Acometimento da função renal nos portadores de hipertensão arterial sistêmica: revisão de literatura

Abstract

Hypertension is a chronic disease, non-transferable, has a quiet start with important clinical implications for cardiovascular and renovascular systems, often accompanied by comorbidities and has a large impact on population health indicators.It can progress to complications in the cardiovascular, renal and vascular systems, as kidney failure, stroke, myocardial infarction and heart failure.Coverage area of Basic Health Unit Morada do Rio em Santa Luzia-MG, There are 900 (nine hundred) patients with systemic hypertension, 700 (seven hundred) patients are accompanied by the family health team. Given the large number of patients with hypertension assumes the risk of renal involvement due to the large number of patients with arterial hypertension, presupposes that the risk of renal involvement can also be large, so did the interest on renal involvement in hypertensive patients. Used database the Latin American and Caribbean Center on Health Sciences - Lilacs and also the Scientific Electronic Library Online - Scielo, manuals Ministry of Health and the State Department of Health of Minas Gerais. Our finding is that hypertension over time can cause serious injury to the renal system, as well as a patient already diagnosed with kidney disease may have its pressure increased due to physiological changes kidney. Hypertension is common in all forms of nephropathy, it is congenital or acquired, and when present, produces loss of kidney function. Often establishes a vicious circle in which high pressure worsens renal damage and consequently raises blood pressure. People at greatest risk for kidney disease are those with diabetes, hypertension, people with kidney disease in the family, the elderly, persons with cardiovascular disease.Arterial hypertension and renal insufficiency may be interconnected in two ways: hypertension when malignant phase, can lead to nefroangiosclerose by endarteritis obliterans and necrotizing arteriolitis and when is benign form framework can lead to hypertensive nephrosclerosis and progressive loss slow renal function. The importance of teamwork shown a humanized and patient-centered, health education, organization of the work process, social control of health programs and services and has positive effects on the health status of individuals families and communities. It is a challenge to implement the Family Health Strategy of fully considering the specificities of each catchment area.