O RISCO CARDIOVASCULAR NA CONSULTA DE PLANEAMENTO FAMILIAR
| Autor: | Raquel Baptista Leite, Catarina Ferreira Moita, João R. Nunes Pires, Ana Amorim, Ana Paes de Vasconcellos, Ana Dantas |
|---|---|
| Jazyk: | portugalština |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 87 (2022): Janeiro-Fevereiro; 30-33 João R. Nunes Pires |
| ISSN: | 1646-8287 |
| Popis: | Introduction: It is important to acknowledge, in a medical appointment, when a new and unexpected clinical problem arises and needs a holistic approach. This clinical case aims, on one hand, to reinforce that Family Medicine distinguishes itself from other medical specialties by the continuity of care that allows a holistic approach of the patient, not isolating one pathology or risk factor from the patient’s remaining clinical history; on the other hand, recall that all medical specialties must bear in mind that these risks are not independent from each other. Clinical case: A 42 year old woman with past medical history of class I obesity and choriocarcinoma in remission. Medicated with ethinyl estradiol + gestodene, 0.03 mg + 0.075 mg, 1 tablet / day for 21 days with a 7-day break, enies ethanolic, smoking or other habits. At a routine medical appointment, in the physical examination, she weighed 86 kg, and 167 cm tall, a body mass index (BMI) of 30.84 kg / m2 (class I obesity) and an average blood pressure of successive measurements of 150/80 mmHg. The patient was requested to control blood pressure in ambulatory setting and a new appointment was scheduled 2 months later. In the next medical appointment, the patient presented the blood pressure record with systolic blood pressure values greater than 160 mmHg and diastolic blood pressure greater than 90 mmHg, normocardial. In the physical examination, she had an average blood pressure of successive measurements of 180/100 mmHg, with an identical BMI and a low cardiovascular SCORE risk ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|