Prevención de la fibrilación auricular en el paciente hipertenso

  1. Carlos Escobar Cervantes 1
  2. Alberto Calderón Montero 1
  3. Vivencio Barrios Alonso 1
  1. 1 Hospital Ramón y Cajal
    info

    Hospital Ramón y Cajal

    Madrid, España

    ROR https://ror.org/050eq1942

Revista:
Revista Costarricense de Cardiología

ISSN: 1409-4142

Año de publicación: 2006

Volumen: 8

Número: 2

Páginas: 25-30

Tipo: Artículo

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Otras publicaciones en: Revista Costarricense de Cardiología

Resumen

Un porcentaje importante de pacientes con hipertensión arterial (HTA) tiene además fibrilación auricular (FA) presencia de HTA incrementa el riesgo de tener FA y su presencia empeora el pronóstico de los pacientes con HTA. La posibilidad de que algunos fármacos interfieran con las vías de transducción específicas que facilitan la aparición de FA resulta prometedora. Hasta la fecha, parece que la medida más efectiva es la inhibición del sistema renina- angiotensina- aldosterona mediante la utilización de inhibidores de la enzima convertidora de angiotensina (IECAs) y los antagonistas de los receptores de angiotensina II (ARA II). Esta aproximación se encuentra actualmente bajo una activa investigación. Algunos ensayos clínicos han evaluado la efectividad de estos fármacos en la prevención de FA. Los datos muestran que ambas clases de fármacos, IECAs y ARA II, parecen efectivos en la prevención de FA. Sin embargo, la ausencia de ensayos clínicos aleatorizados y doble ciego específicos, limita su aplicación en los pacientes con FA sin ninguna otra indicación para su uso.

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Fuente de los datos: Dialnet