{"id":5005,"date":"2018-10-12T22:02:02","date_gmt":"2018-10-12T22:02:02","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=1306"},"modified":"2026-02-10T18:57:00","modified_gmt":"2026-02-10T18:57:00","slug":"2018-esc-esh-classification-of-arterial-hypertension","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/2018-esc-esh-classification-of-arterial-hypertension\/","title":{"rendered":"Clasificaci\u00f3n ESC\/ESH 2018 de Hipertensi\u00f3n Arterial"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>La relaci\u00f3n entre la presi\u00f3n arterial (PA) y los eventos cardiovasculares (CV) y los renales es continua, lo que hace que la distinci\u00f3n entre normotensi\u00f3n e hipertensi\u00f3n, basada en valores de PA de corte, sea algo arbitraria. Sin embargo, en la pr\u00e1ctica, los valores de PA de corte se utilizan por razones pragm\u00e1ticas para simplificar el diagn\u00f3stico y las decisiones sobre el tratamiento.<!--more--><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Clasificaci\u00f3n de la presi\u00f3n arterial\u00b9 de consultorio y definiciones de grado de hipertensi\u00f3n<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 37.3287%;\"><strong>Categor\u00eda<\/strong><\/td>\n<td style=\"width: 25.0001%; text-align: center;\"><strong>Sist\u00f3lica (mmHg)<\/strong><\/td>\n<td style=\"width: 12.6712%;\"><\/td>\n<td style=\"width: 25%;\"><strong>Diast\u00f3lica (mmHg)<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">\u00d3ptima<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">&lt;120<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y<\/td>\n<td style=\"width: 25%; text-align: center;\">&lt;80<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Normal<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">120\u2013129<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y\/o<\/td>\n<td style=\"width: 25%; text-align: center;\">80\u201384<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Normal alta<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">130\u2013139<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y\/o<\/td>\n<td style=\"width: 25%; text-align: center;\">85\u201389<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Hipertensi\u00f3n grado 1<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">140\u2013159<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y\/o<\/td>\n<td style=\"width: 25%; text-align: center;\">90\u201399<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Hipertensi\u00f3n grado 2<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">160\u2013179<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y\/o<\/td>\n<td style=\"width: 25%; text-align: center;\">100\u2013109<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Hipertensi\u00f3n grado 3<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">\u2265180<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y\/o<\/td>\n<td style=\"width: 25%; text-align: center;\">\u2265110<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 37.3287%;\">Hipertensi\u00f3n sist\u00f3lica aislada\u00b2<\/td>\n<td style=\"width: 25.0001%; text-align: center;\">\u2265140<\/td>\n<td style=\"width: 12.6712%; text-align: center;\">y<\/td>\n<td style=\"width: 25%; text-align: center;\">&lt;90<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>PA = presi\u00f3n arterial; PAS = presi\u00f3n arterial sist\u00f3lica.<br \/>\n\u00b9\u00a0La categor\u00eda de PA se define de acuerdo con la PA de consulta cl\u00ednica y por el nivel m\u00e1s alto de PA, ya sea sist\u00f3lica o diast\u00f3lica.<br \/>\n\u00b2\u00a0La hipertensi\u00f3n sist\u00f3lica aislada se clasifica 1, 2 o 3 seg\u00fan los valores de PAS en los rangos indicados.<br \/>\nLa misma clasificaci\u00f3n se utiliza para todas las edades a partir de los 16 a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; Authors\/Task Force Members. 2018 ESC\/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension.\u00a0J Hypertens. 2018 Oct;36(10):1953-2041. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30234752\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, Clement DL, Coca A, de Simone G, Dominiczak A, Kahan T, Mahfoud F, Redon J, Ruilope L, Zanchetti A, Kerins M, Kjeldsen SE, Kreutz R, Laurent S, Lip GYH, McManus R, Narkiewicz K, Ruschitzka F, Schmieder RE, Shlyakhto E, Tsioufis C, Aboyans V, Desormais I; ESC Scientific Document Group.\u00a02018 ESC\/ESH Guidelines for the management of arterial hypertension.\u00a0Eur Heart J. 2018 Sep 1;39(33):3021-3104.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30165516\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Kreutz R, Brunstr\u00f6m M, Burnier M, Grassi G, Januszewicz A, Muiesan ML, Tsioufis K, de Pinho RM, Albini FL, Boivin JM, Doumas M, Nemcsik J, Rodilla E, Agabiti-Rosei E, Algharably EAE, Agnelli G, Benetos A, Hitij JB, C\u00edfkov\u00e1 R, Cornelissen V, Danser AHJ, Delles C, Huelgas RG, J\u00e1rai Z, Palatini P, Pathak A, Persu A, Polonia J, Sarafidis P, Stergiou G, Thomopoulos C, Wanner C, Weber T, Williams B, Kjeldsen SE, Mancia G. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension. Eur J Intern Med. 2024 Aug;126:1-15. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38914505\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 11, 2018.<br \/>\nActualizado Feb 10, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La relaci\u00f3n entre la presi\u00f3n arterial (PA) y los eventos cardiovasculares (CV) y los renales es continua, lo que hace que la distinci\u00f3n entre normotensi\u00f3n e hipertensi\u00f3n, basada en valores de PA de corte, sea algo arbitraria. Sin embargo, en la pr\u00e1ctica, los valores de PA de corte se utilizan por razones pragm\u00e1ticas para simplificar [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[26],"tags":[389,384,166,167,388,386,387,67,66],"class_list":["post-5005","post","type-post","status-publish","format-standard","hentry","category-cardiology","tag-389","tag-arterial","tag-clasificacion","tag-classification","tag-esc","tag-esc-esh","tag-esh","tag-hipertension","tag-hypertension"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=5005"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5005\/revisions"}],"predecessor-version":[{"id":10653,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/5005\/revisions\/10653"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=5005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=5005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=5005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}