26_Ipertensione Arteriosa Sistemica Optimized

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  • 7/25/2019 26_Ipertensione Arteriosa Sistemica Optimized

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    D]OVPOARDKAO GVPOVDKRG RDRPONDBG

    Rystondb lyportoasdkaGatkadk Ngstrgaeojk, ]dotrk Corrgrg

    DAPVK@_XDKAO

    Jdportoasdkao grtordksg sdstondbg (DGR) uag pgtkjkedg `d croquoatordsbkatrk aoejd g`ujtd `kvo jg provgjoazg rgeeduaeo bdrbg dj 3=% `ojjgpkpkjgzdkao. Jg DGR da erga pgrto od bgsd aka trkvg uag bgusg skttkstgatoo vdoao portgatk `oadtg ossoazdgjo. Jgunoatk prosskrdk aod aokagtd o

    aod fgnfdad, davobo, qugsd sonpro `d krdedao sobka`grdg.

    @OCDADXDKAO

    ]or oadro ua fgnfdak dportosk aobossgrdk cgr rdcordnoatk gjjo tgfojjo`od boatdjd por sossk, ot o stgturg. Da quostkttdbg jdportoasdkao oadtg

    bkno ua gunoatk od vgjkrd prosskrd gj `d skprg oj 4? porboatdjo. Pgjovgjkro `ojjg prossdkao sdstkjdbg k `dgstkjdbg ngeedkro k ueugjo gj 4?boatdjo por jot, dj sossk o jgjtozzg `oj pgzdoato `ovo ossoro rdjovgtk dagjnoak 2 `dccoroatd kbbgsdkad.

    NDR_VGXDKAO @OJJG ]VORRDKAO GVPOVDKRG

    7. Rboejdoro jg bucg g`gttg gj bgjdfrk `oj frgbbdk (bdk blo rdbkprg bdrbg

    d 6/2 `ojjk stossk9 uag bucg trkppk pdbbkjg skvrgstdng dj rogjo vgjkro

    `d prossdkao, noatro uag bucg trkppk erga`o jk skttkstdng).

    6. Jk stotksbkpdk aka vg pksdzdkagtk gj `d skttk `ojjg bucg, ng `dstgj-

    noato gjjg stossg g jdvojjk `oj puatk `d roporo `ojjgrtordg frgbldgjo obdk prkssdngjnoato o no`dgjnoato gjjg ckssg bufdtgjo.2. ]or bkavoazdkao jg ndsurgzdkao `ovo gvvoadro suj frgbbdk `ostrk `oj

    fgnfdak. Jgrtk `ovo ossoro pkstk gjjgjtozzg oj bukro por rd`urro gjndadnk jo datorcoroazo `ojjg prossdkao d`rkstgtdbg.

    0. @d prdngrdg dnpkrtgazg gttoa`oro blo dj fgnfdak sdg gffgstgazgtrgaqudjjk prdng `d prkbo`oro gj rdjovgnoatk `oj vgjkro prosskrdk (djpdbbkjk pgzdoato `ovo ossoro g rdpksk `g gjnoak 2 ndautd) o` keadvkjtg fdskeag occottugro `uo ndsurgzdkad bkasobutdvo.

    ?. @urgato jkporgzdkao d ekageedk ojjg bucg, jg prossdkao gjjdatorak

    `ojjg stossg `ovo rgeeduaeoro ua vgjkro `d 6= nnLe supordkro gjjgsbknpgrsg `oj pkjsk rg`dgjo.

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    3. Da soeudtk fdskeag sekagrjg g` uag vojkbdt `d bdrbg 6-2 nnLe/sob.

    5. Jg ]rossdkao Grtordksg Rdstkjdbg (]GR) vdoao d`oatdbgtg gj prdnk tkak

    `d Ikrktikcc, noatro jg ]G dgstkjdbg (]G@) gjjg sbknpgrsg oj pkjsk.

