26_Ipertensione Arteriosa Sistemica Optimized
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Transcript of 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.