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Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


GARCIA, Laura Beatriz  and  CENTURION, Osmar Antonio. Preventive measures and diagnostic and therapeutic management of arterial hypertension and hypertensive crises. Rev. salud publica Parag. [online]. 2020, vol.10, n.2, pp.59-66. ISSN 2307-3349.


Hypertension (HT) is defined by some as a disease, although it is also considered a cardiovascular risk factor. Today we know cardiovascular diseases depend more on the simultaneous influence of several risk factors than on the isolated action of one of them. Therefore, all preventive activity in this field must be multifactorial and directed in various ways.


When HT is not controlled, the probability of stroke and heart failure, with a lower incidence of coronary and peripheral arterial disease triples. The increase in left ventricular mass itself, as well as, the structural changes that occur at the level of myocardium and coronary vessels, can trigger episodes of ischemic heart diseases. Interstitial remodeling and increased left ventricular mass are predisposing factors to the appearance of ventricular arrhythmias and sudden death. It is important to evaluate and treat newly diagnosed patients with HT with recommended medications and follow-up to prevent the progression of uncontrolled HT to hypertensive crises, that is, urgency or emergency hypertension.


The immediate recognition of a hypertensive emergency with the affected diagnostic tests will lead to an adequate reduction of blood pressure, alleviating the incidence of negative consequences to the target organs. Proper treatment helps to decrease the progression of the disease and improves long-term outcomes.

Keywords : Hypertension; hypertensive crisis; hypertensive urgency; hypertensive emergencies..

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