    AF. Ro sd kttdoao ua vgjkro gjtk `d ]G, k da bgsk `d skspottk, fdskeagprkbo`oro gjjg ndsurgzdkao `ojjg prossdkao g tuttd o qugttrk ejd grtd,

    bkasd`orga`k uag `dccoroazg sdkjkedbg trg ejd grtd dacordkrd o quojjd

    supordkrd d bdrbg 7=-6= nnLe, por osbju`oro, gjnoak da prdng fgttutg,

    uag bkgrtgzdkao gkrtdbg.

    AF.Da bgsk `d rdsbkatrk `d ua gunoatk prosskrdk fdskeag rdbkatrkjjgrodj pgzdoato gjnoak 6 vkjto oatrk jo 3 sottdngao subbossdvo.

    ]VDABD]GJD BG_RO @D DGR

    dnpkrtgato rdbkr`gro blo aoj aokagtkaka osdsto ua bkrtok `d sdatkndblo bd pkssg da`dbgro jg prosoazg `d DGR9 tuttgvdg ossg vg skspottgtg otoautg da bkasd`orgzdkao bkno `dgeaksd `dccoroazdgjo da tuttd d bgsd `ddagppotoazg o sbgrsk gbbrosbdnoatk, `d tgbldbgr`dg o tgbldpaog soazggjtrg bgusg gppgroato, vkndtk, drrdtgfdjdt k dpkrogttdvdt, bkavujsdkad ongrozzgturg butgaog.Jdportoasdkao aocrkvgsbkjgro bkstdtudsbo, aoj fgnfdak, ak gj 6?% `od

    bgsd `d dportoasdkao sobka`grdg.Jg bkgrtgzdkao gkrtdbg (BkG) oadtg bkno ua rostrdaednoatk oj juno

    `ojjgkrtg jkbgjdzzgtk `dstgjnoato gjjgrtordg subbjgvdg sdadstrg o roa`obkatk `d bdrbg dj 7=-2?% `ojjo bguso bgr`dgblo `d dportoasdkao o` dj 3%`ojjo bguso bkaeoadto `d dportoasdkao (Pgf. 7).

    Pgf. 7- Bguso `d dportoasdkao grtordksg

    Voagjd

    Ejknorujkaocrdto gbutg pkstdacottdvg, brkadbg ]dojkaocrdto D`rkaocrksd Ngjckrngzdkad roagjd JOR ]krpkrg `d Rblkajoda-Loakbl Rda`rkno urondbk-onkjdtdbg @kpk trgpdgatk roagjo (rdeottk)

    @kpk onktrgscusdkao (dporgzktondbd) Dporvkjondg @kpk bldruredg urkeoadtgjo Prgund roagjd Dajtrgzdkao joubondbg `oj roao

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    Sgsbkjgrd Josdkad grtordg roagjo (stoaksd, trknfksd, gaourdsnd) Bgtotordsnk `od vgsd knfojdbgjd Bkgrtgzdkao gkrtdbg

    Sgsbujdtd Rluat grtorkvoaksk Rda`rkno `d Nkygnkyg

    Oa`kbrdao

    Aocrkpgtdg `dgfotdbg Dportdrkd`dsnk Dporpgrgtdrkd`dsnk Rda`rkno g`roakeoadtgjo

    Rda`rkno `d Busldae Dporgj`kstorkadsnk prdngrdk Cokbrknkbdtkng Punkrd ojjg brostg aourgjo

    Rdstong aorvksk

    Gunoatk prossdkao datrgbrgadbg Ngssg datrgbrgadbg

    Onkrrgedg ]kstund `ojjo josdkad borofrgjd Rda`rkno `d Eudjjgda-Fgrr _stdkad Rda`rkno `d Rtovoa-Hklaska Josdkad ckssg pkstordkro ]kjdkndojdto, oabocgjdto ]krrdo

