Manejo de la Hipertensión Arterial Sistémica (HAS) asociada a NOM SSA, Para la prevención, tratamiento y control de la. Prevención de la hipertensión arterial entre la. población general. Actividad física. Consumo de sal. Consumo de alcohol. 4. Resumen integrado Norma Oficial Mexicana NOMSSA, para la prevención, detección, diagnóstico, tratamiento y control de la hipertensión arterial sistémica. Rev Mex Cardiol ; Paginas: Archivo PDF: Kb.
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Enfermedades cardiovasculares, hipertensión arterial y recomiendan restricciones de consumo de sal en pacientes con hipertensión .. 5 g de sal /d. DT2 + HAS. NOM NOM .. Mortalidad_VEpdf. Modelo Integrador de Atención a la Salud. NOM. Norma Oficial Mexicana. NV nacidos vivos .. y la hipertensión arterial también influyen en el desarrollo de las. Español (pdf) · Artículo en XML; Referencias del artículo; Como citar este artículo de la atención de hipertensión arterial y diabetes mellitus en centros de salud . de acuerdo a la NOMSSA,22 como tensión arterial (TA) sistólica.
Even TAG concentration was considered normal in both, obese and non-obese, these values were higher in obese. On the other hand, men have higher prevalence of MetS than women; however, the percentage of healthy men with no MetS components is also higher in men than in women.
In our study, the prevalence of overweight and obesity in young adults was Total prevalence of AOb in this sample was lower compared with that found in a nationwide Mexican young adults y Assuming the MetS as a multifactorial process, it is a progress between "healthy" and "not healthy" status, early events of that process might predict progression to future chronic disease Screening and identifying young adults, especially men, with conditions such as AOb, dyslipidaemia and the MetS are crucial steps in establishing effective educational and intervention strategies to reduce the incidence and burden of chronic diseases.
MetS prevalence was higher in men than in women, but the percentage of healthy men with no MetS components is higher than healthy women, similar to what has been reported Abdominal obesity and low HDL-C were 1.
Our results suggest that dyslipidemia presence in women is favored by the central body fat distribution. In our study, MetS prevalence was It is worth to mention that the prevalence of abdominal obesity in young adults of Mexico was The difference in the prevalence of MetS between Mexico, Ecuador and Argentina, could be explained due to higher differences in the prevalence of abdominal obesity in the studied populations; whereas the differences with Chile are related to a lack of comparability because of the different diagnostic criteria used.
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A similar trend was observed by DuBose et al. It is important to notice that the chronological development of AOb increases the cardiovascular risk, which is at the core of metabolic syndrome.
The syndrome often culminates in type 2 diabetes in which risk for vascular disease is markedly raised 1. With the purpose to establish future interventions aimed to reducing risk factors for MetS development, it is important to know the prevalence of its components.
However, to increase the effectiveness of these interventions and as a goal of this report, we consider that is more important to know the degree of association of each of these elements on its development.
In this study, AOb was selected as one of the most important components of the MetS due to its high prevalence, and other studies have shown that AOb is a factor of high importance for its development 19 , The degree of association of AOb with the other components of MetS was established and we found that elevated BP was more strongly associated in both men and women.
This finding is important because in our university population, high BP is the lowest frequent individual component of MetS, but the importance on its development could be greater than biochemical components, including low HDL-C, despite being the most frequent component in this population.
Our results could be very important to public health authorities for the design and implementation of focused preventive policies to reduce MetS and CVD in college students.
As it is known, cross-sectional design limits causal inferences; however, this design allows researchers to obtain the current health status of the desired population at one point in time. Some studies define young adults as 18 to 24 8 , 18 , others from 20 to 39 23 , as in this study was from 17 to 25 years old, we think a single operational definition for young adults would be beneficial for future data comparisons.
Yet, to our knowledge no other study of this sample size has examined MetS in young Mexicans. Nevertheless, the degree of association between AOb and the other components of MetS was established, and we found that elevated BP is more strongly associated in both men and women. This finding is important because in our Mexican university population, elevated BP is the lowest frequent individual component of MetS, but the importance on its development could be greater than biochemical components, including low HDL-C, the most frequent component in this population.
Metabolic syndrome and subsequent risk of type 2 diabetes and cardiovascular disease in elderly women: Challenging the current definition. Medicine ;95 36 :e Increased cardiometabolic risk factors and inflammation in adipose tissue in obese subjects classified as metabolically healthy. Diabetes Care ; Metabolic syndrome prevalence among northern Mexican adult population. Prevalence of diabetes and metabolic syndrome in a migrant Mixtec population, Baja California, Mexico. J Immigr Minor Health ; Difference in prevalence of diabetes, obesity, metabolic syndrome and associated cardiovascular risk factors in a rural area of Tamil Nadu and an urban area of Delhi.
