RESUMEN DE LAS RECOMENDACIONES SAM SOBRE EL MANEJO DE LA HIPERTENSIÓN ARTERIAL EN ADULTOS

La hipertension arterial es el principal factor de riesgo de  orbimortalidad cardiovascular. En los ultimos anos se generaron numerosas recomendaciones con respecto al manejo de la hipertension arterial, con informacion divergente entre ellas y muchas de ellas realizadas en paises de altos ingresos con otras realidades socioeconomicas y  pidemiologicas. En general, pocas recomendaciones referidas al manejo de la hipertension arterial surgen de la clinica medica, especialidad que permite la mirada holistica e integrada de los problemas de salud del adulto. Los problemas que se asocian a un control deficitario de la hipertension arterial son: subutilizacion del tratamiento farmacologico, baja tasa de pacientes tratados con estrategia combinada, falta de prescripcion adecuada de los cambios en el estilo de vida, baja adherencia terapeutica e inercia clinica. En la presente publicacion se presentan recomendaciones efectuadas por especialistas en clinica medica/medicina interna para el manejo de la hipertension arterial en adultos. Palabras clave. Hipertension arterial, guias, recomendaciones, morbilidad cardiovascular, mortalidad cardiovascular, farmacos antihipertensivos, adherencia, monoterapia, terapia combinada, inercia clinica, estilos de vida. SUMMARY OF SAM GUIDELINES ON THE MANAGEMENT OF HYPERTENSION IN ADULTS Abstract Hypertension is the main risk factor for cardiovascular morbidity and mortality. Over the last years, several guidelines have been published regarding the management of arterial hypertension, with divergent information among them and many of them carried out in high-income countries, with their own socioeconomic and epidemiological realities. In general, few guidelines regarding the management of arterial hypertension arise from the medical clinic, specialty that allows a holistic and integrated view of health issues in the adult. There are problems associated with poor control, such as underutilization of pharmacological treatment, low rate of patients treated with a combined strategy, lack of adequate prescription of changes in lifestyle, low therapeutic adherence and clinical inertia. This article presents guidelines made by medical clinic/internal medicine specialists for the management of hypertension in adults. Key words. Hypertension, guidelines, recommendations, cardiovascular morbidity, cardiovascular mortality, antihypertensive drugs, adherence, monotherapy, combination therapy, clinical inertia, lifestyles.