[Integrated Care Protocol: Hypertension].

{"article_title":"[Integrated Care Protocol: Hypertension].","author":"Borrayo-S\u00e1nchez G, Rosas-Peralta M, Guerrero-Le\u00f3n MC, Galv\u00e1n-Oseguera H, Ch\u00e1vez-Mendoza A, Ruiz-Batalla JM, Vargas-Pe\u00f1afiel J, Cort\u00e9s-Casimiro VR, Ram\u00edrez-Cruz NX, Soto-Ch\u00e1vez CA, Dur\u00e1n-Arenas JLG, Avil\u00e9s-Hern\u00e1ndez 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":"Coordinacio\u0301n de Educacio\u0301n en Salud, Divisio\u0301n de Innovacio\u0301n 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 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. \u00a9 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","isPdfLink":true,"isSAML":false,"additionalInfo":{"Authored_By":"Borrayo-S\u00e1nchez G, Rosas-Peralta M, Guerrero-Le\u00f3n MC, Galv\u00e1n-Oseguera H, Ch\u00e1vez-Mendoza A, Ruiz-Batalla JM, Vargas-Pe\u00f1afiel J, Cort\u00e9s-Casimiro VR, Ram\u00edrez-Cruz NX, Soto-Ch\u00e1vez CA, Dur\u00e1n-Arenas JLG, Avil\u00e9s-Hern\u00e1ndez R, Borja-Aburto VH, Duque-Molina C","Journal_Info":"Publisher: Coordinacio\u0301n de Educacio\u0301n en Salud, Divisio\u0301n de Innovacio\u0301n Educativa Country of Publication: Mexico NLM ID: 101243727 Publication Model: Electronic Cited Medium: Internet ISSN: 2448-5667 (Electronic) Linking ISSN: 04435117 NLM ISO Abbreviation: Rev Med Inst Mex Seguro Soc Subsets: MEDLINE","Publication_Type":"Journal Article; Practice Guideline","Published_Date":"2022-02-14","Source":"Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2022 Feb 14; Vol. 60 (1), pp. S34-S46. Date of Electronic Publication: 2022 Feb 14.","Languages":"Spanish; Castilian","Electronic_ISSN":"2448-5667","MeSH_Terms":"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","Subjects":"Adult, Aged, Antihypertensive Agents pharmacology, Antihypertensive Agents therapeutic use, Blood Pressure, Blood Pressure Determination, Humans, Delivery of Health Care, Integrated, Hypertension diagnosis, Hypertension drug therapy, Myocardial Infarction diagnosis","Title_Abbreviations":"Revista medica del Instituto Mexicano del Seguro Social","Volume":"60"},"header":{"DbId":"mdl","DbLabel":"MEDLINE Ultimate","An":"35175695","RelevancyScore":"915","PubType":"Academic Journal","PubTypeId":"academicJournal","PreciseRelevancyScore":"914.588684082031"},"plink":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=35175695&authtype=shib&custid=ns346513&group=main&profile=eds","upload_link":"https:\/\/search.ebscohost.com\/login.aspx?direct=true&site=eds-live&db=mdl&AN=35175695&authtype=shib&custid=ns346513&group=main&profile=eds"}