    Cgrngbd o vojoad Bkbgdag Geoatd sdnpgtdbkndnotdbd Gacotgndao Bkatrgbbottdvd krgjd Rtorkd`d o GBPL Bdbjkspkrdag aojjg torgpdg pkst-trgpdgatk Jdqudrdzdg (gbd`k ejdbdrrdzdbk) ]dknfk, norburdk, bg`ndk, tgjjdk

    Rkspoasdkao `d gatdportoasdvd (bjkad`dag) Datkssdbgzdkao `g vdtgndag @

    Sgrdo

    ]ro-objgnpsdg Dporbgjbondg Crgtturg kssg juaelo Vdgttdvgzdkao pkst-bkgrtgzdkao

    Prgscusdkao ejkfujd fdgabld Kssdeoagzdkao bka nonfrgag oxtrgbkrpkrog Kstruzdkao brkadbg `ojjo vdo goroo supordkrd

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    G]]VKCKA@DNOAPK GAGNAORPDBK

    Rtkrdg cgndjdgro d dportoasdkao, ngjgttdo roagjd, tunkrd, gtorksbjorksd,

    ngjgttdo bgr`dkvgsbkjgrd, oa`kbrdao. Rtkrdg aokagtgjo8 vgjutgro jot eostgzdkagjo, dj posk gjjg agsbdtg, jovoa-tugjo bgtotordzzgzdkao od vgsd knfojdbgjd, jutdjdzzk ojjg kssdeoagzdkaooxtrgbkrpkrog g nonfrgao (OBNK), jg frkabk`dspjgsdg pkjnkagro, jgskccoroazg aokagtgjo.

    Bkasd`orgro jksvdjuppk psdbk-nktkrdk(da bgsk `d ngjgttdo brkadbloposk o` gjtozzg pksskak ossoro rd`ktto), quojjk puforgjo (oa`kbrdakpg-tdo) o skprgttuttk aojjot g`kjosboazdgjo jg dotg (trkppk rdbbg d sk`dko sbgrsg d vor`urg o cruttg) o jo gfdtu`dad d vdtg8 cunk, gjbkkj da erga`dqugatdt, stupocgboatd, cgrngbd, bkatrgbbottdvd, stross o` gttdvdt sdbg

    skak cgttkrd blo pksskak dabronoatgro jg prossdkao grtordksg. Rtkrdg `d bocgjog, opdstgssd, prkfjond vdsdvd. @kjkrd g``kndagjd, `dsurdg, o`ond, oaurosd. ]or`dtg d posk, su`krgzdkao, usldae, coffro, pgjpdtgzdkad8 da gsskbdg-

    zdkao, `ovkak cgr osbju`oro ua cokbrknkbdtkng.

    CGPPKVD @D VDRBLDK AOKAGPGJD

    ]roagtgjd8stkrdg `d DG ngtorag9 rdtgr`k `d brosbdtg datrgutordak9 pro-ngturdt9 usk `d storkd`d gatoagtgjo.

    ]ord-agtgjd8 Gpegr :2 g 7 o :3 g ?9 pL g cuadbkjk :5,79 rdgadngzdkao

    bgr`dkpkjnkagro9 voatdjgzdkao nobbgadbg9 OBNK9 usk `d surcgbtgatooskeoak. ]kst-agtgjd8vgsd knfojdbgjd dabgaaujgtd9 paounktkrgbo (]A\)9 dacusdkao

    `d bkjjkd`d9 porvdot oj kttk grtordksk (]@G)9 frkabk`dspjgsdg9 onkrrg-edg datrgvoatrdbkjgro borofrgjo9 bldusurg pgroto g``kndagjo9 pkjdejkfujdg.

    Gjtrd cgttkrd8 stoaksd bkaeoadtg grtordg roagjo9 bkgrtgzdkao gkrtdbg9gtrosdg gkrtg g``kndagjo9 ngjgttdg bdstdbg `oj roao9 sda`rkno g`roak-

    eoadtgjo9 dporgj`kstorkadsnk9 sda`rkno d Busldae.

