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SISTEMICA
DEFINICION SEGÚN OMS
SI Daño a órgano
Emergencia blanco/ NO
hipertensiva progresivo.
Elevación
Admitir a UCI marcada de la BP
CLASE I
Condiciones: Intensificar el
Disección aortica. tratamiento oral.
Pre eclampsia severa
Feocromocitoma NO
SI 2017
ACC/AHA/AAPA/ABC/ACPM/AG
Reducir la SBP a Reducir PB, máximo S/APhA/ASH/ASPC/NMA/PCNA
Guideline for the Prevention,
-140mmhg en la 1er 25% 1era hra, a Detection, Evaluation, and
REDUCIR LA BP –
130/80mmhg con GDMT,
inhibidores ACE o ARBs.
CLASE I
ANGINA
DE
PECHO
SI NO
DIHYDROPYRIDINE, CCBs,
DIHYDROPYRIDINE, CCBs
thiazidicos o MRAs.
CLASE I
CLASE I
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
HIPERTENSION Y ENFERMEDAD RENAL CRONICA
IDEAL
<130/80mmhg.
CLASE I
Inhibidor SI NO
Primera linea
es de
de
ACE Albuminuria
medicament
CLASE IIa >o=300mg.
os
Intoleranci NO
a a ACE 2017
ACC/AHA/AAPA/ABC/ACPM/AGS/APh
A/ASH/ASPC/NMA/PCNA Guideline
SI Inhibidores for the Prevention, Detection,
Evaluation, and Management of
de ACE
ARB High Blood Pressure in Adults Paul
CLASE IIa K. Whelton, MB, MD, MSc, FAHA,
CLASE IIb Chair Robert M. Carey, MD, FAHA,
Vice Chair
HIPERTENSION + HEMORRAGIA INTRACEREBRAL .
AGUDA < 6HRS DE INICIO DE LOS SINTOMAS.
Labetalol.
Esmolol
Enalapril.
SBP 150- Urapidil, SBP >220
220 mmhg
CRITERIOS
PARA
NO
TROMBOLISIS
BP
SI BP >220/1
Disminuir <=200/11 10mmh
lentamente la Labetalol, 0 mmhg g
SBP a Nicardipino,
<185mmhg y Clevidipino,
DBP Hidralazina.
<110mmhg Enalapril
después iniciar
Iniciar el tratamiento de la
la trombolisis Disminuir la
hipertensión en las
IV. CLASE I BP 15%
primeras 48-72 hrs después
Mantener la PB durante 24
del inicio agudo del EVC
<180/105mmhg hrs.
para prevenir muerte e
por primeras CLASE IIb
incapacidad. CLASE IIa
24hrs después de 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA
la trombolisis Guideline for the Prevention, Detection, Evaluation, and Management
CLASE I of High Blood Pressure in Adults Paul K. Whelton, MB, MD, MSc, FAHA,
Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA
Guideline for the Prevention, Detection, Evaluation, and Management of
High Blood Pressure in Adults Paul K. Whelton, MB, MD, MSc, FAHA, Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for
the Prevention, Detection, Evaluation, and Management of High Blood Pressure
in Adults Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD,
FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for
the Prevention, Detection, Evaluation, and Management of High Blood
Pressure in Adults Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M.
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults Paul K.
Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the
Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults
Paul K. Whelton, MB, MD, MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair
HEMORRAGIA Labetalol. No producen
INTRACEREBRAL vasodilatacion
Esmolol Enalapril. cerebral. No
Urapidil, hipotension brusca
.Esmolol :25mcg/kgmin.
Bolo 500mcg.
ICTUS ISQUEMICO Labetalol,
Nicardipino,
2018- guidelines for the EarlyClevidipino,Hidralazi
Management of Patients With Acute
Ischemic Stroke. William j, Powers,
na. MD,FAHA,Chair, Alejandro
A.Rabinstein, MD.
2017 Enalapril
ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention,
Detection, Evaluation, and Management of High Blood Pressure in Adults Paul K. Whelton, MB, MD,
MSc, FAHA, Chair Robert M. Carey, MD, FAHA, Vice Chair