{"id":94780,"date":"2025-09-19T14:04:56","date_gmt":"2025-09-19T17:04:56","guid":{"rendered":"https:\/\/med.estrategia.com\/portal\/?p=94780"},"modified":"2025-09-25T19:41:28","modified_gmt":"2025-09-25T22:41:28","slug":"nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca","status":"publish","type":"post","link":"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/","title":{"rendered":"Nova diretriz de manejo da press\u00e3o arterial passa a considerar 12 por 8 como pr\u00e9-hipertens\u00e3o; entenda a mudan\u00e7a"},"content":{"rendered":"<p>A<strong> Diretriz Brasileira de Hipertens&atilde;o Arterial 2025<\/strong>, elaborada pela Sociedade Brasileira de Cardiologia (SBC) em parceria com a Sociedade Brasileira de Nefrologia (SBN) e a Sociedade Brasileira de Hipertens&atilde;o (SBH),<strong> atualizou a classifica&ccedil;&atilde;o da press&atilde;o arterial<\/strong>. A partir de agora,<strong> a aferi&ccedil;&atilde;o de 120\/80 mmHg deixa de ser considerada normal e passa a indicar pr&eacute;-hipertens&atilde;o<\/strong>.&nbsp;<p>O objetivo da reclassifica&ccedil;&atilde;o &eacute;<strong> intensificar o rastreio precoce de indiv&iacute;duos sob risco e antecipar interven&ccedil;&otilde;es preventivas <\/strong>e n&atilde;o medicamentosas no intuito de prevenir a progress&atilde;o do quadro de hipertens&atilde;o dos pacientes. A partir de agora, portanto, para que a aferi&ccedil;&atilde;o passe a ser considerada press&atilde;o normal, ela precisa ser inferior a 12 por 8.<\/p><div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-1 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/med.estrategia.com\/portal\/wp-content\/uploads\/2025\/09\/2025-0624_Diretriz_Hipertensao_2025_port.x66747.pdf\" target=\"_blank\"><strong>Diretriz Brasileira de Hipertens&atilde;o Arterial 2025<\/strong><\/a><\/div>\n<\/div><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">Navegue pelo conte\u00fado<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#Pre-hipertensao\" >Pr&eacute;-hipertens&atilde;o<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#Inscreva-se-em-nossa-newsletter\" >Inscreva-se em nossa newsletter!<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#Mudancas-na-Diretriz-Brasileira-de-Hipertensao-Arterial-2025\" >Mudan&ccedil;as na Diretriz Brasileira de Hipertens&atilde;o Arterial 2025<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#Tabela-de-classificacao-de-risco-cardiovascular\" >Tabela de classifica&ccedil;&atilde;o de risco cardiovascular<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#O-que-muda-no-atendimento\" >O que muda no atendimento?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/med.estrategia.com\/portal\/noticias\/nova-diretriz-de-manejo-da-pressao-arterial-passa-a-considerar-12-por-8-como-pre-hipertensao-entenda-a-mudanca\/#Prepare-se-com-a-Mentoria-do-Estrategia-MED\" >Prepare-se com a Mentoria do Estrat&eacute;gia MED<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-pre-hipertensao\"><span class=\"ez-toc-section\" id=\"Pre-hipertensao\"><\/span>Pr&eacute;-hipertens&atilde;o<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Segundo o cardiologista e professor do Estrat&eacute;gia MED, <strong>Juan Demolinari Ferreira<\/strong>, a pr&eacute;-hipertens&atilde;o &eacute; um est&aacute;gio de alerta, caracterizado por valores de <strong>PAS 120&ndash;139 mmHg e\/ou PAD 80&ndash;89 mmHg<\/strong>. &ldquo;N&atilde;o &eacute; hipertens&atilde;o, mas tamb&eacute;m n&atilde;o &eacute; normal. Nesses casos, j&aacute; se recomendam mudan&ccedil;as no estilo de vida, acompanhamento m&eacute;dico regular e investiga&ccedil;&atilde;o de poss&iacute;veis quadros de hipertens&atilde;o mascarada&rdquo;, explica.<\/p><p>\n\n\n<div id=\"new-form\">\n\t<form id=\"forms_layout\">\n\t<input type=\"hidden\" id=\"chave_de\" name=\"chave_de\" value=\"01_EMED_LEADS_TOTAIS\" \/>\n\t\t<input type=\"hidden\" id=\"mid\" name=\"mid\" value=\"515009018\" \/>\n\t\t<input type=\"hidden\" id=\"Objetivo\" name=\"Objetivo\" value=\"Medicina\" \/>\n\t\t<input type=\"hidden\" id=\"Estado_de_Origem_do_IP\" name=\"Estado_de_Origem_do_IP\"  value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Cidade_de_Origem_do_IP\" name=\"Cidade_de_Origem_do_IP\" value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Modo_de_entrada\" name=\"Modo_de_entrada\" value=\"Portal\" \/>\n\t\t<input type=\"hidden\" id=\"Pagina_Origem\" name=\"Pagina_Origem\" value=\"\" \/>\n\n\t\t<div class=\"texto\">\n\t\t\t<h3 class=\"news\"><span class=\"ez-toc-section\" id=\"Inscreva-se-em-nossa-newsletter\"><\/span>Inscreva-se em nossa newsletter!