<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2078-7170</journal-id>
<journal-title><![CDATA[CorSalud]]></journal-title>
<abbrev-journal-title><![CDATA[CorSalud]]></abbrev-journal-title>
<issn>2078-7170</issn>
<publisher>
<publisher-name><![CDATA[Cardiocentro Ernesto Che Guevara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2078-71702018000400294</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores asociados al fracaso del tratamiento en pacientes hipertensos que requieren ingreso hospitalario]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated to treatment failure in hypertensive patients requiring hospital admission]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cairo Sáez]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cepero Hernández]]></surname>
<given-names><![CDATA[Daymara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Rodríguez]]></surname>
<given-names><![CDATA[Rene M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González López]]></surname>
<given-names><![CDATA[Dagmar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Policlínico Docente Marta Abreu  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Docente Chiqui Gómez Lubián  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>10</volume>
<numero>4</numero>
<fpage>294</fpage>
<lpage>299</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702018000400294&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702018000400294&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702018000400294&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hipertensión es una enfermedad muy frecuente que, a pesar de los múltiples adelantos terapéuticos, sigue siendo mal controlada y frecuentemente lleva a descompensaciones que requieren hospitalización o atención en los servicios de emergencia.  Objetivos:  Identificar los factores relacionados con el fracaso terapéutico en los pacientes hipertensos que requirieron ingreso hospitalario a causa de afectaciones relacionadas con el control de la presión arterial.  Método:  Se estudiaron los 40 pacientes hipertensos ingresados en el área de salud Marta Abreu durante el año 2016, se tomaron los datos de las historias clínicas y se entrevistaron los pacientes y familiares para identificar las causas que influyeron en el fracaso del tratamiento.  Resultados:  Predominaron los pacientes del sexo masculino y mayores de 60 años, los factores de riesgo más frecuentes fueron: el hábito de fumar, la diabetes mellitus y la cardiopatía isquémica, y se encontraron como principales causas del mal control de la presión arterial los tratamientos inadecuados (45%) y la no adherencia al tratamiento (30%). Las tres primeras causas de ingreso fueron: accidentes cerebrovasculares (40%), síndrome coronario agudo (27,5%) y crisis hipertensiva (7,5%). Después de corregir la estratificación de riesgo la coincidencia con la estratificación previa fue solo del 10%, y el 95% de los pacientes fueron de alto riesgo.  Conclusiones:  Las causas de ingreso más frecuentes fueron de origen cardiovascular. Los tratamientos fracasaron por ser inadecuados o por la falta de adherencia de los pacientes. La mayoría de ellos tenían una estratificación incorrecta, por lo que los tratamientos fueron en su mayoría inadecuados y el control deficiente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  High blood pressure is a very frequent disease that, in spite of multiple advances in therapy, continues to be poorly controlled and frequently leads to decompensation requiring hospitalization or emergency services.  Objectives:  To identify the factors associated to treatment failure in hypertensive patients requiring hospital admission, due to disturbances related to blood pressure control.  Method:  There were studied 40 hypertensive patients who were admitted in the Marta Abreu health area, during 2016; the data of clinical histories were taken into account and patients and relatives were interviewed in order to identify the causes that influenced the treatment failure.  Results:  Admissions of males and patients over 60 years predominated. The most frequent risk factors were smoking, diabetes mellitus and ischemic heart disease, and the main causes of poor control of blood pressure were the inadequate treatments (45%) and non-adherence to treatment (30%). The first three causes of admission were stroke (40%), acute coronary syndrome (27.5%) and hypertensive crisis (7.5%). After correcting the risk stratification, the coincidence with the previous stratification was only 10% and 95% of the patients were at high risk.  Conclusions:  The most frequent causes of admission were of cardiovascular origin. Treatments failed for being inadequate or the lack of patient adherence. Most of them had incorrect stratification, thus, treatments were mostly inadequate and the control was poor.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hipertensión arterial]]></kwd>
<kwd lng="es"><![CDATA[Cumplimiento y adherencia al tratamiento]]></kwd>
<kwd lng="es"><![CDATA[Ingreso hospitalario]]></kwd>
<kwd lng="es"><![CDATA[Causalidad]]></kwd>
<kwd lng="en"><![CDATA[High blood pressure]]></kwd>
<kwd lng="en"><![CDATA[Treatment adherence and compliance]]></kwd>
<kwd lng="en"><![CDATA[Hospital admission]]></kwd>
<kwd lng="en"><![CDATA[Causality]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez Caballero]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[León Álvarez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Arias]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El control de la hipertensión arterial: un problema no resuelto]]></article-title>
<source><![CDATA[Rev Cuban Med]]></source>
<year>2011</year>
<volume>50</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>311-23</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mejía-Rodríguez]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Paniagua-Sierra]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia-Ortiz]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Ruiz-García]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Figueroa-Núñez]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Roa-Sánchez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores relacionados con el descontrol de la presión arterial]]></article-title>
<source><![CDATA[Salud Pública Méx]]></source>
<year>2009</year>
<volume>51</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>291-7</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<collab>Ministerio de Salud Pública</collab>
<source><![CDATA[Anuario Estadístico de Salud 2017]]></source>
