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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
367
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Arterial hypertension as a predisposing factor for renal failure in adults.
Hipertensión arterial como factor predisponente de insuficiencia renal en
adultos.
Autores:
Lino Toala, Konny Nayeli
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
Egresada, Carrera de Laboratorio Clínico
Jipijapa - Ecuador
lino-konny7448@unesum.edu.ec
https://orcid.org/0000-0002-0644-1988
Moran Peñaherrera, Yomaira
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
Egresada, Carrera de Laboratorio Clínico
Jipijapa - Ecuador
moran-yomaira9215@unesum.edu.ec
https://orcid.org/0000-0002-4817-6406
Parrales Pincay, Irma Gisella
UNIVERSIDAD ESTATAL DEL SUR DE MANABÍ
Docente – Carrera de Laboratorio Clínico
Jipijapa - Ecuador
irma.parrales@unesum.edu.ec
https://orcid.org/0000-0002-5318-593X
Citación/como citar este artículo: Lino, Konny. y Moran, Yomaira. (2023). Hipertensión arterial como factor
predisponente de insuficiencia renal en adultos. MQRInvestigar, 7(1), 367-389.
https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Fechas de recepción: 03-ENE-2023 aceptación: 20-ENE-2023 publicación: 15-MAR-2023
https://orcid.org/0000-0002-8695-5005
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
368
Resumen
La hipertensión arterial y la insuficiencia renal son enfermedades que afectan directamente a
la salud de los habitantes y que al padecerla los riesgos van cada vez más en aumento. La
insuficiencia renal es una complicación bien conocida de la hipertensión acelerada y maligna
que puede prevenirse con un tratamiento adecuado. No obstante, el riesgo de enfermedad
renal en pacientes con formas de hipertensión es seguro. Este estudio tuvo como objetivo
general analizar la hipertensión arterial como factor predisponente de insuficiencia renal en
adultos. La metodología empleada fue un diseño de revisión sistemática de artículos en
revistas indexadas en base de datos científicas, en idioma inglés y español. De acuerdo a los
resultados, se determinó a los factores modificables con mayor prevalencia la obesidad y
sobrepeso seguido de la inactividad física, consumo de sal, ingesta de alcohol, tabaquismo y
una dieta inadecuada, entre factores progresión está la diabetes mellitus y dislipidemias, con
el uso de diagnósticos de laboratorio clínico de glucosa, colesterol, proteinuria, creatinina,
entre otras, en la progresión de insuficiencia renal los más afectados son adultos mayores
presentando mayor predominio el sexo masculino con enfermedad renal crónica en estadio
III.
En conclusión, la hipertensión arterial como factor predisponente para insuficiencia renal,
es una patología que afecta con mayor frecuencia a los adultos mayores debido a ser más
susceptibles o propensos por la calidad de vida que llevaron durante sus años pasados, es por
esto que, es muy oportuno efectuar seguimientos y control en las personas que padecen estas
enfermedades.
Palabras
Clave:
hipertensión
arterial,
insuficiencia
renal,
factores
predisponentes,
diagnostico, riesgos.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
369
Abstract
Arterial hypertension and renal failure are diseases that directly affect people's health, and
their risks are increasing. Renal failure is a well-known complication of accelerated and
malignant hypertension that can be prevented with appropriate treatment. However, the risk
of renal disease in patients with forms of hypertension is certain. The general objective of
this study was to analyze arterial hypertension as a predisposing factor for renal failure in
adults. The methodology employed was a systematic review design of articles in journals
indexed in scientific databases in English and Spanish. According to the results, the most
prevalent modifiable factors were determined to be obesity and overweight, followed by
physical inactivity, salt consumption, alcohol intake, smoking and inadequate diet; among
progression factors are diabetes mellitus and dyslipidemias, with the use of clinical laboratory
diagnoses of glucose, cholesterol, proteinuria, creatinine, among others; in the progression
of renal failure, the most affected are older adults, with a greater predominance in the male
sex
with
stage
III
chronic
kidney
disease.
In
conclusion,
arterial
hypertension
as
a
predisposing factor for renal failure is a pathology that affects older adults more frequently
because they are more susceptible or prone to it due to the quality of life they led during their
past years, which is why it is very opportune to carry out follow-up and control in people
who suffer from these diseases.
