*CRITERIOS DIAGNOSTICOS
NORMAL
|
LIMITE
|
GRADO 1
|
GRADO 2
|
GRADO 3
| |
SISTOLICA
|
<129
|
<139
|
140-159
|
160-179
|
>180
|
DIASTOLICA
|
<84
|
<89
|
90-99
|
100-109
|
>110
|
AMPA
|
MAPA MEDIA
|
MAPA DIURNA
|
MAPA NOCTURNA
| |
HTA
|
>135/85
|
>125/80
|
>135/85
|
>125/75
|
Patron Dipper
|
Dipper >10%
|
Non Dipper <10%
|
Dipper extremo >20%
|
Riser: aumento
|
*OBJETIVOS TRATAMIENTO
PAS
|
PAD
|
<60
|
DM
|
ENF CV
|
IRC
|
IRC+PROT
|
AMPA
|
<140
|
<90
|
120/80
|
<130/80
|
<130/80
|
125/75
|
135/85
|
LESION ORGANICA SUBCLINICA
Sokolow Sv1 + R v5/6
>38 mm
|
Cornell: Sv3 + R avl
H>28 mm M>20 mm
| |
IMVI > 125 gr/m2
|
H: 132 g/m2 M:109 gr/m2
| |
Carotida engrosada
|
EIM > 0,9 mm
| |
Velocidad onda pulso carotídea-femoral
|
> 12 m/seg
| |
Indice PA tobillo- brazo
|
< 0,9
| |
Creatinina
|
H 115-133 mmol/l
1,3- 1,5 mg/dl
|
M: 107-124 mmol/l
(1,2-1,4 mg/dl)
|
Filtrado glomerular estimado
|
<60
| |
Cl Creatinina
|
<60
| |
Oligoalbuminuria
|
30-300 mg/24 h
| |
Cociente albumina/ creatinina
|
H > /= 22
|
M >/= 31
|
MAPA:
Validessa del registre
Validessa del registre
Durada >24 hores
> 70% de lectures vàlides
No hi ha periodes >1hora sense registre
>20 lectures diurnes
>7 lectures nocturnes
TA nocturna
HTA nocturna >120/70
Dipper/non dipper/risser: descens> 10%
Taquicardia nocturna: >65x’
Variabilitat tensional 24h
Variabilidad tensional >18mmHg sistòlica >15mmHg diastòlica
PAS nocturna>12 mmHg sistòlica
Referencias:
Molloy TJ, Okin PM, Devereux RB, Kligfield P. Electrocardiographic detection of left ventricular hypertrophy by the simple QRS voltage-duration product. J Am Coll Cardiol. 1992; 20: 1180-1186.
Okin PM, Roman MJ, Devereux RB, Kligfield P. Electrocardiographic identification of increased left ventricular mass by simple voltage-duration products. J Am Coll Cardiol. 1995; 25: 417-423.
Molloy TJ, Okin PM, Devereux RB, Kligfield P. Electrocardiographic detection of left ventricular hypertrophy by the simple QRS voltage-duration product. J Am Coll Cardiol. 1992; 20: 1180-1186.
Okin PM, Roman MJ, Devereux RB, Kligfield P. Electrocardiographic identification of increased left ventricular mass by simple voltage-duration products. J Am Coll Cardiol. 1995; 25: 417-423.