Int J Diabetes Dev Ctries ; Acta Med Mediterr ; Estimating the geographical distribution of the prevalence of the metabolic syndrome in young Mexicans. Geospat Health ; Metabolic syndrome among students attending a historically black college: prevalence and gender differences. Diabetol Metab Synd ;5 2 Increased cardiovascular risk associated with poor nutritional habits in first-year university students.
Nutr Res ; The "freshman fifteen" the "freshman five" actually : predictors and possible explanations. Health Psychol ;S3-S9. The freshman weight gain: a model for the study of the epidemic of obesity. Int J Obes ; Study of Lipid profile in a population of university students. Rev Latino-Am Enfermagem ;21 5 Circulation ; Open J Prev Med ; J Lipid Res ; Prevalence of metabolic syndrome and associated risk factors in ecuadorian university students.
Nutr Hosp ;31 4 Cardiovascular risk factors among university students. Rev Med Chile ; Gotthelf SJ. Rev Fed Arg Cardiol ; Las desventajas del bloqueo 2 radican en sus efectos adversos: Manos fras y fatiga, hipersecrecin de insulina.
Menos comunes, pero serios, la provocacin de asma, insuficiencia cardaca o bloqueo de la conductancia.
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Los bloqueadores tambin tienden a elevar los niveles sricos de triglicridos y a reducir los de colesterol HDL. Todos los bloqueadores bajan la presin arterial, pero al menos algunos de sus efectos adversos se pueden atenuar utilizando frmacos hidrfilos cardioselectivos que no sufren metabolismo heptico o que no ingresan en el cerebro, como el atenolol. Schematic portrayal of the three major physiological pathways regulating renin release.
Mechanisms by which the macula densa regulates renin release. Changes in tubular delivery of NaCl to the macula densa cause appropriate signals to be conveyed to the juxtaglomerular cells.
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PGs and catecholamines stimulate cyclic AMP production and thence renin release from the juxtaglomerular cells. Adenosine diffuses to the juxtaglomerular cells and inhibits cyclic AMP production and renin release via G i-coupled A1 receptors.
Frmacos vasodilatadores Inhibidores de la ECA. La angiotensina II es un potente vasoconstrictor circulante y la inhibicin de su sntesis en pacientes hipertensos produce cada de la resistencia perifrica y descenso de la presin arterial.
Los inhibidores de la ECA no alteran los reflejos cardiovasculares y carecen de muchos de los efectos adversos de los diurticos y los bloqueantes. Un efecto indeseable habitual de los inhibidores de la ECA es una tos seca que puede ser producida por un aumento de la bradicinina la ECA tambin metaboliza la bradicinina.
Efectos adversos poco frecuentes, pero serios, de los inhibidores de la ECA comprenden angioedema, proteinuria y neutropenia. Los inhibidores de la ECA pueden causar insuficiencia renal en pacientes con estenosis bilateral de la arteria renal debido a que aparentemente en ese estado se necesita angiotensina II para contraer las arteriolas posglomerulares y mantener una adecuada filtracin glomerular.
Antagonistas de los receptores de angiotensina losartn. Reducen la presin arterial al bloquear los receptores de la angiotensina AT I.
Tienen propiedades similares a las de los inhibidores de la ECA, pero no provocan tos, quiz debido a que no impiden la degradacin de la bradicinina. Bloqueantes de los canales de calcio.
Esto reduce la resistencia perifrica y provoca una cada de la presin arterial. La eficacia de los antagonistas del calcio es similar a la de las tiazidas, los bloqueadores y los IECA. El diltiazem bloquea los canales de calcio cardacos llegando al bloqueo A-V, til slo para arritmias supraventriculares.Mean values for glucose were grater in obese than in non-obese Difference in prevalence of diabetes, obesity, metabolic syndrome and associated cardiovascular risk factors in a rural area of Tamil Nadu and an urban area of Delhi.
The MetS and its individual components have been widely studied in adults 3 , 4 , 5 , as well as in younger ages 6 , 7 ; however, association between AOb measured by waist circumference and elevated BP, has not been examined comprehensively in young university students of Mexico. Adenosine diffuses to the juxtaglomerular cells and inhibits cyclic AMP production and renin release via G i-coupled A1 receptors.
PGs and catecholamines stimulate cyclic AMP production and thence renin release from the juxtaglomerular cells. Changes in tubular delivery of NaCl to the macula densa cause appropriate signals to be conveyed to the juxtaglomerular cells. Instituto Mexicano del Seguro Social.
Mecanismos: El efecto cardaco -bloqueante propiamente dicho puede ser el de mayor relevancia. Metabolic syndrome prevalence among northern Mexican adult population.