Keywords: Arterial hypertension, renal failure, predisposing factors, diagnosis, risks.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
370
Introducción
El presente trabajo de investigación es en base a una revisión sistemática documental
científica titulada hipertensión arterial como factor predisponente de insuficiencia renal en
adultos. El tema es relevante porque la insuficiencia renal es una complicación bien conocida
de la hipertensión acelerada y maligna que puede prevenirse con un tratamiento adecuado.
En contexto, la incidencia y la prevalencia de la enfermedad renal terminal tratada están
aumentando progresivamente en los países económicamente desarrollados. Para combatir
este
problema,
el
tratamiento
de
la
enfermedad
renal
terminal
establecida
debe
complementarse con estrategias para tratar y prevenir los factores de riesgo para el desarrollo
de insuficiencia renal (Estruch et al., 2018).
El problema a nivel internacional se destaca en que, la enfermedad renal crónica se ha
convertido en un grave problema de salud pública. Una forma de reducir la carga económica
de la enfermedad renal crónica sería la intervención temprana y para lograr esto, se debe
poder identificar a las personas con mayor riesgo de enfermedad renal. En esto se incluyen
factores como la raza, el sexo, la edad y los antecedentes familiares que son muy importantes
(Campbell et al., 2022).
En Latinoamérica, las tasas de prevalencia e incidencia de la enfermedad renal terminal han
ido en constante aumento, probablemente como resultado del aumento de la esperanza de
vida, el envejecimiento de la población. Las enfermedades crónicas no transmisibles
imponen un costo enorme, apenas soportado en la actualidad y poco probable que América
Latina pueda afrontar en el futuro (Bui et al., 2019).
En Ecuador, la ausencia de un registro de la enfermedad renal crónica dificulta la evaluación
de la carga de la enfermedad, pero se anticipa un aumento en la incidencia de la ERC junto
con el aumento de la diabetes, la hipertensión y la edad de la población. Los conjuntos de
datos muestran un total de 17 484 pacientes en diálisis en 2018, o 567 pacientes por año.
millones de habitantes, con un costo anual superior al 11% del presupuesto público de salud
(Pallarés Carratalá et al., 2020).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
371
En Manabí, la hipertensión se ha determinado con un 24% de prevalencia, lo cual contribuye
a
la
progresión
de
las
enfermedades
renales,
así
como
a
la
aparición
de
eventos
cardiovasculares. La prevalencia de hipertensión es elevada en pacientes con enfermedad
renal y aumenta progresivamente a medida que desciende la tasa de filtración glomerular
(Williams et al., 2019).
Los factores predisponentes que causan la enfermedad se encuentran en características como:
ser descendiente de afroamericanos, mayor edad, bajo peso al nacer y antecedentes familiares
de enfermedad renal se consideran factores de riesgo importantes para la enfermedad renal
crónica. Además, el tabaquismo, la obesidad, la hipertensión y la diabetes mellitus también
pueden provocar enfermedades renales.
Es importante para este estudio dar a conocer todas las características necesarias para brindar
al lector información relevante con respecto a la influencia que existe entre las enfermedades
de hipertensión arterial como factor predisponente de insuficiencia renal en adultos. El
presente artículo de referencia es importante y busca destacar las causas y efectos que
relaciona a la hipertensión arterial como factor predisponente de insuficiencia renal en
adultos. Por lo tanto, se ha implementado una investigación con diseño de revisión
sistemática de artículos en revistas indexadas en base de datos científicas.
Fundamentación teórica
Hipertensión Arterial
La presión arterial (PA) elevada o hipertensión, es uno de los principales factores de riesgo
de enfermedad a nivel mundial y es una variable distribuida aproximadamente normal en la
población, la PA puede verse asociada con la enfermedad cardiovascular (Gijón-Conde et
al., 2018). Esta es una enfermedad crónica con alta prevalencia que los pacientes deben
manejar en su día a día, por lo que el autocuidado es visto como un elemento de alto valor,
junto con los hábitos saludables que las personas mantienen (Meléndez Mogollón et al.,
2020).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
372
Etapas de la hipertensión arterial
La clasificación ACC fue desarrollada en 2017, recibió el respaldo de ASH y se recomienda
para personas de 20 años o más. Las directrices ESC/ESH recientes se publicaron en 2018 y
definieron la hipertensión como (Carey et al., 2018):
-
Óptimo: PAS inferior a 120 mmHg y PAD inferior a 80 mmHg
-
Normal: PAS 120 a 129 mmHg y/o PAD 80 a 84 mmHg
-
Normal alta: PAS de 130 a 139 mmHg y/o PAD de 85 a 89 mmHg
-
Hipertensión de grado 1: PAS de 140 a 159 mmHg y/o PAD de 90 a 99 mmHg
-
Hipertensión de grado 2: PAS de 160 a 179 mmHg y/o PAD de 100 a 109 mmHg
-
Hipertensión de grado 3: PAS mayor o igual a 180 mmHg y/o PAD mayor o igual a
110 mmHg
-
Hipertensión sistólica aislada: PAS superior o igual a 140 mmHg y PAD inferior a
90 mmHg.
