Mecanismos de comorbilidad en hipertensión arterial
Resumen
Introducción: La práctica asistencial muestra que la hipertensión arterial es una enfermedad que suele asociarse a otros problemas de salud, sin embargo, este aspecto no siempre se tiene en cuenta al elaborar guías de práctica clínica y protocolos de diagnóstico y tratamiento, así como en los ensayos clínicos.
Objetivo: Fundamentar la necesidad de abordar la comorbilidad como fenómeno de la práctica clínica asistencial relevante para la investigación y la creación de guías de práctica clínica y protocolos de diagnóstico y tratamiento.
Material y Métodos: Se realizó una revisión de fuentes bibliográficas que fueron localizadas mediante el motor de búsqueda Google Académico, biblioteca de los autores y la base de datos Scielo de la Biblioteca Virtual de Salud.
Resultados: La asociación de la hipertensión y otros problemas de salud se manifiesta a nivel de la etiopatogenia, la fisiopatología y los efectos del tratamiento.
Conclusiones: La comorbilidad es un fenómeno frecuente y aunque se trata de un problema complejo, existen fundamentos para su análisis desde los niveles etiopatogénico, fisiopatológico y terapéutico, lo que es imprescindible tomar en cuenta al elaborar y valorar normas de tratamiento e investigaciones sobre hipertensión arterial.
Palabras claves: Hipertensión arterial, comorbilidad, fisiopatología, mecanismo
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por Dr. Pedro Enrique Miguel-Soca (2018-03-09)