MASKED HYPERTENSION - THE ECHOCARDIOGRAM AND MAP IN THE HELP OF THIS CLINICAL DIAGNOSIS. CASE REPORT.
To demonstrate the importance of complementary exams associated with the clinical picture for the diagnosis of Masked Hypertension (MH). Methods: This is a descriptive observational case-report study. Carried out through an outpatient consultation in a specialty office (Cardiology) in the city of Franca, São Paulo. For the description of the case, the primary source of data will be the patient's printed medical record, containing a detailed case history, description of the physical examination and complementary exams. Case details: Female patient, 69 years old, asymptomatic, presented with peak pressure and underwent control with residential measurements, also presenting alterations. It has other morbidities, such as dyslipidemia, diabetes and smoking, as well as a family history of coronary heart disease and heart disease, so it was indicated that other complementary exams such as MAP and ECHOCARDIOGRAM be performed. This diagnosis was possible due to the anatomical and functional changes that chronic hypertension causes, making it essential to carry out additional tests, as most of the time, diagnostic confirmation is delayed in association with functional consequences such as heart failure. Final considerations: it is concluded that the diagnosis of the pathology in question is essential to prevent damage and complications, in addition to helping to optimize the clinical treatment to achieve the desired therapeutic goals.
MASKED HYPERTENSION - THE ECHOCARDIOGRAM AND MAP IN THE HELP OF THIS CLINICAL DIAGNOSIS. CASE REPORT.
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DOI: 10.22533/at.ed.1592103129
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Palavras-chave: Masked hypertension, echocardiogram, ABPM.
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Keywords: Masked hypertension, echocardiogram, ABPM.
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Abstract:
To demonstrate the importance of complementary exams associated with the clinical picture for the diagnosis of Masked Hypertension (MH). Methods: This is a descriptive observational case-report study. Carried out through an outpatient consultation in a specialty office (Cardiology) in the city of Franca, São Paulo. For the description of the case, the primary source of data will be the patient's printed medical record, containing a detailed case history, description of the physical examination and complementary exams. Case details: Female patient, 69 years old, asymptomatic, presented with peak pressure and underwent control with residential measurements, also presenting alterations. It has other morbidities, such as dyslipidemia, diabetes and smoking, as well as a family history of coronary heart disease and heart disease, so it was indicated that other complementary exams such as MAP and ECHOCARDIOGRAM be performed. This diagnosis was possible due to the anatomical and functional changes that chronic hypertension causes, making it essential to carry out additional tests, as most of the time, diagnostic confirmation is delayed in association with functional consequences such as heart failure. Final considerations: it is concluded that the diagnosis of the pathology in question is essential to prevent damage and complications, in addition to helping to optimize the clinical treatment to achieve the desired therapeutic goals.
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Número de páginas: 11
- FERNANDA FELIPE
- INGRID DE SALVI COUTINHO
- ANA LUIZA CUNHA ZENHA
- FERNANDA MARTINS ARAÚJO SANTOS
- RONALDO DE CASTRO TAVARES
- GABRIEL MONTEIRO PEIXOTO
- MARIANA DE MORAES PINHEIRO
- ATNER GUILHERME RODRIGUES
- SILVIA ÁVALOS HALLAK
- Amanda Brentam Perencini