Tipos de hipertensión arterial
Hipertensión primaria o esencial: Son desconocidos los mecanismos, pero existen
una serie de factores que se ven implicados en su desarrollo (Hidalgo-Parra, 2019).
Hipertensión secundaria: Es menos frecuente, producida como consecuencia de una
sustancia nociva o una enfermedad, en este casi el paciente no tiene respuesta
favorable a tratamientos antihipertensivos ni medidas del cambio en el estilo de vida
(Hidalgo-Parra, 2019).
Factores de riesgo y signos de daño orgánico debido a la hipertensión
Según la recomendación actual, cuanto mayor es el riesgo cardiovascular global del paciente,
más estricto debe ser el control de la presión arterial y el inicio más precoz del tratamiento
farmacológico (Sánchez Peinador et al., 2022).
Entre los factores más prevalentes se encuentran:
-
Sexo masculino.
-
Edad
-
Dislipidemia.
-
Glucosa en sangre en ayunas 102–125 mg/dL.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
373
-
Hiperuricemia.
-
Obesidad: Índice de masa corporal (IMC) ≥ 30 kg/m² y/o y obesidad abdominal.
-
Enfermedad cardiovascular en un familiar de primer grado (♂ <55 años; ♀ <65 años).
-
Historia familiar de aparición temprana de hipertensión arterial.
-
Estilo de vida sedentario.
-
Factores psicosociales y socioeconómicos.
Insuficiencia renal
La enfermedad renal crónica se define como la presencia de daño renal o una tasa de filtración
glomerular estimada inferior a 60 ml/min/1,73 mt2, persistente durante 3 meses o más,
independientemente de la causa. Es un estado de pérdida progresiva de la función renal que
finalmente resulta en la necesidad de una terapia de reemplazo renal (Gómez-Beltrán et al.,
2021).
El término insuficiencia renal denota la incapacidad de los riñones para realizar la función
excretora que conduce a la retención de productos de desecho nitrogenados de la sangre. La
insuficiencia renal aguda y crónica son los dos tipos de insuficiencia renal. Cuando un
paciente necesita terapia de reemplazo renal, la afección se denomina enfermedad renal en
etapa terminal (Abarca Rozas et al., 2020).
El daño renal se refiere a anomalías patológicas sugeridas por estudios de imágenes o biopsia
renal, anomalías en el sedimento urinario o aumento de las tasas de excreción de albúmina
urinaria (Negi et al., 2018). La clasificación recomienda detalles sobre la causa de la ERC y
la clasifica en 6 categorías según la tasa de filtración glomerular. También incluye la
estadificación
basada
en
tres
niveles
de
albuminuria,
y
cada
estadio
de
la
ERC
se
subcategoriza según el cociente albúmina-creatinina urinaria en mg/g o, mg/mmol en una
muestra de orina puntual temprano en la mañana (Hernández-San Blas et al., 2022).
Las 6 categorías incluyen (Hernández-San Blas et al., 2022):
-
G1: TFG 90 ml/min por 1,73 m2 y superior
-
G2: FG 60 a 89 ml/min por 1,73 m2
-
G3a: FG 45 a 59 ml/min por 1,73 m2
-
G3b: FG 30 a 44 ml/min por 1,73 m2
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
374
-
G4: FG 15 a 29 ml/min por 1,73 m2
-
G5: FG inferior a 15 ml/min por 1,73 m2 o tratamiento por diálisis
Los tres niveles de albuminuria incluyen una relación albúmina-creatinina (ACR) (52):
-
A1: ACR inferior a 30 mg/g (menos de 3,4 mg/mmol)
-
A2: ACR 30 a 299 mg/g (3,4 a 34 mg/mmol)
-
A3: ACR superior a 300 mg/g (superior a 34 mg/mmol).
