[Integrated Management Area of Vascular Risk: A new organisational model for global control of risk factors]. / Área de Atención Integrada de Riesgo Vascular: un nuevo modelo organizativo para el control global de los factores de riesgo.

Cardiovascular disease (CVD), is a major cause of morbidity and mortality that increases the cost of care. Currently there is a low degree of control of the main cardiovascular risk factors, although we have a good therapeutic arsenal. To achieve the improvement of this reality, a good coordination and multidisciplinary participation are essential. The development of new organizational models such as the Integrated Management Area of Vascular Risk can facilitate the therapeutic harmonization and unification of the health messages offered by different levels of care, based on clinical practice guidelines, in order to provide patient-centred integrated care.

[Hypertensive crisis and sudden change of vision in young patients]. / Crisis hipertensiva y alteración brusca de la visión en el paciente joven.

The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases.

Área de Atención Integrada de Riesgo Vascular: un nuevo modelo organizativo para el control global de los factores de riesgo / Integrated Management Area of Vascular Risk: A new organisational model for global control of risk factors

La enfermedad cardiovascular (ECV) es una causa importante de morbimortalidad que incrementa el coste asistencial. Actualmente existe un bajo grado de control de los principales factores de riesgo cardiovascular, a pesar de que disponemos de un buen arsenal terapéutico. Para lograr la mejora de esta realidad es fundamental la coordinación y participación multiprofesional. El desarrollo de nuevos modelos organizativos, como el Área de Atención Integrada de Riesgo Vascular, puede facilitar la armonización terapéutica y la unificación de los mensajes sanitarios ofrecidos por los distintos niveles asistenciales, basados en las guías de práctica clínica, con el fin de ofrecer una atención integrada y centrada en el paciente

Cardiovascular disease (CVD), is a major cause of morbidity and mortality that increases the cost of care. Currently there is a low degree of control of the main cardiovascular risk factors, although we have a good therapeutic arsenal. To achieve the improvement of this reality, a good coordination and multidisciplinary participation are essential. The development of new organizational models such as the Integrated Management Area of Vascular Risk can facilitate the therapeutic harmonization and unification of the health messages offered by different levels of care, based on clinical practice guidelines, in order to provide patient-centred integrated care

Crisis hipertensiva y alteración brusca de la visión en el paciente joven / Hypertensive crisis and sudden change of vision in young patients

La alteración brusca de la visión es una urgencia médica en la cual se deben descartar entidades como la vasculitis sistémica, el ictus isquémico y la hipertensión acelerada-maligna. La neuropatía isquémica óptica anterior (NOIA) no arterítica es otra entidad a tener en cuenta, ya que no es infrecuente en jóvenes (12,7% en una serie de 848 casos). Se ha descrito su asociación con la hipertensión arterial en un 32% de casos

The sudden change in vision is a medical emergency that must be evaluated immediately to rule out important institutions as systemic vasculitis or ischemic stroke. Its association with hypertensive crisis makes it necessary to rule out accelerated-malignant hypertension, which is accompanied by other retinal disorders (exudates and hemorrhages) and adrenal involvement. Nonarteritic anterior ischemic optic neuropathy (AION) is another entity to consider, as is it not uncommon in the young (12.7% in a series of 848 cases). Its association with hypertension has been described in 32% of cases