Arterial hypertension: an update
DOI:
https://doi.org/10.56294/piii2024329Keywords:
Arterial hypertension, lifestyle, risk factorsAbstract
Introduction: Hypertension (HTN) is a chronic condition that affects millions of people worldwide and is associated with a significant increase in cardiovascular risk. Understanding its pathophysiology, risk factors, clinical features, and treatment options is essential for its effective management.
Objective: To synthesize the available information on the pathophysiology of HTN, associated risk factors, its clinical features, and current treatments, as well as research on associated lifestyles
Development: The pathophysiology of HTN involves complex mechanisms that include endothelial dysfunction, the renin-angiotensin-aldosterone system, and insulin resistance. Risk factors include obesity, sedentary lifestyle, excessive sodium consumption, and smoking. Clinically, HTN may be asymptomatic or manifest with symptoms such as headaches and dizziness. Treatments include lifestyle changes, antihypertensive medications, and complementary therapies. Recent research highlights the negative impact of unhealthy lifestyles, such as unhealthy diets and lack of exercise, on the development and progression of HTN.
Conclusions: Early identification of risk factors and promotion of a healthy lifestyle are essential. Interventions in dietary habits and physical activity can significantly reduce the incidence and impact of HTN. It is crucial that both health professionals and patients are informed about the importance of adopting sustainable lifestyle changes
References
1. Sellén Crombet J, Sellén Sanchén E, Barroso Pacheco L, Sellén Sánchez S. Evaluación y diagnóstico de la Hipertensión Arterial. Revista Cubana de Investigaciones Biomédicas [Internet] 2009 [cited 2024 Oct 1];28(1):0–0. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-03002009000100001&lng=es&nrm=iso&tlng=es
2. OMS. Hipertensión [Internet]. [cited 2024 Oct 1];Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/hypertension
3. OPS. Hipertensión - OPS/OMS | Organización Panamericana de la Salud [Internet]. [cited 2024 Oct 1];Disponible en: https://www.paho.org/es/temas/hipertension
4. YAGUACHI ALARCÓN RA, TRONCOSO CORZO LV, CORREA ASANZA K, POVEDA LOOR CL. Estilo de vida, estado nutricional y riesgo cardiovascular en trabajadores de la salud. Nutrición Clínica y Dietética Hospitalaria [Internet] 2021 [cited 2024 Oct 1];41(3). Disponible en: https://doi.org/10.12873/413yaguachi
5. OMS. A healthy lifestyle - WHO recommendations [Internet]. [cited 2024 Oct 2];Disponible en: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations
6. OMS. Alimentación sana [Internet]. [cited 2024 Sep 27];Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/healthy-diet
7. OMS. Actividad física [Internet]. [cited 2024 Sep 28];Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/physical-activity
8. Instituto de Salud para el Bienestar | Gobierno | gob.mx [Internet]. [cited 2024 Oct 2];Disponible en: https://www.gob.mx/insabi/que-hacemos
9. Abreu EG, Pujada LA, Travieso AV, Roque YR, Benítez AM. Clinical-epidemiological characterization of arterial hypertension in the elderly. Medical Office 21. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2022 [cited 2024 Oct 1];1:259–259. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/34
10. Jiménez MJJ, Hidalgo MVA, Villarreal MAB. Arterial hypertension: a global public health challenge and the need for comprehensive strategies. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2023 [cited 2024 Oct 1];2:775–775. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/520
11. Harrison DG, Coffman TM, Wilcox CS. Pathophysiology of Hypertension. Circulation Research [Internet] 2021 [cited 2024 Oct 2];128(7):847–863. Disponible en: https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.318082
12. Beevers G, Lip GYH, O’Brien E. The pathophysiology of hypertension. BMJ [Internet] 2001 [cited 2024 Oct 2];322(7291):912–916. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1120075/
13. Almarales OOT, Baños YG, Hernández DD, Pin LV, Urquiola MA. Adherence to treatment in hypertensive patients at the Medical Clinic 6. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2023 [cited 2024 Oct 1];2:497–497. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/415
