Publicado 2022-11-03
Palavras-chave
- Cardiovascular,
- felino,
- lesão de órgão-alvo,
- pressão arterial
Como Citar

Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Resumo
A hipertensão arterial sistólica é frequentemente reconhecida na prática clínica da medicina interna felina, sendo um problema comum em gatos mais velhos. Esta enfermidade é, costumeiramente, secundária a outras doenças, tais como, doença renal crônica e hipertireoidismo. No entanto, em alguns pacientes a causa subjacente não é identificada, portanto denominada de hipertensão idiopática. Elevações na pressão arterial, de forma sustentada ou não, podem levar a danos em diversos órgãos como, cérebro, olhos, coração e rins. Essas injúrias são denominadas de lesão de órgãos-alvo. Pressão arterial sistêmica acima de 160mmHg possue risco moderado a grave de dano aos órgãos-alvo. Desta maneira, o tratamento procura idealmente atingir riscos de dano mínimos. Alguns fármacos podem ser utilizados como terapia anti-hipertensiva, dentre elas, a amlodipina, um bloqueador de canal de cálcio, que é o medicamento de primeira escolha para tratamento em gatos. Além disso, é de extrema importância o diagnóstico de doenças que possam gerar o quadro hipertensivo ou estar em associação para que desta forma seja possível um controle adequado da pressão arterial. O diagnóstico precoce da doença é fundamental pois auxilia reduzir as chances de lesão nos órgãos-alvo, e consequentemente, reduz a mortalidade e melhora a qualidade de vida dos pacientes.
Downloads
Referências
- ACIERNO, M.J.; BROWN, S.; COLEMAN, A.E.; JEPSON, R.E.; PAPICH, M.; STEPIEN, R.L.; SYME, H.M. ACVIM consensus statement: Guidelines for theidentification, evaluation, and management ofsystemichypertension in dogs andcatsJournalofVeterinaryInternal Medicine, v.32, n.6, p.1803-1822, 2018.
- BIJSMANS, E.S.; JEPSON, R.E.; CHANG, Y.M.; SYME, H.M.; ELLIOTT, J. Changes in SystolicBloodPressure over Time in Healthy Cats and Cats withChronicKidneyDisease. J VetIntern Med, v.29, n.3, p. 855–861, 2015.
- BIJSMANS, E.S.; DOING, M.; JEPSON, R.E.; SYME, H.M.; ELLIOTT, J.; PELLIGAND, L. FactorsInfluencingtheRelationshipBetweenthe Dose ofAmlodipineRequired for BloodPressureControlandChange in BloodPressure in Hypertensive Cats. Journal of VeterinaryInternal Medicine, v.30, n.5, p.1630–1636, 2016.
- BIJSMANS, E.S.; JEPSON, R.E., WHEELER, C.; SYME, H.M.; ELLIOTT, J. Plasma N-Terminal ProbrainNatriureticPeptide, Vascular EndothelialGrowth Factor, andCardiacTroponin I as Novel BiomarkersofHypertensiveDiseaseand Target OrganDamage in Cats. Journal of VeterinaryInternal Medicine, v.31, n.3, p.650–660, 2017.
- CARTER, J.; IRVING, A.; BRIDGES, J.; JONES, B. The prevalenceof ocular lesionsassociatedwithhypertension in a populationofgeriatriccats in Auckland, New Zealand. New Zealand VeterinaryJournal, v.62, n.1, p.21–29, 2014.
- CHETBOUL, V.; LEFEBVRE, H.P.; PINHAS, C.; CLERC, B., BOUSSOUF, M.; POUCHELON, J.L. SpontaneousFelineHypertension: ClinicalandEchocardiographicAbnormalities, andSurvival Rate. Journal of VeterinaryInternal Medicine, v.17, n.1, p.89–95, 2003.
- COLE, L.; JEPSON, R.; HUMM, K. Systemichypertension in catswithacutekidneyinjury. JournalofSmall Animal Practice, v.58, n.10, p.577-581, 2017.
- COLEMAN, A.E.; BROWN, S.A.; STARK, M.; BRYSON, L.; ZIMMERMAN, A.; ZIMMERING, T.; TRAAS, A.M. Evaluationoforallyadministeredtelmisartan for thereductionofindirectsystolic arterial bloodpressure in awake, clinically normal cats. JournalofFeline Medicine andSurgery, v.21, n.2, p.1-6, 2018.
- CONROY, M.; CHANG, Y.M.; BRODBELT, D.; ELLIOTT, J. Survivalafterdiagnosisofhypertension in catsattendingprimarycarepractice in the United Kingdom. Journal of VeterinaryInternal Medicine, v.32, n.6, p.1846-1855, 2018.
- DAVY, K.P.; HALL, J.E. Obesityandhypertension: Twoepidemicsorone? American JournalPhysiologyRegulatory, IntegrativeandComparativePhysiology, v.286, n.5, p.803–813, 2004.
- DESMET, L.; MEER, J.V.D. Antihypertensivetreatmentwithtelmisartan in a catwithamlodipine-inducedgingivalhyperplasia. JournalofFeline Medicine andSurgery Open Reports, v.3, n.2, p.1-5, 2017.
- FERREIRA, A.; SOTTIAUX, J.; MANDARA, M.T.; MOTTA, L. Ascendinghaemorrhagicmyelomalaciaassociatedwithsystemichypertension in a hyperthyroid cat. JournalofFeline Medicine andSurgery Open Reports, v.1, n.1, p.1-6, 2015.