El término insuficiencia renal denota la incapacidad de los riñones para realizar la función
excretora que conduce a la retención de productos de desecho nitrogenados de la sangre. La
insuficiencia renal aguda y crónica son los dos tipos de insuficiencia renal (Abarca Rozas et
al., 2020).
Tipos de insuficiencia renal
a)
Insuficiencia Renal Aguda (IRA)
Es el síndrome en el que la filtración glomerular disminuye abruptamente y suele ser
reversible. Según los criterios, puede diagnosticarse con cualquiera de los siguientes:
aumento de creatinina de 0,3 mg/dl en 48 horas, aumento de creatinina a 1,5 veces el valor
inicial en los últimos 7 días o volumen de orina inferior a 0,5 ml/kg por hora durante 6 horas.
Recientemente, el término lesión renal aguda denota todo el espectro clínico desde un
aumento leve en la creatinina sérica (Rodríguez Phinevy et al., 2017).
b)
Insuficiencia Renal Crónica (IRC)
La IRC o enfermedad renal crónica se define como un deterioro persistente de la función
renal, es decir, creatinina sérica anormalmente elevada durante más de 3 meses o tasa de
filtración glomerular calculada inferior a 60 ml por minuto/1,73 m2. A menudo implica una
pérdida progresiva de la función renal que requiere terapia de reemplazo renal. Cuando un
paciente necesita terapia de reemplazo renal, la afección se denomina enfermedad renal en
etapa terminal (Gutiérrez Rufín & Polanco López, 2018).
La tasa de filtración glomerular se refiere a las diversas etapas de la enfermedad renal crónica
y sus implicaciones para el diagnóstico. Las etapas 3 a 5 solo se pueden diagnosticar como
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
375
FAG, pero las etapas 1 y 2 también requieren evidencia de otro daño renal, como proteinuria.
En general, cuanto mayor sea su
GFR,
más
sanos
estarán
sus
riñones.
En la
etapa
inicial de la enfermedad, los riñones pierden solo una pequeña parte de sus funciones.
Enfermedad renal crónica temprana (Guía Práctica Clínica Sabre La Deteccion y El Manejo
de La Enfermedad Renal Crónica, 2019).
ERC clasificada según el grado:
-
Grado 1: TFG superior a 90
-
Grado 2: 60 a 89
-
Grado 3a: 45 a 59
-
Grado 3b: 30 a 44
-
Grado 4: 15 a 29
-
Grado 5: Menos de 15
ERC clasificada según el estadio:
-
Etapa 1: GFR superior a 90
-
Etapa 2: 60 a 89
-
Etapa 3: 30 a 59
-
Etapa 4: 15 a 29
-
Etapa 5: Menos de 15
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
376
Material y métodos
Diseño y tipo de estudio.
Se realizó una investigación de diseño de revisión sistemática de artículos en revistas
indexadas en base de datos científicas, en idioma inglés y español. Se utilizó un enfoque
cualitativo, puesto que trata de una revisión bibliográfica acerca de hipertensión arterial como
factor predisponente para insuficiencia renal en adultos.
Estrategia de búsqueda para la identificación de los estudios
Se realizó la búsqueda de información científica y de datos necesarios que fueron de
importancia para el estudio, se llevó a cabo con base de datos como: Dialnet, Scielo,
Medigraphic, Redalyc, Pubmed, Google Scholar, ScienceDirect. Se seleccionaron artículos
en relación a hipertensión arterial como factor predisponente para insuficiencia renal en
adultos.
Criterios de inclusión:
Los criterios de inclusión aplicados en la selección fueron artículos originales, meta-análisis
o de revisión a texto completo, publicados en los años 2017-2022, que contengan información
de hipertensión arterial como factor predisponente para insuficiencia renal en adultos.
Criterio de exclusión
Se excluirá todo tipo de articulo que presenten estudios en niños, informes, cartas de editor,
fuentes poco confiables o información proveniente de páginas web, blogs o de más de 6 años
de antigüedad
Criterios éticos
La presenta investigación se realiza respetando absolutamente las normas y principios de
ética y bioética establecidos por instituciones de alto prestigio en el área de la investigación,
cumpliendo con el derecho de confidencialidad y propiedad intelectual de los autores, citando
los estudios y sus autorías respectivas mediante el formato APA 7ma Ed.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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OnH00v8A+30AL/wybL/0Pb/+Cs//AB+gAP7Jkp6+On/8FZ/+P0AMP7I5JyfG/wD5Sf8A7dQA
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f/t1AD4/2S5I/wDV+OnT/d0vH/tegAk/ZKeRsyeOWc+raVn/ANrUAIv7JLLnb44Iz1xpX/26
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J/8At1AHrfwb+D+mfDVJZ47r+0NVkjaF7zyfJzGWVtu3c3dR37UAf//Z
https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
377
Resultados
Tabla 1. Identificar factores modificables de hipertensión arterial para insuficiencia renal.
