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ISSN: What is new in Hypertension of Mexico ? Ann Clin Hypertens. DOI: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The new American recommendation was focused on the criteria to define Hypertension. In the Mexican Institute of Social Security IMSS several strategies has been developed to improve prevention as the key action to confront non communicable chronic disease including hypertension. In this brief report we analyze the epidemiological situation in Mexico and its possible consequences of the new criteria for hypertension diagnosis. The main current strategies that are applied into the IMSS to confront cardiovascular risk factors are directed to prevention.
The IMSS is prepared to attend situations as the change of criteria diagnoses in Hypertension and new preventive models are in progression. This would have no apparent significance; however, we need keep in mind that it is the most common cardiovascular risk factor associated with coronary artery disease and cardiovascular death. The high incidence of hypertension in Mexico a result of lower thresholds , however, should not be dismissed as absurd or impractical.
Rather, it is a clarion call to reduce the dreadful consequences of chronic disease burden driven by elevated BP levels. Time has come but not run out to implement effective public health policy on a war footing for accurate measurement of BP and effective treatment of hypertension of any degree. Nevertheless they claim that this classification gives more opportunity to not pharmacological preventive medicine. Nonetheless, high blood pressure is a continuous process and its cut off points to classify and make diagnosis of hypertension should be taken in account very carefully.
On the other side a patient with the same blood pressure level but without evidence of injury to white organ and only overweight, changes in weight and life style could be enough. As a consequence the absolute number in millions of patients with a diagnosis of high blood pressure increased exponentially. We present in this brief report the epidemiological situation of hypertension in Mexico, and the current strategies to confront this pandemic. In Mexico the prevalence in was from The trend of hypertension in the last six years has remained stable both in men Differences between the prevalence of the major and minor age groups, e.
The prevalence of hypertension varied according to regions, towns and socioeconomic level SEL. Thus, a prevalence significantly higher p A national probabilistic, conglomerated, stratified and cluster with regional and urban and rural representation health survey was performed. The rising period May to October The same protocol was used in both surveys and procedures recommended by the American Heart Association . Information analysis only considered valid data all those values of systolic blood pressure TAS greater than 80 mmHg and voltage greater than 50 mmHg diastolic blood pressures DBP.
The classification used for categorizing the blood pressure was described in the national report for the diagnosis of Arterial high blood pressure JNC 8. In Mexico, the prevalence of pre hypertension was informed in to be This is a real epidemiological alert that will require new strategies to confront it. Therefore, In other words, we need programs to prevention and treatment that should be established to around 53 million of adults in Mexico.
It reinforce epidemiological alert of an old problem with new diagnostic-therapeutic challenges. However, the problem does not end with the new number of patients with a diagnosis of hypertension.
The need to establish a position is clear and necessary. The epidemiological transition of diseases in Mexico is recognized since the end of the last century. National health surveys, allowed the Government of Mexico to establish health policies directed specifically to confront this new pandemic. The integrated health programs, recognized as a strategy for the provision of services, which had as their general purpose the provision of systematic and orderly of related actions such as health promotion, nutrition surveillance, prevention, detection and control of diseases and reproductive health; stimulating in this way the culture of self-care.
Today the results of this strategy are very relevant. The population served PA with respect to the target population went from 45 percent in to 65 percent in In this way, emphasizes the continuous rise in absolute numbers of the PA which grew at Moreover, the budget of the programed to prices grew a Despite the improvement in timely detection of chronic diseases, the great challenge is to achieve figures even higher for patients treated and controlled to avoid the generation of late complications such as heart attack of myocardium and brain, as well as arterial disease peripheral, kidney failure and blindness secondary to hypertensive and diabetic retinopathy.
Online training systems have enabled to achieve greater coverage and seek to standardize the knowledge and direct actions in the operating field. Constant alert even deficit-control ailments such as hypertension, diabetes, obesity, Dyslipidemia and smoking gender the search for alternatives to confront two fronts at the same time: i timely detection and risk stratification adequate risk calculator and ii increase the percentage of long-term cardiovascular risk factors monitoring and control .
It recently published a special supplement focused on the national consensus of arterial hypertension in Mexico and specific clinic situation . The Mexican of the Social Security Institute IMSS , adjusted its model of care of the curative to preventive, to deal with the growth of the four major chronic degenerative diseases diabetes, cardiovascular ailments, breast and prostate cancer that are the main causes of death in the country [21,22].
The new model is to deploy medical brigades to workplaces and create new clinics in specialized medicine, supported by an intelligence unit that will focus a follow-up, electronic board and custom data in time detected the potential risks that present beneficiaries about these diseases.
The development of centers of ambulatory metabolic control with artificial intelligence units, represent a breakthrough of the IMSS and has been established in this administration the point of no return figure 2. The Mexican Institute of social security aware that changes in eating habits and life style have to begin from an early age actions in this regard have been deployed. Thus there are educational programs of health in child care and guidance in balanced nutrition as a preventive measure of obesity and chronic diseases.
Recently also established a special education program for preschoolers that includes body health and knowledge of the cardiovascular system as well as handling of emotions, this pilot program will be implemented in Prevention is angular piece in the care of the healthy patient at risk of developing the disease and secondary way to prevent complications of the already carriers of the same.
The systemic arterial hypertension as one of the main factors of cardiovascular risk is not something new to the IMSS. The change in eating habits and exercise must be set in all hypertensive patients unless this contraindicated. The generation of cohorts in follow-up to know the impact of pharmacological, preventive measures and quality of life in the new models are the challenge that will dictate the health policy of the institution more in health in Latin America.
Patricia Guerra by her unconditional support and endorsement in the elaboration and diffusion of this work. January February March April May. Submit a Manuscript. See guidelines and policies. Arch Cardiol Mex. J Am Coll Cardiol. Am J Hypertension. J Clin Hypertens. Diabetes Care. Financial incentives and physician commitment to guideline-recommended hypertension management.
Am J Manag Care. Effects of individual physician-level and practice-level financial incentives on hypertension care: a randomized trial. The impact of pay for performance on the control of blood pressure in people with chronic kidney disease stage Nephrol Dial Transplant. The influence of health systems on hypertension awareness, treatment, and control: a systematic literature review.
PLoS Med. Quality improvement strategies for hypertension management: a systematic review. Med Care. Improved blood pressure control associated with a large-scale hypertension program. Complicaciones cardiovasculares de la crisis hipertensiva. Aten Fam. The SI! Contact Information. Submission enquiries: hjch heighpubs. Browse Articles Monthly. All Issues in Join with us as Author Editor Reviewer.
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Hypertensive Crisis: When You Should Call 911 for High Blood Pressure
Hypertension crisis. Blood Press. Papadopoulos DP, Papademetriou V. Resistant hypertension: diagnosis and management. J Cardiovasc Pharmacol Ther. Hypertension crisis in the emergency department.
2016, Número S1
ISSN: What is new in Hypertension of Mexico ? Ann Clin Hypertens. DOI: This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The new American recommendation was focused on the criteria to define Hypertension. In the Mexican Institute of Social Security IMSS several strategies has been developed to improve prevention as the key action to confront non communicable chronic disease including hypertension.
There are two types of hypertensive crises—both require immediate attention as early evaluation of organ function is critical to determine an appropriate course of action. Your healthcare provider may just have you adjust or add medications, but rarely requires hospitalization. Do not wait to see if your pressure comes down on its own, Call If you have been diagnosed with high blood pressure, track your blood pressure and medications. If possible during an emergency, having these logs with you can provide valuable information to the medical team providing treatment. High Blood Pressure.