Finanzas públicas y desarrollo: Coloquio Franco-Latinoamericano

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Causes of resistant hypertension detected by a standardized algorithm

Resistant hypertension (RH) is characterized by blood pressure above 140 × 90 mm Hg, despite the use, in appropriate doses, of three antihypertensive drug classes, including a diuretic, or the need of four classes to control blood pressure. Resistant hypertension patients are under a greater risk of presenting secondary causes of hypertension and may be benefited by therapeutical approach for this diagnosis. However, the RH is currently little studied, and more knowledge of this clinical condition is necessary. In addition, few studies had evaluated this issue in emergent countries. Therefore, we proposed the analysis of specific causes of RH by using a standardized protocol in Brazilian patients diagnosed in a center for the evaluation and treatment of hypertension. The management of these patients was conducted with the application of a preformulated protocol which aimed at the identification of the causes of resistant hypertension in each patient through management standardization. The data obtained suggest that among patients with resistant hypertension there is a higher prevalence of secondary hypertension, than that observed in general hypertensive ones and a higher prevalence of sleep apnea as well. But there are a predominance of obesity, noncompliance with diet, and frequent use of hypertensive drugs. These latter factors are likely approachable at primary level health care, since that detailed anamneses directed to the causes of resistant hypertension are applied. © 2012 Livia Beatriz Santos Limonta et al.

Carta de Valdés Rodríguez de la Delegación de Cuba al Dr. Luis machado y Ortega Presidente de la II Sesión de la Comisión Económica para América Latina

Solicita la inclusión en la Agenda de la Conferencia del tema "Turismo"

Letter of Valdés Rodriguez President of the Cuban Delegation to Dr. Luis Machado y Ortega President of the Second Session of the Economic Commission for Latin America

Request the inclusion into the Agenda of the Conference of the item "Turismo"

Carta de Alberto Baltra C. Presidente de la Delegación de Chile al Dr. Luis Machado, Presidente de la Comisión Económica para América Latina

Sugiere introducir algunas modificaciones al Reglamento para lograr una mayor eficiencia en la labor de la Comisión

Letter of Alberto Baltra C. President of the Delegation of Chile to Dr. Luis Machado, Chairman of the Economic Commission for Latin America

Sugest introduce certain amendments in the Rules of Procedure, in order to make the work of the Commission more efficient