<year>2018</year>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Dirección de Registros Médicos y Estadísticas de Salud]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cairo Sáez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez Molina]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Batista Hernández]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[González Delgado]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Mayea Moya]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[González Monzón]]></surname>
<given-names><![CDATA[MO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estratificación de riesgo y complicaciones isquémicas en pacientes hipertensos]]></article-title>
<source><![CDATA[Medicentro]]></source>
<year>2016</year>
<volume>20</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>176-84</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cairo Sáez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Batista Hernández]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Guerra]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Muñiz Casas]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Pino Mildestein]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Mortalidad por hipertensión arterial en el área de salud del Policlínico Universitario "Marta Abreu"]]></article-title>
<source><![CDATA[Medicentro]]></source>
<year>2017</year>
<volume>21</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>120-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pérez Caballero]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[León Álvarez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Dueñas Herrera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alfonzo Guerra]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Navarro Despaigne]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[de la Noval García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial]]></article-title>
<source><![CDATA[Rev Cuban Med]]></source>
<year>2017</year>
<volume>56</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>242-321</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García Céspedes]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Prusakov Martínez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ales Martínez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Carbonell García]]></surname>
<given-names><![CDATA[IC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tendencias y pronósticos de la hipertensión arterial en la provincia de Santiago de Cuba (2001-2015)]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2016</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>433-43</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alfonso Godoy]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Achiong Estupiñan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Achiong Alemañy]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Achiong Alemañy]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández Alfonso]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado Pérez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Factores asociados al hipertenso no controlado]]></article-title>
<source><![CDATA[Rev Med Electrón]]></source>
<year>2011</year>
<volume>33</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>278-85</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ingramo]]></surname>
<given-names><![CDATA[RA]]></given-names>
</name>
<name>
<surname><![CDATA[Vita]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Bendersky]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Arnolt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bellido]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Piskorz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio Nacional Sobre Adherencia al Tratamiento (ENSAT)]]></article-title>
<source><![CDATA[Rev Fed Arg Cardiol]]></source>
<year>2005</year>
<volume>34</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>104-11</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[León Álvarez]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Caballero]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra Ibáñez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cinco años de experiencia en consulta especializada de hipertensión arterial complicada (2008-2012)]]></article-title>
<source><![CDATA[Rev Cuban Med]]></source>
<year>2013</year>
<volume>52</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>254-64</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zurera Delgado]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Caballero Villarraso]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Ruíz García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Análisis de los factores que determinan la adherencia terapéutica del paciente hipertenso]]></article-title>
<source><![CDATA[Enferm Nefrol]]></source>
<year>2014</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>251-60</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cairo Sáez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Rodríguez]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer Suarez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Kidney affectation in non-complicated high blood pressure patients]]></article-title>
<source><![CDATA[Curr Res Cardiol]]></source>
<year>2017</year>
<volume>4</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>65-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pozuelos Estrada]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Molina Martínez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Romero Perera]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Díaz Herrera]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Cañón Barroso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Buitrago Ramírez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prevalencia de insuficiencia renal oculta estimada mediante fórmulas de cálculo del grado de función renal en hipertensos mayores de 60 años, remitidos para medición ambulatoria de la presión arterial]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2007</year>
<volume>39</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>247-53</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos Morales]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La adherencia al tratamiento en las enfermedades crónicas]]></article-title>
<source><![CDATA[Rev Cuba Angiol Cir Vasc]]></source>
<year>2015</year>
<volume>16</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>175-89</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