Los factores modificables de hipertensión arterial e insuficiencia renal son todos aquellos
que se pueden prevenir manteniendo estilos de vida saludable y de esta manera prevenir
dichas patologías a que afectan a las personas.
Cita
Tema
País
Tipo de estudio
Factores modificables
(Ali Pérez
et al., 2018)
Principales factores de riesgo de
la hipertensión arterial en
Cuba
Estudio
descriptivo y
Inactividad
física
(82,21%)
trabajadores del Banco de
Sangre Provincial "Renato
Guitart Rosell"
transversal
Consumo excesivo de
sal
y
obesidad
(68,4%).
Estrés (57,8%)
(Vega
Caracterización epidemiológica
Cuba
Investigación
Ingestión
de
sal
Candelario
de algunas variables
observacional
(31,77%)
et al., 2018)
relacionadas con el estilo de
vida y los factores de riesgo
cardiovascular en pacientes
hipertensos
analítica
retrospectiva
Sedentarismo
(19p,77%).
Consumo
de
café
(5,61%)
(Rivera
Ledesma et
al., 2019)
(Suarez
Landazabal
et al., 2019)
Clinical-epidemiological
description of arterial
hypertension
Prevalencia de hipertensión
arterial y de sus factores de
riesgo en estudiantes
Cuba
Estudio
observacional,
descriptivo, de
corte
longitudinal
prospectivo.
Colombia
Estudio
descriptivo
transversal
Tabaquismo (62,7%)
Sobrepeso/obesidad
(58,5%)
Hipercolesterolemia
(54,4%).
Ingesta
de
alcohol
(24,4%)
Sedentarismo (20,2%)
Sobrepeso (26,5%)
Inactividad
física
(24,2%).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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n/DI3/U7f+Un/wC3UAH/AAyN/wBTt/5Sf/t1AB/wyN/1O3/lJ/8At1AB/wAMjf8AU7f+Un/7
dQAf8Mjf9Tt/5Sf/ALdQAf8ADI3/AFO3/lJ/+3UAH/DI3/U7f+Un/wC3UAH/AAyN/wBTt/5S
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gBv/AAyN/wBTt/5Sf/t1AB/wyN/1O3/lJ/8At1AB/wAMjf8AU7f+Un/7dQAf8Mjf9Tt/5Sf/
ALdQAf8ADI3/AFO3/lJ/+3UAH/DI3/U7f+Un/wC3UAH/AAyN/wBTt/5Sf/t1AB/wyN/1O3/l
J/8At1AHrfwb+D+mfDVJZ47r+0NVkjaF7zyfJzGWVtu3c3dR37UAf//Z
https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
378
(Espinel
Robles et
al., 2019)
(Herrera
Calderón et
al., 2019)
(Mejía
Navarro et
al., 2020)
(Ortiz Cano
et al., 2020)
(Soria et al.,
2021)
(Hernández
Despaigne
et al., 2022)
universitarios de Barranquilla,
Colombia
La obesidad como factor de
riesgo vinculado a la
hipertensión arterial en
población laboral ecuatoriana
Microalbuminuria como
marcador de daño renal en
pacientes con hipertensión
arterial
Frecuencia de hipertensión
arterial en personas adultas del
Barrio México, Puyo, Pastaza,
Ecuador
Hipertensión arterial:
Comparación de los factores
predisponentes en adultos (caso
cantón Milagro)
Prevalencia de hipertensión
arterial y factores de riesgo
cardiovascular en una población
rural expuesta al arsénico en
Argentina
Plan de acción para el control de
la hipertensión arterial en
pacientes de Arame-Maranhão,
Brasil
Ecuador
Estudio
descriptivo de
corte transversal
Cuba
Estudio
descriptivo,
longitudinal y
prospectivo
Ecuador
Estudio
descriptivo
transversal
Ecuador
Estudio
descriptivo de
forma
transversal.
Argentina
Estudio
Brasil
Estudio de
intervención
Obesidad (6,2%)
Sobrepeso (42,7%)
Obesidad (37,3%).