<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\t\t\t<p>Receba not\u00edcias sobre resid\u00eancia m\u00e9dica, revalida\u00e7\u00e3o de diplomas e concursos m\u00e9dicos, al\u00e9m de materiais de estudo gratuitos e informa\u00e7\u00f5es relevantes do mundo da Medicina.<\/p>\n\t\t<\/div>\n\t\t<div class=\"campos\">\n\t\t\t<div class=\"first_name labels\">\n\t\t\t\t<input type=\"text\" class=\"input_labels\" id=\"first_name\" name=\"Nome_Completo\" placeholder=\"Nome\" required \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"email labels\">\n\t\t\t\t<input type=\"email\" class=\"input_labels\" id=\"email\" name=\"Email\" placeholder=\"E-mail\" required \/>\n\t\t\t<\/div>\n\t\t\t<button type=\"submit\" class=\"button_layout\">\n\t\t\t\t<div id=\"lblBotao\">Inscreva-se<\/div>\n\t\t\t\t<span id=\"divSpiner\" class=\"loader\" role=\"status\" style=\"display: none;\"><\/span>\t\n\t\t\t<\/button>\n\t\t<\/div><!-- \/campos -->\n\t\t\n\t\t<label class=\"container_checkbox\">Voc\u00ea concorda com a nossa\n\t\t\t<a class=\"politics_privacy_ahref\" target=\"_blank\" href=\"https:\/\/gratis.estrategiaconcursos.com.br\/politica-de-privacidade\/\">Pol\u00edtica de Privacidade<\/a> e aceita receber informa\u00e7\u00f5es adicionais do Estrat\u00e9gia Educacional.\n\t\t\t<input id=\"checkbox_layout\" type=\"checkbox\" checked=\"checked\" required \/>\n\t\t\t<span class=\"checkbox\"><\/span>\n\t\t<\/label>\n\t\t<div id=\"msg\"><\/div>\n\t\t<div id=\"error\" class=\"error\">\n\t\t<\/div>\n\t<\/form>\n<\/div><!-- \/new-form -->\n\n\n\n<\/p><h2 class=\"wp-block-heading\" id=\"h-mudancas-na-diretriz-brasileira-de-hipertensao-arterial-2025\"><span class=\"ez-toc-section\" id=\"Mudancas-na-Diretriz-Brasileira-de-Hipertensao-Arterial-2025\"><\/span>Mudan&ccedil;as na Diretriz Brasileira de Hipertens&atilde;o Arterial 2025<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A nova categoria &ldquo;pr&eacute;-hipertens&atilde;o&rdquo; &eacute; definida pelo PAS 120&ndash;139 mmHg e\/ou PAD 80&ndash;89 mmHg. Antes, a pr&eacute;-hipertens&atilde;o come&ccedil;ava em 130&ndash;139\/85&ndash;89 e 120&ndash;129\/80&ndash;84 era &ldquo;normal\/lim&iacute;trofe&rdquo;. Confira como ficou a classifica&ccedil;&atilde;o da press&atilde;o arterial segundo a nova diretriz:<\/p><figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Classifica&ccedil;&atilde;o da PA<\/strong><\/th><th><strong>PAS (mmHg)<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\">+<\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>PAD (mmHg)<\/strong><\/th><\/tr><\/thead><tbody><tr><td>PA normal<\/td><td>&lt; 120<\/td><td class=\"has-text-align-center\" data-align=\"center\">e<\/td><td class=\"has-text-align-center\" data-align=\"center\">&lt; 80<\/td><\/tr><tr><td>Pr&eacute;-hipertens&atilde;o<\/td><td>120-139<\/td><td class=\"has-text-align-center\" data-align=\"center\">e\/ou<\/td><td class=\"has-text-align-center\" data-align=\"center\">80-89<\/td><\/tr><tr><td>HA Est&aacute;gio 1<\/td><td>140-159<\/td><td class=\"has-text-align-center\" data-align=\"center\">e\/ou<\/td><td class=\"has-text-align-center\" data-align=\"center\">90-99<\/td><\/tr><tr><td>HA Est&aacute;gio 2<\/td><td>160-179<\/td><td class=\"has-text-align-center\" data-align=\"center\">e\/ou<\/td><td class=\"has-text-align-center\" data-align=\"center\">100-109<\/td><\/tr><tr><td>HA Est&aacute;gio 3<\/td><td>&ge; 180<\/td><td class=\"has-text-align-center\" data-align=\"center\">e\/ou<\/td><td class=\"has-text-align-center\" data-align=\"center\">110<\/td><\/tr><\/tbody><\/table><\/figure><p>Antes, no hipertenso est&aacute;gio 1 de baixo risco era recomendado usar a<strong> monoterapia medicamentosa apenas ap&oacute;s 3 meses de tratamento n&atilde;o medicamentoso frustrado<\/strong>. Atualmente, neste grupo &eacute; <strong>recomendado o in&iacute;cio imediato de tratamento medicamentoso<\/strong>, com a op&ccedil;&atilde;o preferencial de serem duas medica&ccedil;&otilde;es combinadas.