    ORGNO KFDOPPDSK

    Fdskeag daagazdtuttk vgjutgro d pgrgnotrd vdtgjd (prosoazg d tgbldbgr`dg,pkjsd, durosd), ckbgjdzzgro jgttoazdkao sujjg prosoazg ovoatugjo d skc g

    jdvojjk bgr`dgbk, ng gablo sujjg``kno (stoaksd ojjgrtordg roagjo), osg-

    ndagro gttoatgnoato jg buto por jg prosoazg d soead d gttdvgzdkao aorvksgsdnpgtdbg (pgjjkro, usldae), d soead d gunoatk oejd storkd`d (gablo g

    jdvojjk eoadtgjo), `d ngbbldo bgcc-jgtto o rgsl, o vgjutgro jg prosoazg `dngsso skprgttuttk g``kndagjd, ndsurgro jg prossdkao grtordksg gd 0 grtd.

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    @DGEAKRD

    Osgnd `dprdnk jdvojjk

    Osgnd onktkbldndbd o `ojjo urdao `d rkutdao. OBE o` obkbgr`dkergg. Lkjtor prosskrdk, ksgeedk `ojjgttdvdt roadadbg pjgsngtdbg g rdpksk o

    7 krg `kpk sknndadstrgzdkao `d GBO-dadfdtkro (bgptkprdj). Obkbkjkr-`kppjor `ojjo grtordo roagjd. Ojottrkjdtondg, gj`kstorkaondg o` gttdvdt roadadbg pjgsngtdbg. Vdborbg `ojjo bgtobkjgndao urdagrdo, osobuzdkao `d uaobkergg g``k-

    ndagjo.

    @ksgeedk `d bkrtdskjk o` gjtrd storkd`d aoj sgaeuo o aojjo urdao porjovoatugjo prosoazg `d uaoa`kbrdakpgtdg.

    Cua`us kbujd o vdsdtg kbujdstdbg.

    Osgnd `d sobka`k jdvojjk Rbdatdergg roagjo8 da bgsk `d josdkao vgsbkjgro roagjo pu ossoro

    aobossgrdk dj bgtotordsnk sojottdvk `ojjgrtordg roagjo gjjg rdborbg `d

    uag ovoatugjo stoaksd, kbbjusdkao trknfktdbg k gjtro `ojjo pgtkjkedoaocrkvgsbkjgrd `osbrdtto da probo`oazg. Jg PB k jg VNA sd roa`kak aobossgrdo por d`oatdbgro ovoatugjd aok-

    pjgsdo (cokbrknkbdtknd k gjtrd tunkrd skprgttuttk g bgrdbk oj surroao)9 Gaedk-VNA utdjo por vo`oro jg vgsbkjgrdzzgzdkao `ojjo josdkad ao-

    kpjgstdblo bks bkno por jk stu`dk `ojjgkrtg da bgsk `d uag ovoatugjobkgrtgzdkao k `ojjo grtordo roagjd da bgsk `d stoaksd.

    BKN]JDBGAXO

    Rtg`dk D

    Gssoazg `d soead bjdadbd `d `gaak `kregak.

    Rtg`dk DD

    Gjnoak 7 `od soeuoatd8 dportrkg voatrdbkjgro sdadstrg9 prktodaurdg o/k jdovo dabronoatk brogtdadaondg9 `gaak bgrktd`ok9 gakngjdo eoaorgjdzzgto k ckbgjd `ojjo grtordo rotdadblo.

    Rtg`dk DDD

    Bukro8 gaedag, dacgrtk, sbknpoask.

    Borvojjk8 PDG, dbtus.Voao8 brogtdadaondg1 6 ne/`j.Sgsd8 gaourdsng `dssobgato gkrtdbk.Votdag8 onkrrgedo o ossu`gtd.

