{"id":28000,"date":"2023-05-31T11:58:34","date_gmt":"2023-05-31T08:58:34","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28000"},"modified":"2023-05-31T11:58:37","modified_gmt":"2023-05-31T08:58:37","slug":"koga-pri-visoko-kravno-ima-risk-ot-insult","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/it\/zdrave\/koga-pri-visoko-kravno-ima-risk-ot-insult\/","title":{"rendered":"Quando c'\u00e8 il rischio di ictus con ipertensione?"},"content":{"rendered":"

L'ipertensione (pressione alta) aumenta decisamente il rischio di complicanze cardiovascolari come ictus, infarto, ecc. Quando i valori della pressione sanguigna sono troppo alti, pu\u00f2 portare alla rottura del cervello. Lo afferma il Prof. Krasimira Hristova, MD. \u00c8 la direttrice medica di un centro per le malattie cardiovascolari a Sofia, nonch\u00e9 specialista in cardiologia con oltre 25 anni di esperienza.In questo senso, ci sono alcune importanti considerazioni relative a il trattamento e il monitoraggio della pressione alta<\/a><\/strong>, di cui parleremo in questo articolo.<\/p>\n\n\n\n

Alcune delle complicanze dell'ipertensione arteriosa possono essere temporanee, come gli attacchi ischemici transitori. Tuttavia, altri portano a ictus ischemico o emorragico. Questa \u00e8 gi\u00e0 una condizione grave che pu\u00f2 lasciare effetti duraturi sulla salute.<\/p>\n\n\n\n

Il sangue con limiti di 160-170 superiori e 100-110 inferiori \u00e8 pericoloso<\/h2>\n\n\n\n
\"\u043c\u0435\u0440\u0435\u043d\u0435<\/a><\/figure>\n\n\n\n

Le persone a cui \u00e8 stata diagnosticata l'ipertensione per anni sono maggiormente a rischio. Spesso mantengono valori alti e stabilmente. Sono considerati tali quando il limite superiore (sistolico) \u00e8 intorno a 160-170 e quello diastolico inferiore \u00e8 superiore a 100-110. L'iperteso tipico ha anche altri problemi. Di solito \u00e8 in sovrappeso, mangia cibi salati e grassi, consuma alcolici regolarmente<\/a><\/strong>. Inoltre, soffre di immobilit\u00e0. Molte persone fumano per alleviare soggettivamente la tensione interna e lo stress, ma peggiorano ulteriormente la loro condizione.<\/p>\n\n\n\n

C'\u00e8 anche il cosiddetto ipertensione notturna, quando la pressione sanguigna aumenta nelle ore piccole. Questo \u00e8 difficile da rilevare nello studio del medico, pur essendo una delle principali cause di uno scarso controllo dell'ipertensione. Ogni cardiologo ha pazienti che hanno avuto complicazioni solo di notte.<\/p>\n\n\n\n

Cosa sono i valori del sangue falsi positivi<\/h2>\n\n\n\n
\"\u0445\u0438\u043f\u0435\u0440\u0442\u043e\u043d\u0438\u044f<\/a><\/figure>\n\n\n\n

L'obiettivo principale di qualsiasi trattamento per l'ipertensione \u00e8 controllare i valori elevati e portarli entro limiti accettabili. Devono essere monitorati con holter per almeno 24 ore.<\/p>\n\n\n\n

"Il motivo \u00e8 che alcuni dei valori durante l'esame in ufficio possono essere falsi positivi, e quindi il paziente ha una pressione sanguigna normale. Inoltre, in ufficio, i valori possono essere relativamente normali, e in seguito diventano alti, non li notiamo e trascuriamo il trattamento. <\/p>\n\n\n\n

Consigliamo quindi, anche quando abbiamo una terapia consolidata, di posizionare un holter per darci un quadro reale. \u00c8 sbagliato fare il monitoraggio in condizioni ospedaliere, dovrebbe essere in un ambiente normale, quando una persona \u00e8 a casa e al lavoro", ha commentato la Prof.ssa Hristova.<\/p>\n\n\n\n

Qual \u00e8 il trattamento per i pazienti con ipertensione e una storia di ictus?<\/h2>\n\n\n\n
\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430<\/a><\/figure>\n\n\n\n

I valori ematici target per tali pazienti ad alto rischio sono 120-130 per il limite superiore e 80-85 per il limite inferiore. Bisogna fare attenzione che non diventino troppo bassi. C'\u00e8 il rischio di interrompere l'autoregolazione interna del cervello. Se il sangue scende al di sotto di 100 su 60, soprattutto nelle persone anziane, questo \u00e8 un onere aggiuntivo per il corpo.<\/p>\n\n\n\n

Se i valori sono superiori a 160 per 100, i pazienti devono essere curati. Il rischio di un ictus ripetuto \u00e8 molto pi\u00f9 alto rispetto ai pazienti che non ne hanno mai avuto uno prima. Ecco perch\u00e9 \u00e8 importante che le persone misurino il loro sangue al mattino e alla sera, ma questo dovrebbe essere fatto circa un'ora, un'ora e mezza dopo aver preso le medicine. Si sconsiglia di misurare prima il sangue e assumere farmaci in base ai valori.<\/p>\n\n\n\n

La pressione alta \u00e8 pericolosa anche se non ci sono sintomi<\/h3>\n\n\n\n

Anche i valori della pressione sanguigna che si verificano senza sintomi evidenti o che presentano disturbi minori sono pericolosi. Il trattamento \u00e8 necessario per prevenire complicazioni. Non dobbiamo trascurare nemmeno i pazienti con disturbi del ritmo, perch\u00e9 l'ipertensione pu\u00f2 essere una delle cause della fibrillazione atriale.<\/p>\n\n\n\n

Quando prendere in considerazione la possibilit\u00e0 di cambiare i farmaci per l'ipertensione<\/h2>\n\n\n\n

Quando un'ipertensione arteriosa non risponde al trattamento, si parla di esaurire l'effetto di questi farmaci. Ci\u00f2 accade con gli ACE-inibitori dopo il quinto o il sesto anno di utilizzo. Il farmaco pu\u00f2 essere cambiato quando abbiamo raggiunto il dosaggio massimo e non possiamo ottenere un buon controllo della pressione sanguigna. Il mio consiglio \u00e8, dopo che abbiamo seguito la terapia di combinazione, sono state somministrate le dosi massime, quindi procedi solo a cambiare la terapia.<\/p>\n\n\n\n

I farmaci moderni usati per trattare l'ipertensione arteriosa sono a lunga durata d'azione. Con loro, l'effetto si verifica pi\u00f9 lentamente. Di solito lo cerchiamo dopo la seconda settimana al primo mese. Quindi non affrettiamoci, ma rassicuriamo semplicemente il paziente che non c'\u00e8 modo di raggiungere valori da 120 a 80 dopo un cambio di terapia dopo soli 2-3 giorni. Alcune persone si normalizzano pi\u00f9 velocemente, altre hanno bisogno di un po' di pazienza.<\/p>\n\n\n\n

Editore Ina Dimitrova<\/em><\/p>","protected":false},"excerpt":{"rendered":"

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