Documente Academic
Documente Profesional
Documente Cultură
TA sistolic
Gradul
< 80 mm Hg
< 120 mm Hg
Optim
80-84 mm Hg
120-129 mm Hg
Normal
85-89 mm Hg
130-139 mm Hg
Normal inalt
90-99 mm Hg
140-159 mm Hg
Gradul I
100-109 mmHg
160-179 mmHg
Gradul II
110 mm Hg
180 mm Hg
Gradul III
Simptome:
FACTORI DE RISC
Factori de risc
Niveluri sistolice i
diastolice TA
TA diferenial
Barbai (M) >55 ani
Femei (F)>65 ani
Fumatul
Dislipidemia
Colesterol >190mg% sau
LDL-c >115 mg% sau
HDL-c <40 mg% (M)
<46 MG% (F)
Istoric familial de boal
cardiovascular prematur
(<55 ani M, <65 ani F)
Obezitate abdominal
(circumferina M 102 cm,
F 88 cm)
TTGO anormal
Afectare subclinic
de organ
HVS :
Ecg-ISL >38 mm
Eco index masa VS
M125, F110 g/m2
Eco vascular - IMT
0,9 mm sau placa
ATS
PWV > 12 m/s
IGB <0,9
Cretere uoar
creatinin seric M
1,3-1,5 MG%, F 1,21,4 mg%
Microalbuminurie
(30-300 mg/24 ore)
sau raport
albumin/creatinin
M22, F 31 mg%
Clerance creatinin <
60 ml/min
Diabet zaharat
Glucoza
plasmatic a
jeune 126
mg%
Glucoza
plasmatic
postprandial
>198 mg%
RECOMANDATE
SPECIALITATE
GLICEMIE
LIPIDOGRAMA
CREATININA
K+, ACID URIC
CLEARENCE CREATININA, RFG
EX. URINA
MICROALBUMINURIE
Hb, Ht
ECG
ECOCARDIOGRAFIE
ECOGRAFIE CAROTIDIANA
PROTEINURIE CANTITATIVA
INDICE GLEZNA-BRAT
EXAMEN FUND DE OCHI
TTGO (daca glicemia > 100 mg%)
Monitorizare TA 24 ore + la domiciliu
VELOCITATEA UNDEI PULSATILE
IMAGISTICA CEREBRALA
TESTE PT. CAUZA SECUNDARA HTA
ANALIZA GENETICA
PARAMETRII DE STUDIU
SIV, PPVS, DDVS
MASA VS valoare prag: 125g/m2 barbati, 110 g/m2
femei
Tip HVS
CONCENTRICA: RWT>0,42, masa VS
EXCENTRICA: RWT<0,42, masa VS
REMODELARE CONCENTRICA: RWT>O,42, masa VS
normala
ECOGRAFIA CAROTIDIANA
IMT>0,9 mm
PLACA ATS
IMT>1,3-1,5 mm
INDICELE GLEZNA-BRAT
TAS
brahiala
TAS
pedioasa
EXCRETIA URINARA
ALBUMINA
Microalbuminurie test
(dipstick: 30-300 mg/24 ore)
Proteinurie