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    OJONOAPD EOAOVGJD @D POVG]DG

    D nktdvd `oj porbl trgttgro ua fgnfdak bka uag dportoasdkao skak prda-

    bdpgjnoato `uo8svdjuppk d dportoasdkao da ot g`ujtg8 jdportoasdkao da ot po`dgtrdbggunoatg dj rdsbldk d dportoasdkao grtordksg da ot g`ujtg d 6.0 vkjto.Dj 0?% d g`ujtd bka dportoasdkao grtordksg sdstkjdbg prosoatgvg vgjkrdprosskrd supordkrd gj 4= porboatdjo `urgato jdacgazdg9

    `gaak bgr`dkvgsbkjgro8 rdsbldk gunoatgtk `d gtorksbjorksd, bkrkag-rkpgtdg, dacgrtk `oj ndkbgr`dk.

    Da prdng dstgazg dj trgttgnoatk ojjdportoasdkao ovo sonpro provo`oroua gpprkbbdk aka cgrngbkjkedbk, da pgrtdbkjgro fgsgtk sujjg nk`dbg`ojjk stdjo `d vdtg8 @dotg pkvorg d sk`dk (:5= nOq gj edkrak) ndejdkrg jg rdspkstg gj trgt-

    tgnoatk gatdportoasdvk, rdbbg `d bgjbdk o pktgssdk (voeotgjd o cruttg),blo da erg`k `d rd`urro d jdvojjd prosskrd.

    Osorbdzdk sdbk gorkfdbk sufngssdngjo `dndaudsbo d vgjkrd `d prossdkao,

    skprgttuttk jg ]G@ o ndejdkrg jutdjdzzgzdkao ojjkssdeoak, nkjtk ocbgbo

    aoj pgzdoato kfosk9 gjnoak 2 vkjto g sottdngag por bdrbg 2= ndautd bka uabkasunk `d kssdeoak pgrd gj 3=% `oj ngssdngjo por gjnoak 2 nosd.

    Gfkjdzdkao `ojjosorbdzdk dsknotrdbk k gekadstdbk blo pu probdpdtgro

    uadportoasdkao sovorg. Vd`uzdkao `oj posk bkrpkrok (por ejd kfosd). Ovdtgro tgfgbbk o skstgazo stdnkjgatd.Da bgsk aka sd rdosbg g` gvoro ua fuka bkatrkjjk prosskrdk fdskeag pgs-

    sgro gjjusk `d cgrngbd. Wuostd skak da`dbgtd skprgttuttk da fgnfdad og`kjosboatd bka8 dportoasdkao rosdstoato g trgttgnoatk aka cgrngbkjkedbk9 jdvojjd `d prossdkao grtordksg supordkro gj 4? porboatdjo9 dportoasdkao sdatkngtdbg9 dportoasdkao bka `gaak `kregak.Dj prdabdpgjo kfdottdvk ojjdatorvoatk torgpoutdbk quojjk d rgeeduaeoro

    vgjkrd prosskrd sdstkjdbd o `dgstkjdbd dacordkrd gj 4= boatdjo (`oadtk porot, sossk o gjtozzg).Cgr rdoatrgro tgjd vgjkrd da ua rgaeo sdkjkedbk bkasoato `d rd`urro jg

    nkrfdjdt bgr`dkvgsbkjgro o jg nkrtgjdt `od pgzdoatd trgttgtd.Jo roboatd jdaoo eud`g ojjKregadzzgzdkao Nka`dgjo ojjg Rgadt (KNR) o`ojjDatoragtdkagj Rkbdoty kc Lyportoasdka bkasdejdgak, bkno prdng sbojtg,jutdjdzzk `d cgrngbd gppgrtoaoatd gjjo soeuoatd bgtoekrdo sknndadstrgtd

    `gpprdng da nkaktorgpdg o` da soeudtk ovoatugjnoato da gsskbdgzdkao8 `durotdbd9 GBO-dadfdtkrd9 gatgekadstd `oj robottkro `ojjgaedktoasdag9

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    f-fjkbbgatd9 bg-gatgekadstd9 vgsk`djgtgtkrd.