- GLAUS, T.M.; ELLIOTT, J.; HERBERICH, E.; ZIMMERING, T.; ALBRECHT, B. Efficacyoflong-term oral telmisartantreatment in catswithhypertension: Resultsof a prospectiveEuropeanclinicaltrial. Journal of VetrinaryInternal Medicine, v.33, n.2, p.413-422, 2019.
- GOUNI, V.; TISSIER, R.; MISBACH, C.; BALOUKA, D.; BUENO, H.; POUCHELON, J.; LEFEBVRE, H.P.; CHETBOUL, V. Influenceoftheobserver’slevelofexperience on systolicanddiastolic arterial bloodpressuremeasurementsusing Doppler ultrasonography in healthyconsciouscats. JournalofFeline Medicine andSurgery, v.17, v.2, p.94-100, 2015.
- HENIK, R.A.; STEPIEN, R.L.; WENHOLZ, L.J.; DOLSON, M.K. Efficacyof atenolol as a single antihypertensiveagent in hyperthyroidcats. JournalofFeline Medicine andSurgery, v.10, n.6, p.577-582, 2008.
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- Randomized Placebo-ControlledClinicalTrialof a Chewable
- FormulationofAmlodipine for theTreatmentofHypertension in
- Client-Owned Cats
- HUHTINEN, M.; DERRÉ, G.; RENOLDI, H.J.; RINKINEN, M.; ADLER, K.; ASPEGUÉN, J.; ZEMIRLINE, C.; ELLIOTT, J. Randomized Placebo-ControlledClinicalTrialof a ChewableFormulationofAmlodipine for theTreatmentofHypertension in Client-Owned Cats. Journal of VeterinaryInternal Medicine, v.29, n.3, p.786-793, 2015.
- JENKINS, T.L.; COLEMAN, A.E.; SCHMIEDT, C.W.; BROWN, S.A. Attenuationofthe pressor response toexogenousangiotensinbyangiotensin receptor blockersandbenazeprilhydrochloride in clinically normal cats. American Journal of VeterinaryResearch, v.76, n.9, p.807-813, 2015.
- JEPSON, R.E.; ELLIOTT, J.; BRODBELT, D.; SYME, H.M. Effectofcontrolofsystolicbloodpressure on survival in catswithsystemichypertension. Journal of VeterinaryInternal Medicine, v.21, n.3, p.402-409, 2007.
- Guidelines for theIdentification, Evaluation, and Management of
- SystemicHypertension in Dogs and Cats
- Guidelines for theIdentification, Evaluation, and Management of
- SystemicHypertension in Dogs and Cats
- Guidelines for theIdentification, Evaluation, and Management of
- SystemicHypertension in Dogs and Cats
- Guidelines for theIdentification, Evaluation, and Management of
- SystemicHypertension in Dogs and Cats
- JEPSON, R.E. Felinesystemichypertension: classificationandpathogenesis. JournalofFeline Medicine andSurgery, v.13, n.1, p.25–34, 2011.
- KOHNKEN, R.; SCANSEN, B.A.; PREMANANDAN, C. Vasa VasorumArteriopathy: RelationshipWithSystemic Arterial Hypertensionand Other Vascular Lesions in Cats. VeterinaryPathology, v.54, n.3, p.475–483, 2016.
- MAGGIO, F.; DEFRANCESCO, T.C.; ATKINS, C.E.; PIZZIRANI, S.; GILGER B.C.; DAVIDSON, M.G. Ocular lesionsassociatedwithsystemichypertension in cats: 69 cases (1985-1998). Journalofthe American Veterinary Medical, v.217, n.5, p.695–702, 2000.
- O’NEILL, J.; KENT, M.; GLASS, E.N.; PLATT, S.R. Clinicopathologicand MRI CharacteristicsofPresumptiveHypertensiveEncephalopathy in Two Cats andTwo Dogs. Journal of the American Animal Hospital Association, v.49, n.6, p.412–420, 2013.
- PAYNE, J.R.; BRODBELT, D.C.; FUENTES, V.L. BloodPressureMeasurements in 780 ApparentlyHealthy Cats. Journal of VeterinaryInternal Medicine, v.31, n.1, p.15-21, 2017.
- RITMAN EL; LERNAN A. The dynamic vasa vasorum. Cardiovascular Research, v.75, n.4, p.649–658, 2007.
- SENT, U.; GOSSL R.; ELLIOTT, J.; SYME, H.M.; ZIMMERING, T. Comparisonofefficacyoflong-term oral treatmentwithtelmisartanandbenazepril in catswithchronickidneydisease. Journal of VeterinaryInternal Medicine, v.29, n.6, p.1479-1487, 2015.
- STEELE, J.L.; HENIK, R.A.; STEPIEN, R.L. Effectsofangiotensin-convertingenzymeinhibition on plasma aldosteroneconcentration, plasma reninactivity, andbloodpressure in spontaneouslyhypertensivecatswithchronic renal disease. Veterinarytherapeutics: research in appliedveterinary medicine, v.3, n.2, p.157-166, 2002.
- WILLIAMS, T.L.; ELLIOTT, J.; SYME, H.M. Renin-Angiotensin-Aldosterone System Activity in Hyperthyroid Cats withandwithoutConcurrentHypertension. Journal of VeterinaryInternal Medicine, v.27, n.3, p.522–529, 2013.