title: [Why is it important to achieve the goals of treatment of hypertension…. About a case that began as ischemic stroke].
abstract: Systemic arterial hypertension (SAH) is one of the most common conditions seen in primary care of cardiovascular disease and whose consequences; depending on the "target organ" affecting produce ischemic heart disease, cerebral vascular disease or chronic kidney disease. In the pathogenesis of HAS are several physiopathological mechanisms involved; of which currently, to name the most important and frequent play a role in increasing adrenaline levels, the renin-angiotensin-aldosterone system and recently, much the participation of insulin resistance and hyperinsulinemia mentioned. These processes lead to an imbalance between the sympathetic and parasympathetic tone, coupled with hypersensitivity sodium trigger one of the pathophysiologic mechanisms of hypertension. SAH is currently defined as finding numbers of older blood pressure 140/90mm Hg. This is one of the diseases that most affect the world population prevalences found in age and gender groups 45 to 55% in men between 45 and 70 years and 45 to 65% in women of the same age group. In 2013 most recent clinical guidelines for treatment and the recommended goals, which has managed to reduce its complications and mortality were published; among which include vascular diseases such as ischemic heart and brain and kidney. In this paper a case that exemplifies the secondary complications in late diagnosis, damage to "target organ" by long-term exposure and inadequate compliance with therapeutic goals discussed.
authors.affiliation: Servicio de Cardiología, Centro Médico American British Cowdray, Campus Santa Fe, México, D.F., México. Electronic address: sauzamd@hotmail.com.
authors.forename: Julio César
authors.initials: JC
authors.lastname: Sauza-Sosa
authors.affiliation: Servicio de Imagenología, Centro Médico American British Cowdray, Campus Santa Fe, México, D.F., México.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Romero-Figueroa
authors.affiliation: Servicio de Cardiología, Centro Médico American British Cowdray, Campus Santa Fe, México, D.F., México.
authors.forename: Lilia Mercedes
authors.initials: LM
authors.lastname: Sierra-Galán
authors.affiliation: Servicio de Cardiología, Centro Médico American British Cowdray, Campus Observatorio, México, D.F., México.
authors.forename: Sergio Mario
authors.initials: SM
authors.lastname: Ferez-Santander
mesh_terms: D000368:Aged; D002545:Brain Ischemia / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006040:Goals; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000628:therapy*; D020521:Stroke / Q000209:etiology / Q000517:prevention & control
keywords: Arterial hypertension; Cardiopatía hipertensiva; Fibrilación auricular; Hipertensión arterial; Hypertensive heart disease