as nuclear element of the cardiac disease. Consequently, the magnitude, etiological diversity, vulnerability and social- health care implications grant the intervention on cardiac protection a priority role in the management of HBP and its complications (AU)

Disnea a estudio en un paciente remitido por el neumólogo / Dyspnea in a patient sent by the pneumonologist

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Fibrilación auricular en una paciente hipertensa con un quiste pericardíaco / Atrial fibrillation in a hypertensive patient with a pericardial cyst

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