Presión de pulso y retinopatía. Unidad de Hipertensión Arterial. Centro Cardiovascular Regional del estado Falcón

Revista Latinoamericana de Hipertension (Impact Factor: 0.04). 01/2008; 3(1):28-31.


The pulse pressure (PP) has been considered in recent years one cardiovascular risk factor independent and a marker of cardiovascular mortality and total. Objective: To determine the relationship between pulse pressure and the severity of hypertensive retinopathy in patients with hypertension of UAH¿s CECREFAL. Metodos: A cross-sectional study. In 96 hypertensive patients attending the consultation of hypertension in CECREFAL been made ambulatory monitoring of blood pressure (BP) for 24 hours (MAP) and fund eye, determining the degree of retinopathy as classified by Keith Wagener. Results: We included 96 hypertensive patients with a mean age of 56 ± 14 years old, 61.4% were fema¬le and 38.5% were male. The tercil 1 (12-51 mmHg) was presented in 38.5%, tercil 2 (52-65 mmHg) in 25% and tercil 3 (>= 66 mmHg) in 36.5% of patients studied. In 83.33% of the patients was observed retinopathy, grade I in 41.7% and grade II in 37.5%. Increasing levels of pulse pressure is associated with increased incidence of retinopathy. Conclusion: The control of the PA with MAP best predicts future cardiovascular events and the impact on the target organs, which determinations of casual BP. There relationship between pulse pressure and degree of retinopathy in our midst, however, studies are needed to confirm globally, previous findings that relate the increase in DB impact with early target organs, specifically with retinopathy.

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