{"id":1943,"date":"2019-05-03T15:18:49","date_gmt":"2019-05-03T15:18:49","guid":{"rendered":"https:\/\/revisamed.com.br\/blog-wp-teste\/2019\/05\/03\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/"},"modified":"2023-04-24T19:40:22","modified_gmt":"2023-04-24T19:40:22","slug":"questaocomentadaresidenciamedica-hipertensaosistemica-revisamed","status":"publish","type":"post","link":"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/","title":{"rendered":"Hipertens\u00e3o arterial sist\u00eamica: tema da quest\u00e3o comentada"},"content":{"rendered":"<p>A Hipertens\u00e3o Arterial Sist\u00eamica \u00e9 uma das doen\u00e7as de <strong>maior preval\u00eancia no mundo moderno<\/strong> e \u00e9 caracterizada pelo aumento da press\u00e3o arterial, tendo como causas a hereditariedade, a obesidade, o sedentarismo, o etilismo, o stress e outras. <\/p>\n<p>A sua incid\u00eancia aumenta com a idade. No Brasil, estima-se que um em cada <strong>cinco habitantes seja portador dessa patologia<\/strong>. <\/p>\n<p>Veja quest\u00e3o comentada Revisamed.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">A seguir, voc\u00ea vai saber:<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/#Especialista_comenta_questao_sobre_hipertesao_arterial_sistemica\" >Especialista comenta quest\u00e3o sobre hipertes\u00e3o arterial sist\u00eamica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/#Questao\" >Quest\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/#Alternativas\" >Alternativas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/#Resposta\" >Resposta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/revisamed.com.br\/blog\/questaocomentadaresidenciamedica-hipertensaosistemica-revisamed\/#Comentario_do_especialidade_Revisamed\" >Coment\u00e1rio do especialidade Revisamed<\/a><\/li><\/ul><\/nav><\/div>\n<h4 class=\"wp-block-heading\" id=\"h-especialista-comenta-questao-sobre-hipertesao-arterial-sistemica\"><span class=\"ez-toc-section\" id=\"Especialista_comenta_questao_sobre_hipertesao_arterial_sistemica\"><\/span>Especialista comenta quest\u00e3o sobre hipertes\u00e3o arterial sist\u00eamica<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<h4 class=\"wp-block-heading\" id=\"h-questao\"><span class=\"ez-toc-section\" id=\"Questao\"><\/span>Quest\u00e3o<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Um paciente de 40 anos procura a unidade b\u00e1sica de sa\u00fade para consulta de rotina. Nega queixas e \u00e9 tabagista e sedent\u00e1rio. O m\u00e9dico verifica a press\u00e3o arterial na t\u00e9cnica adequada e, nas tr\u00eas medidas, realizadas a PA \u00e9 de 138 x 85 mmHg . Assinale a alternativa que apresenta a conduta mais adequada.<\/p>\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-revisamed wp-block-embed-revisamed\">\n<div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"WryV6Ps15N\"><p><a href=\"https:\/\/revisamed.com.br\/blog\/tudo-sobre-residencia-medica\/\">Resid\u00eancia M\u00e9dica: provas, especialidades, bolsas e dura\u00e7\u00e3o<\/a><\/p><\/blockquote>\n<p><iframe src=\"https:\/\/medprovas.com.br\/blog\/tudo-sobre-residencia-medica\/embed\/#?secret=0AiJQLWx1m#?secret=WryV6Ps15N\" title=\"\u201cResid\u00eancia M\u00e9dica: provas, especialidades, bolsas e dura\u00e7\u00e3o\u201d \u2014 Revisamed\" class=\"wp-embedded-content\" width=\"600\" height=\"338\" frameborder=\"0\" loading=\"lazy\" referrerpolicy=\"strict-origin-when-cross-origin\"><\/iframe>\n<\/div>\n<\/figure>\n<h4 class=\"wp-block-heading\" id=\"h-alternativas\"><span class=\"ez-toc-section\" id=\"Alternativas\"><\/span>Alternativas<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>A \u2013\u00a0 Reavaliar em 1 ano.<\/p>\n<p>B \u2013 Reavaliar em dois meses e orientar mudan\u00e7as no estilo de vida<\/p>\n<p>C \u2013 Reavaliar em um ano e orientar mudan\u00e7as no estilo de vida.<\/p>\n<p>D \u2013 Indicar MAPA<\/p>\n<p>E \u2013 Reavaliar em 6 meses e orientar mudan\u00e7as no estilo de vida.<\/p>\n<h4 class=\"wp-block-heading\" id=\"h-resposta\"><span class=\"ez-toc-section\" id=\"Resposta\"><\/span>Resposta<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>E \u2013 Reavaliar em 6 meses e orientar mudan\u00e7as no estilo de vida.<\/p>\n<h4 class=\"wp-block-heading\" id=\"h-comentario-do-especialidade-revisamed\"><span class=\"ez-toc-section\" id=\"Comentario_do_especialidade_Revisamed\"><\/span>Coment\u00e1rio do especialidade Revisamed<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>Modifica\u00e7\u00f5es no estilo de vida podem refletir no retardo do desenvolvimento da press\u00e3o arterial sist\u00eamica em indiv\u00edduos com press\u00e3o lim\u00edtrofe. Tem tamb\u00e9m impacto favor\u00e1vel nos fatores de riscos envolvidos no desenvolvimento ou no agravo da hipertens\u00e3o e devem ser sempre indicadas. <\/p>\n<p>Segundo a VII Diretriz\u00a0 Brasileira de Hipertens\u00e3o (2016), o per\u00edodo de tempo recomendado para as medidas para a modifica\u00e7\u00e3o de estilo de vida isoladamente em hipertensos e naqueles com comportamento lim\u00edtrofe da press\u00e3o arterial, com baixo risco cardiovascular, \u00e9 de, no m\u00e1ximo, seis meses. Em pacientes com riscos m\u00e9dio, alto ou muito alto, independente da press\u00e3o arterial, a abordagem deve ser combinada -n\u00e3o medicamentosa e medicamentosa \u2013\u00a0 para atingir a meta preconizada mais precocemente.<\/p>\n<nav class=\"post-tags\" aria-label=\"Tags do conte\u00fado\"><a href=\"\/tag\/cardiologia\/\">Cardiologia<\/a><a href=\"\/tag\/especialidades-medicas\/\">especialidades m\u00e9dicas<\/a><\/nav>\n","protected":false},"excerpt":{"rendered":"<p>Veja mais uma quest\u00e3o comentada Revisamed. O tema desta quest\u00e3o \u00e9 hipertens\u00e3o arterial,  uma das doen\u00e7as de maior preval\u00eancia no mundo moderno.<\/p>\n","protected":false},"author":2,"featured_media":1944,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,9],"tags":[32,24],"rvm_specialty":[],"class_list":["post-1943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dicas-de-residencia-medica","category-provas-de-residencia-medica","tag-cardiologia","tag-especialidades-medicas"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Hipertens\u00e3o arterial sist\u00eamica: tema da quest\u00e3o comentada | Blog Revisamed<\/title>\n<meta name=\"description\" content=\"Veja mais uma quest\u00e3o comentada Revisamed. 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