{"id":336379,"date":"2019-04-30T02:00:00","date_gmt":"2019-04-30T00:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/nao-desconsiderar-a-tensao-arterial-na-apoplexia-aguda\/"},"modified":"2019-04-30T02:00:00","modified_gmt":"2019-04-30T00:00:00","slug":"nao-desconsiderar-a-tensao-arterial-na-apoplexia-aguda","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/pt-pt\/nao-desconsiderar-a-tensao-arterial-na-apoplexia-aguda\/","title":{"rendered":"N\u00e3o desconsiderar a tens\u00e3o arterial na apoplexia aguda"},"content":{"rendered":"<p><strong>Se a hipertens\u00e3o ap\u00f3s a apoplexia precisa ou n\u00e3o de ser tratada depende de diferentes factores. Em primeiro lugar, a penumbra depende da press\u00e3o arterial sist\u00f3lica, mas um aumento de 10 mmHg em valores superiores a 180 mmHg aumenta a probabilidade de um mau resultado em cerca de 25%. Ent\u00e3o, o que fazer?<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>Num acidente vascular cerebral agudo, 75% dos doentes sofrem de tens\u00e3o arterial elevada. Isto pode ser devido ao stress do evento, uma bexiga cheia, n\u00e1useas, v\u00f3mitos, dor e\/ou uma resposta fisiol\u00f3gica \u00e0 hipoxia cerebral, explicou o Prof. Andreas Luft, MD, Zurique. A quest\u00e3o \u00e9 se a tens\u00e3o arterial elevada deve ou n\u00e3o ser tratada. Por um lado, a redu\u00e7\u00e3o do risco de re-infarto e hemorragia, a minimiza\u00e7\u00e3o do edema cerebral e o al\u00edvio card\u00edaco falam por isso. Mas, por outro lado, a tens\u00e3o arterial baixa est\u00e1 tamb\u00e9m associada a maus resultados. Diferentes estudos abordaram esta quest\u00e3o. A Prof. Luft concluiu que uma redu\u00e7\u00e3o prudente de 15-25% no m\u00e1ximo dentro de 24 horas com a ajuda de anti-hipertensivos intravenosos de ac\u00e7\u00e3o curta \u00e9 um procedimento adequado. Isto deve ser feito sob estreita supervis\u00e3o, incluindo a medi\u00e7\u00e3o da press\u00e3o arterial. S\u00f3 em caso de hemorragia se deve visar uma redu\u00e7\u00e3o mais intensiva \u00e0 sist\u00f3lica &lt;140&nbsp;mmHg.<\/p>\n<p>&nbsp;<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-11716\" alt=\"\" src=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31.png\" style=\"height:178px; width:600px\" width=\"1100\" height=\"327\" srcset=\"https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31.png 1100w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-800x238.png 800w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-120x36.png 120w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-90x27.png 90w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-320x95.png 320w, https:\/\/medizinonline.com\/wp-content\/uploads\/2019\/04\/ubersicht_cv2_s31-560x166.png 560w\" sizes=\"(max-width: 1100px) 100vw, 1100px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><em>Fonte: Zurich Hypertension Day<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Literatura:<\/p>\n<ol>\n<li>Willmot, et al: Hypertension 2004<\/li>\n<li>Castilio, et al: Stroke 2004<\/li>\n<li>Directrizes da AHA 2008<\/li>\n<li>Enames, et al: JNNP 2002<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><em>CARDIOVASC 2019; 18(2): 31<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se a hipertens\u00e3o ap\u00f3s a apoplexia precisa ou n\u00e3o de ser tratada depende de diferentes factores. Em primeiro lugar, a penumbra depende da press\u00e3o arterial sist\u00f3lica, mas um aumento de&hellip;<\/p>\n","protected":false},"author":7,"featured_media":88629,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Gest\u00e3o da hipertens\u00e3o","footnotes":""},"category":[11367,11529,11551],"tags":[29564,13349,13344],"powerkit_post_featured":[],"class_list":["post-336379","post","type-post","status-publish","format-standard","has-post-thumbnail","category-cardiologia-pt-pt","category-relatorios-do-congresso","category-rx-pt","tag-apoplex-pt-pt","tag-hipertensao-arterial","tag-tensao-arterial-elevada","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-29 14:49:58","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"pt_PT","wpml_translations":{"es_ES":{"locale":"es_ES","id":336342,"slug":"no-desprecie-la-presion-arterial-en-la-apoplejia-aguda","post_title":"No desprecie la presi\u00f3n arterial en la apoplej\u00eda aguda","href":"https:\/\/medizinonline.com\/es\/no-desprecie-la-presion-arterial-en-la-apoplejia-aguda\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts\/336379","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=336379"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/posts\/336379\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/media\/88629"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=336379"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/category?post=336379"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/tags?post=336379"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/pt-pt\/wp-json\/wp\/v2\/powerkit_post_featured?post=336379"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}