<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932022000100101</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2022.09.01.101</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización clínica de las crisis hipertensivas en pacientes adultos hospitalizados en el Hospital Nacional de Itauguá en 2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characterization of hypertensive crises in adult patients hospitalized at the Hospital Nacional of Itauguá in 2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ibáñez Franco]]></surname>
<given-names><![CDATA[Elvis Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[Alma María Carmelita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte Arévalos]]></surname>
<given-names><![CDATA[Luis Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giménez Vázquez]]></surname>
<given-names><![CDATA[Fabiola De Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olmedo Mercado]]></surname>
<given-names><![CDATA[Edis Fabiola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Martínez]]></surname>
<given-names><![CDATA[Hugo Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rondelli Martínez]]></surname>
<given-names><![CDATA[Lis Faviola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Itapúa Facultad de Medicina Postgrado en Medicina Interna]]></institution>
<addr-line><![CDATA[Encarnación ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>1</numero>
<fpage>101</fpage>
<lpage>112</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932022000100101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932022000100101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932022000100101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  una crisis hipertensiva se define como una elevación aguda de la presión arterial superior a 180/120 mm Hg, pudiendo esto generar complicaciones en diferentes niveles fisiopatológicos como afectación del sistema nervioso central, cardiovascular, entre otros.  Objetivos:  caracterizar los aspectos clínicos de las crisis hipertensivas en pacientes internados en el Departamento de urgencias del Hospital Nacional de Itauguá.  Métodos:  estudio observacional, descriptivo con componente analítico, de corte transversal y prospectivo, realizado en el periodo de junio a noviembre del 2021. Se incluyeron pacientes con diagnóstico clínico de crisis hipertensiva definida por presión sistólica &#8805; 180 mmHg y/o presión diastólica &#8805;120 mmHg. La investigación fue aprobada por el Comité de Ética de la Universidad Nacional de Itapúa.  Resultados:  se estudiaron 140 pacientes, cuya edad promedio fue 61 ± 14 años, con predominio masculino en 54,29%. Los valores promedios de cifras tensionales mayormente elevadas fueron la presión arterial sistólica (193,5 ± 15,2 mmHg) y la presión arterial diferencial (84,5 ± 17,75 mmHg). El motivo de consulta más frecuente fue la dificultad respiratoria (19,28%). A su vez, 113 (80,71%) pacientes tenían algún tipo de comorbilidad, predominando el sobrepeso en 61 casos. En 93 pacientes (66,43%) había tratamiento antihipertensivo irregular o abandono del mismo. El tratamiento inicial predominante fue la administración de enalaprilato EV (28,58%). En 91 pacientes (65%) se detectó daño de órgano blanco, prevaleciendo el accidente cerebrovascular (29,29%). Los factores que presentaron asociación estadísticamente significativa con presentar daño de órgano blanco fueron la comorbilidad (p 0,0033, OR: 3,52) y el tratamiento irregular o abandono del mismo (p 0,00007, OR: 4,35).  Conclusión:  se evidenció una alta frecuencia de emergencia hipertensiva, predominio marcado del tratamiento irregular o abandono del mismo. Mas de la mitad de los pacientes con crisis hipertensivas acuden con algún daño de órgano blanco, viéndose como principales factores de riesgo asociados la comorbilidad y el tratamiento irregular o abandono del mismo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  A hypertensive crisis is defined as an acute elevation of blood pressure greater than 180/120 mmHg, which can generate complications at different pathophysiological levels such as involvement of central nervous, cardiovascular systems, among others.  Objectives:  To characterize the clinical aspects of hypertensive crises in patients admitted to the Emergency Service of the Hospital Nacional o Itauguá.  Methods:  Prospective, cross-sectional, descriptive, observational study with an analytical component, carried out from June to November 2021. Patients with a clinical diagnosis of hypertensive crisis defined by systolic pressure &#8805; 180 mmHg and/or diastolic pressure &#8805; 120 mmHg were included. The research study was approved by the Ethics Committee of the National University of Itapúa.  Results:  One hundred forty patients were studied, whose mean age was 61±14 years, with male predominance (54.29%). The mean values &#8203;&#8203;of the most elevated blood pressure values were systolic blood pressure (193.5±15.2 mmHg) and differential blood pressure (84.5± 17.75 mmHg). The most frequent reason for consultation was respiratory distress (19.28%). Some type of comorbidity was present in 113 patients (80.71%), with overweight predominating in 61 cases. In 93 patients (66.43%) there was irregular antihypertensive treatment or medication discontinuation. The predominant initial treatment was the administration of enalaprilat IV (28.58%). Target organ damage was detected in 91 patients (65%), with cerebrovascular accident prevailing (29.29%). The factors that presented a statistically significant association with presenting target organ damage were comorbidity (p = 0.0033, OR: 3.52) and irregular treatment or treatment discontinuation (p = 0.00007, OR: 4.35).  Conclusion:  A high frequency of hypertensive emergency, a marked predominance of irregular treatment or its discontinuation was evidenced. More than half of the patients with hypertensive crises consulted at the emergency service with some target organ damage, and with comorbidity and irregular treatment or medication discontinuation as the main associated risk factors.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[presión sanguínea]]></kwd>
<kwd lng="es"><![CDATA[presión arterial]]></kwd>
<kwd lng="es"><![CDATA[antihipertensivos]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
<kwd lng="en"><![CDATA[blood pressure]]></kwd>
<kwd lng="en"><![CDATA[arterial pressure]]></kwd>
<kwd lng="en"><![CDATA[antihypertensives]]></kwd>
</kwd-group>
</article-meta>
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