{"id":322,"date":"2012-07-31T18:20:24","date_gmt":"2012-07-31T18:20:24","guid":{"rendered":"http:\/\/hectorgallego.codigo-binario.com\/?p=322"},"modified":"2012-07-31T18:39:00","modified_gmt":"2012-07-31T18:39:00","slug":"hipertension-arterial-en-el-anciano","status":"publish","type":"post","link":"https:\/\/geriatriamexicali.com\/index.php\/hipertension-arterial-en-el-anciano\/","title":{"rendered":"HIPERTENSION ARTERIAL EN EL ANCIANO"},"content":{"rendered":"<p><img loading=\"lazy\" class=\"aligncenter size-full wp-image-327\" title=\"screenshot.11\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.11.jpg?resize=297%2C279&#038;ssl=1\" alt=\"\" width=\"297\" height=\"279\" data-recalc-dims=\"1\" \/><\/p>\n<p>La presi\u00f3n arterial tiende a estar elevada en los pacientes ancianos debido a cambios estructurales en las arterias que consisten b\u00e1sicamente en el engrosamiento de la pared (aterosclerosis) y la disminuci\u00f3n de la elasticidad de las mismas.<\/p>\n<p>Al valorar al paciente anciano hipertenso se debe definir:<\/p>\n<p>1.- Cuanto tiempo tiene conla Hipertensi\u00f3n Arterial: \u00a0Reciente diagnostico o desde hace\u00a0 a\u00f1os.<\/p>\n<p>2.- Si existen complicaciones porla Hipertensi\u00f3n Cr\u00f3nica.<\/p>\n<p>Los criterios diagn\u00f3sticos y la clasificaci\u00f3n no cambia en los ancianos en relaci\u00f3n al resto de la poblaci\u00f3n.<\/p>\n<p>&nbsp;<\/p>\n<h3 style=\"text-align: center;\">\u00a0<strong>CLASIFICACION DE LA PRESION ARTERIAL<\/strong><\/h3>\n<p><a href=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.91.jpg?ssl=1\"><img loading=\"lazy\" class=\"aligncenter size-full wp-image-325\" title=\"screenshot.9\" src=\"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.91.jpg?resize=284%2C279&#038;ssl=1\" alt=\"\" width=\"284\" height=\"279\" data-recalc-dims=\"1\" \/><\/a><\/p>\n<p>La mayor\u00eda de los medicamentos Anti-hipertensivos son seguros de utilizar en el paciente anciano.\u00a0Sin embargo, existen detalles de cada grupo medicamentoso que se debe tener en consideraci\u00f3n al momento de prescribir.<\/p>\n<h3 style=\"text-align: center;\">\u00a0<strong>GRUPOS DE MEDICAMENTOS UTILIZADOS<\/strong><\/h3>\n<p>1.- Inhibidores de la Enzima Convertidora de Angiotensina, (IECA): \u00a0<strong>Captopril, Enalapril<\/strong>.<\/p>\n<p>2.- Beta-Bloqueadores: \u00a0<strong>Metoprolol, Propranolol, Atenolol.<\/strong><\/p>\n<p>3.-Antagonistas de Angiotensina (ARA II) : \u00a0<strong>Losartan, Telmisartan, Olmesartan.<\/strong><\/p>\n<p>4.- Diur\u00e9ticos: <strong>Tiazidicos como la Hidroclorotiazida, Clortalidona. Furosemide.<\/strong><\/p>\n<p>5.- Antagonistas de los\u00a0 Canales de Calcio: \u00a0<strong>Amlodipino, Nifedipino, Diltiazem<\/strong>.<\/p>\n<p>6.- Otros que se utilizan menos: <strong>Prazocin, Nitroglicerina, Nitroprusiato.<\/strong><\/p>\n<p><a href=\"https:\/\/i1.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.10.jpg?ssl=1\"><img loading=\"lazy\" class=\"aligncenter size-medium wp-image-326\" title=\"screenshot.10\" src=\"https:\/\/i2.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.10-300x201.jpg?resize=300%2C201&#038;ssl=1\" alt=\"\" width=\"300\" height=\"201\" srcset=\"https:\/\/i1.