&nbsp;<\/p><p>Al&eacute;m disso, as metas de tratamento ficaram mais intensas:<strong> a diretriz recomenda &lt;130\/80 mmHg como alvo para todos os grupos com hipertens&atilde;o<\/strong> (quando tolerado) e tamb&eacute;m para quem tem 130&ndash;139\/80&ndash;89 mmHg com alto risco ap&oacute;s tr&ecirc;s meses de medidas n&atilde;o medicamentosas. <strong>N&atilde;o h&aacute; mais uma meta diferente baseada no risco cardiovascular, na fragilidade ou na idade<\/strong>. A limita&ccedil;&atilde;o &agrave; meta &eacute; a intoler&acirc;ncia a efeitos colaterais.&nbsp;<\/p><p>A avalia&ccedil;&atilde;o de risco cardiovascular para doen&ccedil;a ateroscler&oacute;tica &eacute; recomendada a partir do escore PREVENT da AHA. <strong>As mudan&ccedil;as do estilo de vida devem ser prescritas para todos indiv&iacute;duos com PA maior ou igual a 120\/80 mmHg.&nbsp;<\/strong><\/p><p>Ainda, houve<strong> mudan&ccedil;a da nomenclatura da urg&ecirc;ncia hipertensiva para &ldquo;eleva&ccedil;&atilde;o da PA sem les&atilde;o de &oacute;rg&atilde;o-alvo&rdquo;<\/strong> e a meta de tratamento &eacute; uma reavalia&ccedil;&atilde;o ambulatorial entre 1 e 7 dias com alvo de PAS &lt; 160 e PAD &lt; 100 mmHg.&nbsp;&nbsp;<\/p><p>O valor usado como refer&ecirc;ncia para crise hipertensiva antes era 180\/120 mmHg e agora &eacute; falado em 180\/110 mmHg. Por&eacute;m, cabe ressaltar que se houver les&atilde;o aguda de &oacute;rg&atilde;o-alvo define-se como emerg&ecirc;ncia hipertensiva independentemente dos n&iacute;veis tensionais.&nbsp;<\/p><p>Sobre a t&eacute;cnica de aferi&ccedil;&atilde;o da press&atilde;o arterial, antes era recomendado permanecer 60 minutos sem atividade f&iacute;sica, uso de &aacute;lcool, caf&eacute; ou alimentos e 30 minutos sem fumar. Na nova diretriz<strong> &eacute; recomendado permanecer 30 minutos sem fumar, sem ingerir alimentos e sem ingerir cafe&iacute;na e 90 minutos sem praticar atividade f&iacute;sica.&nbsp;<\/strong><\/p><blockquote class=\"instagram-media\" data-instgrm-captioned data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DOyXfEmkUL_\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/DOyXfEmkUL_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; 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border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/DOyXfEmkUL_\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\">Uma publica&ccedil;&atilde;o compartilhada por Estrate&#769;gia MED (@estrategiamed)<\/a><\/p><\/div><\/blockquote><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><h3 class=\"wp-block-heading\" id=\"h-tabela-de-classificacao-de-risco-cardiovascular\"><span class=\"ez-toc-section\" id=\"Tabela-de-classificacao-de-risco-cardiovascular\"><\/span>Tabela de classifica&ccedil;&atilde;o de risco cardiovascular<span class=\"ez-toc-section-end\"><\/span><\/h3><p>A tabela de classifica&ccedil;&atilde;o de risco cardiovascular atribu&iacute;da &agrave; hipertens&atilde;o teve uma mudan&ccedil;a substancial com a inclus&atilde;o da categoria &ldquo;Risco muito alto&rdquo;. Como era:&nbsp;<\/p><figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>PAS 130-139 ou PAD 85-89<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>HAS Est&aacute;gio 1 (PAS 140-159 ou PAD 90-99)<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>HAS Est&aacute;gio 2 (PAS 160-179 ou PAD 100-109)<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>HAS Est&aacute;gio 3 (PAS &ge; 180 ou PAD &ge; 110)<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Sem fator de risco<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Sem risco adicional<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Baixo<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>1-2 fatores de risco<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Baixo<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>&ge; 3 fatores de risco<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>Presen&ccedil;a de LOA, DCV, DRC ou