14. Chuga ZRN, Hernández CEP, Ponce SCM. Influence of lifestyle habits on the evolution of arterial hypertension in adults. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2023 [cited 2024 Oct 1];2:613–613. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/1089
15. Li L, Chimedragchaa C, Tsend-Ayush D, Dorjibat S, M N, Terigen T. Trends and Outcomes of Traditional Medicine Treatments for Arterial Hypertension and Rheumatic Diseases in Mongolia (2021-2023). Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2024 [cited 2024 Oct 1];3:.985-.985. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/1150
16. Laureiro CAO, Campos MCV, Pérez CP, Ramos YÁ, Alfonso AZ. Educational intervention strategy on arterial hypertension. Clinic No.5. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2022 [cited 2024 Oct 1];1:279–279. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/49
17. Pico OMA, Hidalgo MVA, Hernández CEP. Older adults affected by high blood pressure in the city of Tulcán. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2023 [cited 2024 Oct 1];2:773–773. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/518
18. Sánchez SSL, Sánchez MAV, Miranda RFU, Haro CAL, Yugsi DEB. Cardiac Rehabilitation in Older Adults with Arterial Hypertension. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2024 [cited 2024 Oct 1];3:792–792. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/972
19. Pena YD, Guerra DBG, Fernández MR, Izquierdo LMG, Sabatier OG. Cardiovascular risk factors in older adults. Medical office 6. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet] 2022 [cited 2024 Oct 1];1:286–286. Disponible en: https://conferencias.ageditor.ar/index.php/sctconf/article/view/54
20. Sigmund CD, Carey RM, Appel LJ, et al. Report of the National Heart, Lung, and Blood Institute Working Group on Hypertension. Hypertension [Internet] 2020 [cited 2024 Oct 2];75(4):902–917. Disponible en: https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.119.13887
21. Ybarra Clemente H, Marín Gasco V. Cuidados de enfermería en el paciente con hipertensión arterial [Internet]. Zona Hospitalaria. 2021 [cited 2024 Oct 2];Disponible en: https://zonahospitalaria.com/cuidados-de-enfermeria-en-el-paciente-con-hipertension-arterial/
22. Barzallo Zeas DF. Estilo de vida en pacientes hipertensos del Hospital José Carrasco Arteaga Marzo a Julio de 2017 [Internet]. 2018 [cited 2024 Oct 2];Disponible en: http://dspace.uazuay.edu.ec/handle/datos/8279
23. Sosa DY. Estilos de vida de pacientes de 20 a 50 años con hipertensión arterial, que asisten a la consulta externa del área de medicina general Clínica Periférica No.1, Consultorio No.11 del Instituto Hondureño de Seguridad Social (IHSS), municipio del Distrito Central, Tegucigalpa, Honduras C.A. Tercer Trimestre 2016. [Internet]. 2017 [cited 2024 Oct 2];Disponible en: http://repositorio.unan.edu.ni/id/eprint/7896/
24. Guerrero Yactayo M. Perfil de estilos de vida de los pacientes hipertensos continuadores menores de un año en el programa del adulto mayor del Hospital Nacional Rezola - Cañete [Internet]. [cited 2024 Oct 2];Disponible en: https://repositorio.usmp.edu.pe/handle/20.500.12727/2403
25. Liermo LAF, Rodríguez RG, Segovia FD, Granda LMA. El control de la presión arterial y su influencia en el estilo de vida de las personas hipertensas. Revista Científica Higía de la Salud [Internet] 2022 [cited 2024 Oct 2];6(1). Disponible en: https://revistas.itsup.edu.ec/index.php/Higia/article/view/695
26. Cevallos Cevallos GN. Estilos de vida en adultos mayores con hipertensión en el hospital básico Dr. Rafael Serrano López, cantón La Libertad 2022 [Internet]. 2022 [cited 2024 Oct 2];Disponible en: https://repositorio.upse.edu.ec/handle/46000/8933
27. Mogollón ICM, Silvera EEG, Arias AP, Barona NV. Hipertensión arterial: estilos de vida y estrategias de intervención. Revista Científica de Enfermería [Internet] 2020 [cited 2024 Oct 2];(20):35–49. Disponible en: https://recien.ua.es/article/view/18695
28. Ordoñez Obando ME. Estilos de vida en pacientes hipertensos que asisten al centro de salud Caranqui, 2021 [Internet]. 2021 [cited 2024 Oct 2];Disponible en: https://repositorio.utn.edu.ec/handle/123456789/11801
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ruth Elizabeth Calderón Landívar, Teresa Lisbeth Campos Silva , Girson Aaron López Gutiérrez, Jenrry Fredy Chávez-Arizala (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.