Resumo

ARREDONDO BRUCE, Alfredo; GARCIA VELAZQUEZ, Eddy; PONS VAZQUEZ, Reinaldo  e  ARREDONDO RUBIDO, Alfredo. Pre-hypertension in the vortex of the cardiovascular diseases. Rev. Med. Electron. [online]. 2014, vol.36, suppl.1, pp. 729-741. ISSN 1684-1824.

Background: pre-hypertension is the arterial tension category defined as a systolic arterial tension between 120 and 139 mm Hg and a diastolic one between 85 and 89 mm Hg. Pre-hypertension is part of the hypertension natural evolution, currently emerging as an important risk factor for cardiovascular and cerebrovascular disease. Method: we carried out a search in the main international webs on pre-hypertension and metabolic syndrome up to the beginning of 2014. Development: by definition, the cardio-metabolic syndrome is a group of cardiovascular risk factors such as: abdominal obesity, pre-hypertension or hypertension, dyslipemia and pre-diabetes or diabetes. At the current times, it is recommended prevention based in life style intervention and also the pharmacologic treatment of the individual components deserving it, because most of the patients categorized as metabolic syndrome are in the high risk  category. There are several studies based in dietetic changes that showed what changes helped stopping hypertension progression and also improved metabolic conditions. Several clinical trials are in progress for studying some antihypertensive drugs to delay hypertension development. Conclusions: the precocious cardiovascular and cerebrovascular disease has been identified in asymptomatic individuals, suggesting the elaboration of preventive therapy guidelines, individualized according to the traditional risk factors evaluation.

Palavras-chave : pre-hypertension; metabolic syndrome; risk factors.

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