[Integrated Care Protocol: Hypertension].

{"article_title":"[Integrated Care Protocol: Hypertension].","author":"Borrayo Sanchez G, Rosas Peralta M, Guerrero Leon MC, Galvan Oseguera H, Chavez Mendoza A, Ruiz Batalla JM, Vargas Penafiel J, Cortes Casimiro VR, Ramirez Cruz NX, Soto Chavez CA, Duran Arenas JLG, Aviles Hernandez R, Borja Aburto VH, Duque Molina C","journal_title":"Revista medica del Instituto Mexicano del Seguro Social","issn":"2448-5667","isbn":"","publication_date":"2020 Mar 30","volume":"60","issue":"1","first_page":"S34","page_count":"","accession_number":"35175695","doi":"","publisher":"Coordinacion de Educacion en Salud, Division de Innovacion Educativa","doctype":"Journal Article","subjects":"Delivery of Health Care, Integrated; Hypertension diagnosis; Hypertension drug therapy; Myocardial Infarction diagnosis; Adult; Aged; Antihypertensive Agents pharmacology; Antihypertensive Agents therapeutic use; Blood Pressure; Blood Pressure Determination; Humans","interest_area":["Cardiology"," Internal\/Family Medicine"],"abstract":"Background: Hypertension is the most common cardiovascular risk factor that is responsible for complications such as cerebrovascular events, heart failure, acute myocardial infarction, kidney failure, arrhythmias and blindness. About 30% of the adult population older than 20 years is a carrier. 40% of carriers are unaware of suffering from it since its onset is generally asymptomatic. Unfortunately, of those who are already known to be hypertensive, only half take drug treatment and of these, only half achieve control figures (<14\/90 mmHg). For several decades it has not been possible to forcefully modify the natural history of this disease despite the advancement of therapeutic drugs. The Mexican Institute of Social Security launches the initiative of the Integrated Care Protocols (PAI) of the main diseases. This protocol shows how the three levels of medical care are concatenated, the role of each of the members of the multidisciplinary team for medical care, including: doctor, nurse, social work, psychologist, nutritionist, among others and, to patient sharing. The main changes in diagnostic criteria, in-office and out-of-office blood pressure measurement, drug therapy (monotherapy, dual therapy and triple therapy) and non-drug therapy, and follow-up are presented. The diagnostic-therapeutic approach using algorithm as well as the diagnostic approach to secondary hypertension and special forms of hypertension such as in pregnancy, hypertensive crisis, hypertension in the elderly, ischemic or nephropathy patients. C 2022 Revista Medica del Instituto Mexicano del Seguro Social.","url":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=mdl&AN=35175695&authtype=shib&custid=ns346513&group=main&profile=eds"}