    Joccottk `d cgrngbd gppgrtoaoatd g quosto bjgssd prossgppkbk skvrgp-pkadfdjo, `gj nknoatk blo sd pu gssdstoro g` ua `obronoatk prosskrdkaoj ?=% od bgsd por keauak. Rkjk da bgsd pgrtdbkjgrd sd roa`o aobossgrdkjutdjdzzk da geeduatg `d nkjobkjo gppgrtoaoatd g` ujtordkrd tro eruppd8 dadfdtkrd g`roaoredbd boatrgjd9 fjkbbgatd pordcordbd9 vgsk`djgtgtkrd `drottd._a `dcbdjo bkatrkjjk prosskrdk spossk `kvutk g fgssg bknpjdgabo `oj

    pgzdoato k g` orrkro `d prosbrdzdkao `g pgrto `oj no`dbk stossk9 dakjtrovg sonpro rdbkr`gtk blo jg ngeedkr pgrto `od fgnfdad bka dportoasdk-ao sobka`grdg pkbk soasdfdjo gd cgrngbd por bud sd roa`o aobossgrdk

    gunoatgro jo pkskjkedo k `kvor rdbkrroro g` gjtrd datorvoatd, bkno g`osonpdk jgaedkpjgstdbg aod bgsd `d stoaksd `ojjgrtordg roagjo. Ruporgrojg fgrrdorg `ojjg sbgrsg bknpjdgabo pkssdfdjo spossk gttrgvorsk uaprkergnng cgrngbkjkedbk dj pd sonpjdbo pkssdfdjo o jdstdtuzdkao `dua bgjoa`grdk `d cgrngbd bka jg suporvdsdkao `od eoadtkrd o` uag strottgbknuadbgzdkao no`dbk-pgzdoato. nkjtk `dccusk jgpprkbbdk g stop subbossdvd bkno por jg`ujtk.

    Cgso 7.Eoaorgjnoato sd datrgproa`o jg torgpdg bka ua ksgeedk ndakrordspottk gjjg `kso ngssdng bkasdejdgtg9 sd prkbo`o dabronoatga`k jg`kso edkragjdorg ak gj rgeeduaednoatk `ojjkfdottdvk torgpoutdbk

    bka jg ndadng `kso ocbgbo `oj cgrngbk, sgjvk bknpgrsg `d occottdbkjjgtorgjd.Jg sbojtg cgrngbkjkedbg bka`dzdkagtg `g8 nobbgadsnk sdkpgtkjkedbk bgusg `d dportoasdkao

    cgttkrd `d bknkrfd`dt (gsng, dgfoto) pktoazdgjd occottd bkjjgtorgjd `oj cgrngbk cgbdjdt `d gssuazdkao torgpoutdbg

    ospordoazg bjdadbg porskagjo.

    Cgso 6. Ro dj trgttgnoatk bka dj prdnk cgrngbk aka ocbgbo sd pu

    geeduaeoro ua sobka`k cgrngbk, dadzdga`k bka uag pdbbkjg `kso o prk-bo`oa`k ak g pdoak `ksgeedk.

    Cgso 2. Ro porsdstkak jdvojjd prosskrd ojovgtd sd pu geeduaeoro ua torzk

    cgrngbk, skjdtgnoato ua vgsk`djgtgtkro k ua Bg-gatgekadstg.

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    Cgrngbd

    @durotdbd

    Curksond`o

    D`rkbjkrktdgzd`o

    GBO-dadfdtkrd

    Bgptkprdj

    Oagjgprdj

    Gatgekadstd

    gaedktoasdag DD

    Jksgrtga

    -fjkbbgatd

    Gtoakjkjk

    @ksgeedk

    =.?-6ne/ie/`ksongx7= ne/ie/`do

    6-0 `ksd/`do

    7 ne/ie/`do

    ngx 0= ne/ie/`do

    6 `ksd/`do

    =.?-7ne/ie/`kso

    ngx 3ne/ie/`do

    7-6 `ksd/`do

    =.7ne/ie/`ksongx 7ne/ie/`kso

    7-6 `ksd/`do

    6? ne/`do (10=ie)