DM<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><\/tbody><\/table><\/figure><p>Agora confira como ficou a tabela ap&oacute;s a nova diretriz:<\/p><figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Fatores de risco CV \/ presen&ccedil;a de LOA ou DCV<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>PAS 130-139 \/ PAD 80-89<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Est&aacute;gio 1 (PAS 140-159 \/ PAD 90-99)<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Est&aacute;gio 2 (PAS 160-179 \/ PAD 100-109)<\/strong><\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Est&aacute;gio 3 (PAS &ge; 180 \/ PAD &ge; 110)<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Sem fatores de risco CV<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Baixo<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Baixo<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>1 ou 2 fatores de risco CV<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Baixo<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>&ge; 3 fatores de risco CV<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Moderado<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><\/tr><tr><td><strong>LOA, DRC Est&aacute;gio 3 ou DM<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Muito Alto<\/td><\/tr><tr><td><strong>DCV estabelecida ou DRC Est&aacute;gio &ge; 4<\/strong><\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Muito Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Muito Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Muito Alto<\/td><td class=\"has-text-align-center\" data-align=\"center\">Risco Muito Alto<\/td><\/tr><\/tbody><\/table><\/figure><h2 class=\"wp-block-heading\" id=\"h-o-que-muda-no-atendimento\"><span class=\"ez-toc-section\" id=\"O-que-muda-no-atendimento\"><\/span>O que muda no atendimento?<span class=\"ez-toc-section-end\"><\/span><\/h2><p>A nova diretriz recomenda o uso preferencial do <strong>esfigmoman&ocirc;metro autom&aacute;tico de bra&ccedil;o<\/strong> na pr&aacute;tica cl&iacute;nica, com confirma&ccedil;&atilde;o por <strong>MAPA ou MRPA<\/strong> sempre que poss&iacute;vel.<\/p><p>Pacientes com <strong>PA 120&ndash;139\/80&ndash;89 mmHg<\/strong> devem ser classificados como <strong>pr&eacute;-hipertensos<\/strong> e orientados quanto a mudan&ccedil;as no estilo de vida (v&aacute;lidas para todos com PA &ge;120\/80 mmHg). O in&iacute;cio de tratamento farmacol&oacute;gico deve ser considerado nos casos de <strong>130&ndash;139\/80&ndash;89 mmHg associados a alto risco cardiovascular<\/strong>, quando n&atilde;o houver resposta &agrave;s medidas n&atilde;o medicamentosas ap&oacute;s 3 meses.<\/p><p>As <strong>metas terap&ecirc;uticas<\/strong> passam a ser <strong>&lt;130\/80 mmHg para todos os hipertensos<\/strong>, sempre que tolerado, com monitoramento tamb&eacute;m guiado por <strong>MAPA\/MRPA<\/strong>.<\/p><p><em>Equipe de Jornalismo do Estrat&eacute;giaMED, com revis&atilde;o m&eacute;dica de Juan Demolinari Ferreira (Cardiologia\/Estrat&eacute;giaMED)<\/em><\/p><p>Se voc&ecirc; quer ficar por dentro de mais conte&uacute;dos relevantes sobre a &aacute;rea m&eacute;dica, continue acompanhando o material preparado pelo Portal de Not&iacute;cias do Estrat&eacute;gia MED. Aqui, voc&ecirc; encontrar&aacute; informa&ccedil;&otilde;es atualizadas sobre resid&ecirc;ncias, carreira m&eacute;dica e muito mais.<\/p><p>\n\n\n\n<div class=\"estrategia-catalog\"><h3><span class=\"ez-toc-section\" id=\"Prepare-se-com-a-Mentoria-do-Estrategia-MED\"><\/span>Prepare-se com a Mentoria do Estrat&eacute;gia MED<span class=\"ez-toc-section-end\"><\/span><\/h3><div class=\"carrossel-product\"><div><h4>Mentoria Pr\u00e9-Edital Resid\u00eancia M\u00e9dica + Curso Extensivo (12 meses)<\/h4><div class=\"cat-description\">A Mentoria Pr\u00e9-Edital Resid\u00eancia M\u00e9dica \u00e9 um acompanhamento profissional de estudo e inclui o planejamento, organiza\u00e7\u00e3o, metas, monitoramento e comunica\u00e7\u00e3o com mentores.<\/div><div class=\"cat-price\"><span>12x<\/span> R$ 1.524,75<\/div><div class=\"cat-sale\">No Cart\u00e3o de Cr\u00e9dito ou 10% de desconto no Boleto ou Pix \u00e0 vista: R$ 16.467,30<\/div><a 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