Obesidad (52,8%).
Tabaquismo (51,2%).
Dislipidemias (29,0%)
Nivel de educación.
Ocupación.
Inactividad física.
Estado nutricional.
Consumo de sal (34%)
Sedentarismo (28%).
Obesidad (23%)
Alcohol (17%)
Fumar (11%)
Consumo
de
sal
Tabaquismo (31,1%).
Obesidad (25,5%).
Hábitos dietéticos no
saludables (72%).
Obeso (51,8%)
Fumadores (40%).
Sobrepeso (27%)
descriptivo, de
(100%).
Sobrepeso
corte transversal
(43,3%).
Consumo
de alcohol
(36,6%).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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OnH00v8A+30AL/wybL/0Pb/+Cs//AB+gAP7Jkp6+On/8FZ/+P0AMP7I5JyfG/wD5Sf8A7dQA
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f/t1AD4/2S5I/wDV+OnT/d0vH/tegAk/ZKeRsyeOWc+raVn/ANrUAIv7JLLnb44Iz1xpX/26
gBv/AAyN/wBTt/5Sf/t1AB/wyN/1O3/lJ/8At1AB/wAMjf8AU7f+Un/7dQAf8Mjf9Tt/5Sf/
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
379
Fuente: Autores
Ingesta
de
alcohol
(26,1%).
Análisis. –
Existen muchos factores predisponentes, asociados a la hipertensión arterial e insuficiencia
renal entre los más significativos que se han podido encontrar, según las revisiones:
inactividad física, tabaquismo, consumo de alcohol, dieta inadecuada, consumo de sal, entre
otras. Además, se destacan 8 estudios en los que sobresale la obesidad y, 5 el sobrepeso como
uno de los principales factores modificables para insuficiencia renal en varios países.
Tabla 2. Determinar factores de progresión mediante el diagnóstico de laboratorio clínico.
Los factores de progresión son todos aquellos que aparecen después de la hipertensión, los
cuales pueden ser diagnosticados mediante las pruebas de laboratorio y así de esta manera
poder llevar un control adecuado para las mismas.
Cita
Tema
País
Tipo de estudio
Edad
Diagnóstico de
laboratorio
Factores de progresión
(Trujillo-
Frecuencia del
México
Estudio
>20
Glucosa,
Síndrome metabólico
Hernánd
ez et al.,
2017)
síndrome
metabólico y
factores de
transversal
analítico
colesterol-
HDL,
triglicéridos.
(M:
56%,
H:
46,45),
Diabetes Mellitus tipo
2 (50%), Hipertensión
riesgo en
adultos con y sin
diabetes mellitus
e hipertensión
arterial
arterial
(42%),
DM2+HTA (80%).
(Gutiérre
Enfermedad
Cuba
Estudio
>60
Glucosa,
Hipertensión
arterial
z Rufín
renal crónica en
descriptivo
colesterol
(69,6%).
&
Polanco
López,
2018)
el adulto mayor
de corte
transversal
Pacientes
fumadores
(48%).
Diabetes
mellitus
y
dislipidemias (28,4%)
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
380
(Mojena-
Roblejo
et al.,
2018)
(Galiano
Guerra et
al., 2019)
(Chipi
Cabrera
&
Fernandi
ni
Escalona
, 2019)
(Candela
ria Brito
et al.,
2019)
Complicaciones
más frecuentes
en pacientes con
insuficiencia
renal crónica
terminal
sometidos a
hemodiálisis
Prevalencia de
la enfermedad
renal oculta en
adultos mayores
hipertensos en la
atención
primaria de
salud
Enfermedad
renal crónica
presuntiva en
adultos mayores
Marcadores de
daño, factores
de progresión y
causas de
Enfermedad
renal crónica en
adultos mayores
Cuba
Estudio
observacional
de tipo
descriptivo
de corte
transversal
Cuba
Estudio
descriptivo,
de corte
transversal.
Bolivia
Estudio
observacional
, descriptivo
y transversal
Cuba
Estudio
observacional
, descriptivo
y longitudinal
>20
Filtrado
glomerular
>
60
Creatinina
plasmica,
colesterol
y
triglicéridos.
>
60
Creatinina
sérica,
hemoglobina,
hematocrito,
glucemia
en
ayunas
y
proteinuria.
>60
Filtrado
glomerular,
proteinuria,
hematuria,
albuminuria.