    =.?-7ne/ie

    ngx 6ne/ie/`do

    7-6 `ksd/`do

    Da`dbgzdkad

    Rpossk cgrngbd

    `d prdng sbojtg

    (fukag tkjjorg-

    fdjdt, fgssk bk-

    stk o fukag occd-

    bgbdg)

    Occottk prktottd-

    vk da pgzdoatd

    bka pgtkjkedg ro-

    agjo por rd`uzdk-

    ao `ojjg prossdk-

    ao datrgejknoru-

    jgro.Occdbgbdg gatdd-

    portoasdvg da pg-

    zdoatd bka gu-

    noatgtg gttdvdt

    roadadbg

    Fjkbbgak dj ro-bottkro por jga-

    edktoasdag D o dad-

    fdsbkak jgzdkao

    `ojjgaedktoasdag

    DD, aka datorco-

    roa`k bka dj no-

    tgfkjdsnk `ojjg

    frg`didadag

    Prgttgnoatk `d

    prdng sbojtg da

    dportoasdkao os-

    soazdgjo, da bgsk

    `d stgtd dporbdao-

    tdbd o` da prosoa-

    zg `d gjtorgzdkad

    OBE k obkbgr-

    `dkergcdblo

    Bkatrkda`dbg-

    zdkad

    Gunoatgak joc-

    cdbgbdg `d gjtrd

    gatdportoasdvd

    ]gzdoatd bka sk-

    spottk d stoaksd

    `ojjgrtordg ro-

    agjo8 dpkporcu-

    sdkao `oj pgroa-

    bldng roagjo.

    Da ergvd`gazg occottk torg-

    tkeoak

    Aka osdstkakstu`d bka`kttd da

    ot po`dgtrdbg.

    Lgaak occottk

    torgtkeoak sk-

    vrgppkadf d jo

    gejd GBO-dadfd-

    tkrd

    Bkatrkda`dbgtd

    da pgzdoatd bka

    frkabkspgsnk o

    `dgfoto nojjdtk

    `d tdpk 6

    Aknd

    bknnorbdgjd

    JGRD\bpr 6? ne

    ORD@VO\ bpr 6?

    ne

    GBO]VORRbpr 6?

    o ?= ne

    BG]KPOAbpr 6?

    o ?= ne

    BKASOVPOAbpr ?o 6= ne

    OAG]VOAbpr ? o

    6= ne

    AG]VDJOAObpr ?

    o 6= ne

    JKVPGGA, JKRG-]VO\, AOKJKPGA

    bpr rdv 76.? o ?=

    ne

    GPOAKJ, GPOV-

    NDA, ROJORFOPG,

    POAKVNDA, POAK-

    NG\

    bpr 7== ne

    (soeuo)

