<?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>0034-7523</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Rev cubana med]]></abbrev-journal-title>
<issn>0034-7523</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-75232020000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disfunción endotelial en una etapa precoz del diagnóstico de hipertensión arterial]]></article-title>
<article-title xml:lang="en"><![CDATA[Endothelial dysfunction in hypertension early stage]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Rey]]></surname>
<given-names><![CDATA[Tatiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Savon Martin]]></surname>
<given-names><![CDATA[Laynes María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Travieso Pérez]]></surname>
<given-names><![CDATA[Sailit María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maurisset Cintero]]></surname>
<given-names><![CDATA[Yanay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central &#8220;Dr. Luis Díaz Soto&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Clínico Quirúrgico &#8220;Joaquín Albarrán Domínguez&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-75232020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-75232020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-75232020000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La hipertensión arterial tiene una asociación compleja con la disfunción endotelial, una alteración fenotípica del endotelio vascular que precede al desarrollo de eventos cardiovasculares adversos y presagia un riesgo cardiovascular futuro.  Objetivo:  Determinar la presencia de disfunción endotelial en pacientes hipertensos precozmente diagnosticados.  Métodos:  Se realizó un estudio analítico de corte transversal entre marzo 2017 y marzo 2019, con los datos de los pacientes que acudieron al examen médico de control de Salud del Hospital Militar Central Dr. Luis Díaz Soto. El grupo A (GA) estuvo conformado por pacientes hipertensos de reciente diagnóstico (hasta un año) sin lesión en órganos diana; mientras el Grupo B (GB) fueron sujetos sin hipertensión arterial. Previo consentimiento informado, se recogieron variables demográficas, clínicas, y se realizaron determinaciones de laboratorio y prueba de vasodilatación por flujo.  Resultados:  La prevalencia de disfunción endotelial en el grupo A fue de 39,0 % (p=0,021). Predominaron los hombres (55,0 %) y la edad media 41,7 ± 8,6 años sin diferencias significativas. El 73,0 % de los hipertensos eran sobrepeso u obesos. El colesterol total elevado (60,0 %) y la microalbuminuria (69,0 %) fueron las variables que aportaron mayor riesgo de disfunción endotelial en los pacientes hipertensos.  Conclusiones:  Se comprobó una elevada prevalencia de disfunción endotelial en los pacientes hipertensos de reciente diagnóstico, la cual se asoció a factores de riesgo ateroscleróticos: colesterol total elevado y microalbuminuria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  The arterial hypertension has a complex association with the endothelial dysfunction, and phenotypic alteration of the vascular endothelia that precedes the development of cardiovascular adverse events and it foreshadows future risk cardiovascular.  Objective:  To determine the presence of endothelial dysfunction in precociously diagnosed hypertensive patients.  Methods:  A transversal analytic study was conducted from March 2017 to March 2019, using data of the patients who attended to the military physical medical control at Dr. Luis Díaz Soto Military Hospital. Group A (GA) was formed by hypertensive patients recently diagnosed (up to a year) with no lesion in target organs; whereas Group B (GB) gathered the subjects with no hypertension. After establishing the informed consent, demographic, clinical variables were collected, and laboratory determinations and flow vasodilatation tests were performed.  Results:  Endothelial dysfunction prevalence in Group A was 39, 0% (p=0, 021). Men (55, 0%) and the mean age 41, 7 ± 8, 6 years prevailed with no significant differences. 73, 0% of the hypertensive subjects was overweight or obese. The total high cholesterol (60, 0%) and the micro albuminuria (69, 0%) were the variables that contributed to the higher risk of endothelial dysfunction in hypertensive patients.  Conclusions:  High prevalence of endothelial dysfunction was proven in recently diagnosed hypertensive patients. This endothelial dysfunction was associated to atherosclerosis risk factors as total high cholesterol and microalbuminuria.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hipertensión arterial]]></kwd>
<kwd lng="es"><![CDATA[disfunción endotelial]]></kwd>
<kwd lng="es"><![CDATA[aterosclerosis]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
<kwd lng="en"><![CDATA[endothelial dysfunction]]></kwd>
<kwd lng="en"><![CDATA[atherosclerosis]]></kwd>
</kwd-group>
</article-meta>
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