<?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>S2312-38932020000100042</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2020.07.01.42-049</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas de los pacientes con crisis hipertensivas que acuden a un Servicio de emergencias médicas]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical characteristics of patients with hypertensive crisis who attend a medical emergency service]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Bello]]></surname>
<given-names><![CDATA[Laura Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pederzani]]></surname>
<given-names><![CDATA[Lino Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Centurión]]></surname>
<given-names><![CDATA[Osmar Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas Servicio de Emergencias]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas División de Medicina Cardiovascular]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Sanatorio Metropolitano Departamento de Investigación en Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[Fernando de la Mora ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>42</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932020000100042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932020000100042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932020000100042&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  los niveles de presión arterial por encima de las cifras normales aumentan el riesgo de padecer enfermedades cardiovasculares y cerebrales. Las complicaciones ocasionadas por las crisis hipertensivas son muy peligrosas y a menudo fatales. Es de suma importancia conocer bien sus características clínicas para tratar de contrarrestar su evolución.  Objetivo:  describir el comportamiento de las crisis hipertensivas en 500 pacientes del Servicio de Emergencias del Hospital de Clínicas, en el período de enero a junio de 2018.  Metodología:  estudio descriptivo y retrospectivo. Se utilizaron las hojas de recepción, acogida y clasificación de urgencias y las historias clínicas de pacientes ingresados con crisis hipertensivas. Se emplearon frecuencias absolutas y relativas (porcentaje) para resumir la información, y tablas para su presentación.  Resultados:  en el estudio predominó el sexo masculino, con 351 (70%) pacientes, y 149 (30%) de sexo femenino. El grupo etario en el que existió mayor predominio de pacientes (49%) fue el de 50-59 años de edad. Se observó un predominio de las urgencias hipertensivas con 399 (79,8%) pacientes, mientras que solo 101 (20,2%) pacientes desarrollaron emergencias hipertensivas. El órgano diana más frecuentemente dañado fue el cerebro en 43 (42,6%) pacientes con un accidente vascular cerebral, seguido por el síndrome coronario agudo en 34 (33,7%) pacientes. La alteración electrocardiográfica mas frecuente fue la hipertrofia del ventrículo izquierdo en 187 (37,4%) pacientes, y en segundo lugar se encontró el supradesnivel del ST, que se presentó en 111 (22,2%) pacientes.  Conclusión:  las complicaciones y los hallazgos más significativos en estos pacientes con crisis hipertensivas fueron los accidentes vasculares encefálicos y el síndrome coronario agudo, así como la hipertrofia del ventrículo izquierdo y la elevación del segmento ST dentro de las alteraciones electrocardiográficas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Blood pressure levels above normal levels increase the risk of cardiovascular and cerebral diseases. Complications caused by hypertensive crises are very dangerous and often fatal. It is very important to know their clinical characteristics well to try to counteract their evolution.  Objective: To describe the behavior of hypertensive crises in 500 patients of the Emergency Service of the Hospital de Clínicas, in the period from January to June 2018.  Methodology: Descriptive and retrospective study. The reception and emergency classification sheets and the medical records of patients admitted with hypertensive crisis were used. Absolute and relative frequencies (percentage) were used to summarize the information, and tables for presentation.  Results: In the study the male sex prevailed, with 351 (70%) patients, and 149 (30%) of female sex. The age group in which there was a greater prevalence of patients (49%) was 50-59 years old. A predominance of hypertensive urgencies was observed with 399 (79.8%) patients, while only 101 (20.2%) patients developed hypertensive emergencies. The most frequently damaged target organ was the brain in 43 (42.6%) patients with a stroke, followed by acute coronary syndrome in 34 (33.7%) patients. The most frequent electrocardiographic alteration was left ventricular hypertrophy in 187 (37.4%) patients, and in the second place was the ST elevation, which occurred in 111 (22.2%) patients.  Conclusion: The most significant complications and findings in these patients with hypertensive crises were cerebrovascular accidents and acute coronary syndrome, as well as left ventricular hypertrophy and ST-segment elevation within electrocardiographic abnormalities.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[crisis hipertensivas]]></kwd>
<kwd lng="es"><![CDATA[emergencias hipertensivas]]></kwd>
<kwd lng="es"><![CDATA[urgencias hipertensivas]]></kwd>
<kwd lng="es"><![CDATA[condiciones patológicas]]></kwd>
<kwd lng="es"><![CDATA[signos y síntomas]]></kwd>
<kwd lng="es"><![CDATA[presión arterial.]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
<kwd lng="en"><![CDATA[hypertensive crises]]></kwd>
<kwd lng="en"><![CDATA[hypertensive emergencies]]></kwd>
<kwd lng="en"><![CDATA[hypertensive urgencies]]></kwd>
<kwd lng="en"><![CDATA[pathological conditions]]></kwd>
<kwd lng="en"><![CDATA[signs and symptoms]]></kwd>
<kwd lng="en"><![CDATA[blood pressure.]]></kwd>
</kwd-group>
</article-meta>
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