Nefropatía
diabética
(23%), nefropatía
obstructiva
(3%),
nefroangioesclerosis y
riñones
poliquísticos
(13%), hipertensión
arterial
(26%),
glomerulopatías
y
síndrome
nefrótico
(2%).
Diabetes mellitus 2
(52%),
insuficiencia
cardiaca
(66,5%),
dislipidemias,
(65,2%).
Hipertensión
arterial
(26,1%), diabetes
mellitus
(17,2%),
malnutrición
por
exceso,
proteinuria
y
anemia.
La HTA (86,2%), las
enfermedades
cardiovasculares
(77,0%)
y
diabetes
mellitus (43,6%).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
381
(Ferragur
Factores de
Cuba
Estudio
>20
Glucemia,
Hipertensión
arterial
t
riesgo que
observacional
colesterol,
(78,5%),
diabetes
Rodrígue
z et al.,
2020)
influyen en la
enfermedad
renal crónica en
, descriptiva
y transversal.
triglicérido.
mellitus
(65,4%)
y
dislipidemias (54,6%)
2020)
cardiovascular y
renal, y perfil
socioeconómico
en individuos de
la etnia Wichi
de “el
impenetrable”,
Chaco,
Argentina
observacional
, de corte
transversal
Sobrepeso (34,0%).
Proteinuria (14,5%)
Único
caso
de
diabetes.
(Borrego
Detección de
Cuba
Estudio
50-
Microalbumi
Hipertensión
arterial
Moreno
enfermedad
descriptivo,
70
nuria,
(53,3%),
diabetes
renal crónica
oculta en
colesterol,
mellitus
(49,1%),
San Juan y
Martínez
(Noel
Rivero et
Hipertensión
arterial y
Uruguay
Estudio
analítico,
>60
Glucemia en
ayunas,
Dislipidemias:
hipercolesterolemia
al., 2020)
dislipemia
observacional
tolerancia a la
(19,4%).
, de tipo
glucosa,
Hipertrigliceridemia
transversal.
colesterol
(18,4%).
total,
HDL,
HTA
nocturna
LDL,
(68,9%).
triglicéridos.
Diabetes
mellitus
(23,3%).
(Bianchi
Factores de
Argentin
Estudio
>18
Glucemia,
Hipertensión
arterial
et al.,
riesgo
a
descriptivo
proteinuria.
(10,8%).
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
382
et al.,
2020)
pacientes
hospitalizados
en un Servicio
de Medicina
Interna
longitudinal y
prospectivo
triglicéridos,
creatinina.
hipertrigliceridemia
(54,9%).
Fuente: Autores
Análisis. –
El análisis realizado con la determinación de factores progresivos mediante el diagnóstico de
laboratorio clínico, acorde a los hallazgos encontrados nos indica que la diabetes mellitus es
una de las principales enfermedades asociadas con 9 estudios y 8 con hipertensión arterial
seguida de las dislipidemias, nefropatía y un estado de malnutrición según los estudios
analizados. Además, debemos tener en cuenta que con 6 estudio el examen de laboratorio
para el seguimiento que más se ha utilizado es glucemia, colesterol total HDL y LDL,
triglicéridos y proteinuria.
Discusión
La hipertensión arterial y la insuficiencia renal, son patologías comunes en diferentes
poblaciones, de los cuales se describen diversos argumentos según los artículos estudiados.
Para ello, es de gran importancia conocer los diversos factores modificables que pueden estar
presente en el padecimiento de hipertensión arterial e insuficiencia renal. En los estudios
realizados por (Ali Pérez et al., 2018), (Rivera Ledesma et al., 2019), (Suarez Landazabal et
al., 2019), (Espinel Robles et al., 2019), indican en sus hallazgos que la obesidad y el
sobrepeso son uno de los principales factores de riesgos modificables que afectan a la
población estudiada, además indican que existen otros tipos de factores
como
es la
inactividad física, tabaquismo. Mientras que (Vega Candelario et al., 2018), (Soria et al.,
2021), dicen que la ingesta de sal es su primer componente asociado para padecer este tipo
de patología, corroborando con lo dicho por (Hernández Despaigne et al., 2022) que tienen
relación con hábitos dietéticos no saludable. Así mismo (Mejía Navarro et al., 2020), hace
énfasis en que el nivel de educación es importante, debido a que, si no se tiene conocimiento
acerca de estas enfermedades, no se va a llevar un adecuado control de las mismas.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
383
Sobre determinar los factores de progresión mediante el diagnóstico de laboratorio clínico.