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.10.jpg?w=300&amp;ssl=1 300w, https:\/\/i1.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.10.jpg?w=459&amp;ssl=1 459w\" sizes=\"(max-width: 300px) 100vw, 300px\" data-recalc-dims=\"1\" \/><\/a><\/p>\n<h3 style=\"text-align: center;\">\u00a0\u00a0<strong>OBJETIVOS DEL TRATAMIENTO<\/strong><\/h3>\n<p>Pueden variar dependiendo de cada paciente, y se toma en consideraci\u00f3n la existencia o no de otras enfermedades como Diabetes, Alteraciones con el Colesterol, Secuelas de Embolias Cerebrales, o Infartos del Coraz\u00f3n.<\/p>\n<p>Se puede definir en promedio que los objetivos de las cifras de presi\u00f3n son:<\/p>\n<p><strong>&lt; 140 \/ 90 mmHg<\/strong><\/p>\n<blockquote>\n<p style=\"text-align: center;\"><strong>\u201cSe deben individualizar los objetivos con cada paciente\u201d<\/strong><\/p>\n<\/blockquote>\n<p>En los pacientes diab\u00e9ticos y con enfermedad renal los objetivos deben ser m\u00e1s estrictos como sucede tambi\u00e9n con pacientes mas j\u00f3venes:<\/p>\n<p><strong>&lt; 130\/80 mmHg<\/strong><\/p>\n<p>Disminuciones por debajo de los <strong>120\/80 mmHg,<\/strong> pueden ser delet\u00e9reas en el paciente anciano.<\/p>\n<h3 align=\"center\"><strong>RIESGOS DE UN MAL CONTROL DE LA PRESION ARTERIAL<\/strong><\/h3>\n<p>Los pacientes ancianos <strong>con presi\u00f3n alta (HAS)<\/strong> deben realizarse el monitoreo\u00a0 en casa, registrarlo y mostr\u00e1rselo al medico tratante en cada consulta.<\/p>\n<p style=\"text-align: center;\"><strong>El MAL control de la presi\u00f3n arterial aumenta:<\/strong><\/p>\n<p><strong>\u00a0<\/strong>1.- Riesgo de Infarto al Miocardio.<\/p>\n<p>2.- Embolias cerebrales.<\/p>\n<p>3.- Insuficiencia (Falla) Cardiaca.<\/p>\n<p>4.- Arritmias Cardiacas.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La presi\u00f3n arterial tiende a estar elevada en los pacientes ancianos debido a cambios estructurales en las arterias que consisten b\u00e1sicamente en el engrosamiento de la pared (aterosclerosis) y la disminuci\u00f3n de la elasticidad de las mismas. Al valorar al paciente anciano hipertenso se debe definir: 1.- Cuanto tiempo tiene conla Hipertensi\u00f3n Arterial: \u00a0Reciente diagnostico [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":327,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","spay_email":""},"categories":[5],"tags":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/geriatriamexicali.com\/wp-content\/uploads\/2012\/07\/screenshot.11.jpg?fit=297%2C279&ssl=1","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>HIPERTENSION ARTERIAL EN EL ANCIANO - Dr. Hector Gallego<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/geriatriamexicali.com\/index.php\/hipertension-arterial-en-el-anciano\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIPERTENSION ARTERIAL EN EL ANCIANO - Dr. Hector Gallego\" \/>\n<meta property=\"og:description\" content=\"La presi\u00f3n arterial tiende a estar elevada en los pacientes ancianos debido a cambios estructurales en las arterias que consisten b\u00e1sicamente en el engrosamiento de la pared (aterosclerosis) y la disminuci\u00f3n de la elasticidad de las mismas. 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