  • 7/25/2019 26_Ipertensione Arteriosa Sistemica Optimized

    9/10

    Cgrngbd @ksgeedk Da`dbgzdkad Bkatrkda`dbg-

    zdkad

    Aknd

    bknnorbdgjd

    Bg-gatgekadstd

    Adco`dpdag

    Gnjk`dpdag

    =.6?-=.? ne/ie

    ngx 2ne/ie/`do

    7-6 `ksd/`do

    =.7-=.2 ne/ie/

    `do

    7-6 `ksd/`do

    Occottk vgsk`djg-

    tgtkro gablo g jd-

    vojjk bkrkagrdbk

    Occottd bkjjgtorg-

    jd, dpktoasdkao,

    o`ond pordcordbd,

    cjusldae, bocgjog

    G@GJGP bpr 7=

    ne G@GJGPBVK-

    AKbpr 6=-2=-3=

    ne

    BKVGJ, O_\GP,

    COAD@DAG, ADCO@D-

    BVKA, AD]DA, bpr

    2=-3= ne ADCO-

    @DBKV bpr 7=-6=

    ne9 ett 2= nj 6%

    GAPGBGJ, AKV-

    SGRB bpr ?-7=

    ne9 NKAK]DAG

    bpr 7= ne

    DA@DBGXDKAD O BKAPVKDA@DBGXDKAD @OD ]VDABD]GJD

    CGVNGBD GAPD]OVPOARDSD G ROBKA@G @OJJG RDP_G-

    XDKAO BJDADBG

    BDVBKRPGAXG BKABKNDPGAPO R_EEOVDNOAPD

    GBO-dadfdtkrd

    @durotdbd tdgzd`dbd

    Rgrtgadbd

    Ovoatugjnoato -fjkbbgatd-fjkbbgatd

    Ovoatugjnoato GBO-dadfdtkrd

    -fjkbbgatd

    GBO-dadfdtkrd

    Rgrtgadbd

    GBO-dadfdtkrd

    Bg-gatgekadstd

    Rgrtgadbd

    Ovdtgro -fjkbbgatd

    Ovdtgro `durotdbd

    GBO-dadfdtkrd, sgrtgadbd o `durotdbd.

    D rdspgrndgtkrd `d I+(bkatrkda`dbgtd aojjo cgsd

    gvgazgto)9 `durotdbd tdgzd`dbd (pkbk occdbgbd

    aojjo cgsd gvgazgto)9 durotdbd ojjgasg

    ]ropgrgzdkao gjjdatorvoatk bldruredbk bkaua -fjkbbgato

    Rbknpoask bgr`dgbk

    Ondbrgadg

    Rda`rkno dporbdaotdbg

    ]rktodaurdg k ndbrkgjfundaurdg

    @dgfoto nojjdtk

    ]aounkpgtdg kstruttdvg o` gsng frkabldgjo

    Dporurdbondg

    Dasuccdbdoazg roagjo

    Cokbrknkbdtkng

    (soeuo)

  • 7/25/2019 26_Ipertensione Arteriosa Sistemica Optimized

    10/10

    BDVBKRPGAXG BKABKNDPGAPO R_EEOVDNOAPD

    GBO-dadfdtkrd k sgrtgadbd + `durotdbd tdgzd-

    `dbd so bkrrozdkao gagtkndbg dnpkssdfdjo

    Bg-gatgekadstd

    -fjkbbgatd

    Gjbuao co`orgzdkad spkrtdvo prkdfdsbkak

    jusk `d -fjkbbgatd o `durotdbd

    Rtoaksd uadjgtorgjo `ojjgrtordg roagjo

    _sk `d bdbjkspkrdag

    Gttdvdt spkrtdvg gekadstdbg

    Grdtndg

    Fdfjdkergcg ossoazdgjo

    Rpgeakjk G, Gnfruzzd GN, ot gj. Dportoasdkao grtordksg da ot po`dgtrdbg8 pro-voazdkao, dgeaksd o trgttgnoatk. Vgbbknga`gzdkad bkaeduato ojjg RkbdotDtgjdgag `d ]o`dgtrdg o `ojjg Rkbdot Dtgjdgag `ojjg Dportoasdkao Grtordksg.Rkbdot Dtgjdgag `d ]o`dgtrdg 6=76.

    - Bkubl RB., @gadojs RV. @dot ga` fjkk` prossuro da bldj`roa. Burr Kpda ]o`dgtr.6==?9 758306-5.

    - Ed``dae RR., @oaadska FG, ot gj. Gnordbga Logrt Gsskbdgtdka9 Gnordbga Gbg-`ony kc ]o`dgtrdbs. @dotgry robknnoa`gtdkas ckr bldj`roa ga` g`kjosboats8

    g eud`o ckr prgbtdtdkaors8 bkasoasus stgtonoat crkn tlo Gnordbga LogrtGsskbdgtdka. Bdrbujgtdka. 6==?9 77686=37-5?.- Lgaovkj` B@. Bkabopts eud`dae tlorgpy ckr lyportoasdka da bldj`roa. Oxport

    Vov Bgr`dkvgsb Plor. 6==49 58305-?5.