En el estudio de (Trujillo-Hernández et al., 2017), (Borrego Moreno et al., 2020), lo que
sugiere que la diabetes tipo 2 y su asociación con la hipertensión arterial es
un factor importante en su desarrollo. Por ello, en un estudio de (Ferragurt Rodríguez et al.,
2020), (Noel Rivero et al., 2020), en sus resultados se encontró que la diabetes y la
dislipidemia son los factores más comunes en la población estudiada, por lo que se realizaron
exámenes
de
laboratorio
de
glucemia,
colesterol,
triglicéridos,
para
confirmar
estas
enfermedades. Aunque confirmado en otros estudios de (Candelaria Brito et al., 2019),
(Galiano
Guerra
et
al.,
2019),
coincidieron
en
que
las
enfermedades
cardiovasculares también estén asociadas a la hipertensión, se realizaron exámenes de
laboratorio como filtrado glomerular, proteinuria, hematuria, albúmina, creatinina. Mientras
(Bianchi et al., 2020), (Chipi
Cabrera
&
Fernandini
Escalona,
2019)
señalaron en
sus resultados que la glucemia en ayunas y la proteinuria son factores en el desarrollo de
insuficiencia renal, ya que la presencia de proteína en la orina indica que los riñones no están
funcionando correctamente. En la literatura revisada se observan las pruebas más utilizadas
como: la glucemia, que nos ayuda a medir los niveles de glucosa en sangre, vinculada con
los problemas renales, además, pruebas de colesterol total HDL y LDL y triglicéridos,
proteinuria que diagnostica el daño renal.
La hipertensión arterial y la insuficiencia renal son enfermedades relacionadas, con factores
modificables entre ellos la inactividad física, alcoholismo, mala alimentación, la obesidad, el
sobrepeso, entre otras, que afectan a la población, por esto se deben tomar medidas
preventivas antes que la enfermedad avance y se conviertan en factores de progresión como
diabetes mellitus, hipertensión, insuficiencia cardiaca y dislipidemias, etc. Las cuales se
pueden diagnosticar mediante exámenes de laboratorio de creatinina, colesterol, triglicéridos,
glucosa en ayuna, entre otras, que sirven de ayuda en la valoración del estado de salud del
paciente y de esta manera se puede prevenir las diferentes fases de estadios de progresión en
insuficiencia renal, si no se siguen las pautas de cuidado se pueden volver enfermedades
graves a futuro, y no solo van hacer tratadas con fármacos si no que tienen que someterse a
tratamientos de hemodiálisis.
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
384
Conclusiones
Se concluye este trabajo sistemático de la siguiente manera:
Se identificaron los factores modificables de hipertensión arterial que inciden en
pacientes con insuficiencia renal, en las revisiones bibliográficas siendo estos la
inactividad física, el consumo excesivo de alcohol, el tabaquismo, también se lo
relaciona con otras patologías como una dislipidemia, hipercolesterolemia. Se hace
énfasis en educar a la población sobre esta patología.
En la insuficiencia renal, a parte de la hipertensión arterial, también se puede ver
asociada
con
la
diabetes
mellitus,
dislipidemias,
entre
otras
tales
como
las
nefropatías; a las cuales se le aplican diagnóstico de laboratorio tales como glucosa,
colesterol, triglicéridos, creatinina y entre los marcadores predictores de insuficiencia
renal son la proteinuria, microalbuminuria y hematuria, los cuales nos ayudan a
conocer la progresión de la insuficiencia renal en los pacientes.
Para evaluar la incidencia de hipertensión arterial en los estadios de insuficiencia
renal, se debe tener en cuenta los factores modificables que pueden alterar estas
patologías,
los
fatores
progresivos
como
la
diabetes
mellitus,
dislipidemias
e
hipertensión arterial, además tener en cuenta la edad, el sexo y la progresión de la
insuficiencia renal según los estadios en que se encuentren como lo pueden ser los
estadios II, III y IV que son los que se encuentran con mayor predominio
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
385
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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https://doi.org/10.56048/MQR20225.7.1.2023.367-389
Vol.7-N° 1, 2023, pp. 367-389
Journal Scientific MQRInvestigar
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Vol.7 No.1 (2023): Journal Scientific
Investigar ISSN: 2588–0659
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Investigar ISSN: 2588–0659
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