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Importancia de la presión arterial diastólica en relación con la edad
S.S. Franklina
Autor para correspondencia
ssfranklinmd@earthlink.net

Correspondencia: Heart Disease Prevention Program. C-240 Medical Sciences. University of California.Irvine, CA. EE.UU. Correo electrónico:
Heart Disease Prevention Program (Programa de Prevención de Cardiopatías), University of California. Irvine, CA. EE.UU
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La presi&#243;n arterial diast&#243;lica &#40;PAD&#41; braquial&#44; en relaci&#243;n con la presi&#243;n arterial sist&#243;lica &#40;PAS&#41; braquial&#44; es un &#250;til marcador de la presi&#243;n arterial &#40;PA&#41; central&#44; ya que no est&#225; distorsionada por la amplificaci&#243;n de la presi&#243;n&#46; Por el contrario&#44; una PAD baja puede ser un marcador temprano del aumento del gasto card&#237;aco&#47; volumen sist&#243;lico y&#47;o rigidez arterial en los adultos j&#243;venes y un marcador tard&#237;o de rigidez ventricular y arterial en los ancianos&#46; Adem&#225;s&#44; una PAD elevada es&#44; a cualquier edad&#44; un marcador del aumento de resistencia vascular perif&#233;rica &#40;t&#237;pico de la hipertensi&#243;n arterial idiop&#225;tica en adolescentes y adultos j&#243;venes&#41; y cuando est&#225; gravemente elevada sugiere causas secundarias de hipertensi&#243;n y urgencia&#47;crisis hipertensiva&#44; especialmente en ancianos&#46; La hipertensi&#243;n diast&#243;lica muy grave debe considerarse una se&#241;al de alarma&#44; tanto para realizar un diagn&#243;stico r&#225;pido como para aplicar un tratamiento antihipertensivo agresivo y eficaz&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Brachial diastolic blood pressure &#40;DBP&#41;&#44; in relation to brachial systolic blood pressure &#40;SBP&#41;&#44; is a useful marker of central blood pressure &#40;BP&#41; because it is not distorted by pressure amplification&#46; Discordantly low DBP may be an early marker of increased cardiac output&#47;stroke volume and&#47;or arterial stiffness in young adults and a late marker of ventricular-arterial stiffness in the elderly&#46; Discordantly elevated DBP at any age is a marker of increased peripheral vascular resistance -typical of essential hypertension in adolescents and young adults- and when severely elevated suggestive of urgent&#47;emergent and secondary causes of hypertension&#44; especially in the elderly&#46; Very severe diastolic hypertension should raise a &#34;red flag&#34;&#44; both for prompt diagnosis and for aggressive and effective antihypertensive therapy&#46;</p>"
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ISSN: 18891837
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