Manejo terapéutico del paciente hipertenso de 40 a 65 años con sospecha de insuficiencia cardíaca en atención primaria de salud.

Abstract

- Introduction: Heart failure is a terminal stage of arterial hypertension, 50% of cases die four years after diagnosis and more than half with severe disease die within the first year, so it is essential to identify a hypertensive patient with high risk of developing heart failure within primary health care to determine correct criteria for referral to the second level of care in order to ensure long-term survival of users - Methods: a search was made of European, American, British and national health guides, together with high impact journals, to collect the need for initial management in hypertensive patients that delays the onset of heart pump failure, with the in order to define reference criteria for the second level of care. - Theoretical framework: Heart failure should be recognized by its evolutionary stages from the first contact with the primary health care doctor, for this reason, the diagnosis that begins from the anamnesis, evaluation of the clinical picture, complementary methods and establishment of effective therapy based on the aforementioned clinical practice guidelines, using all the resources available at the first level together with the coordination of the health team. - Conclusions: optimal care in primary care strengthens the need for health promotion and prevention, is aimed at modifying lifestyles, and continuous monitoring to improve long-term survival of patients.