Barochiner J
Sección Hipertensión Arterial, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Semergen. 2021 Sep;47(6):404-410. doi: 10.1016/j.semerg.2020.12.008. Epub 2021 Apr 6.
Hypertension is the main cause of death worldwide and the approach that the Family Physician makes of hypertensive patients, given his or her key role as a gateway to the health system, is a crucial determinant in their evolution. On the other hand, Complexity theory contributes to the understanding on how systems grow, adapt and evolve. The hypertensive patient, given his character of biological and social being, can be understood and approached as a complex system. Understanding the characteristics of these systems contributes to considering the patient from another perspective, more satisfactory both for himself and for the professional who assists him. This review analyzes the characteristics of the complex system «hypertensive patient» and the tools that allow us to account for and interact with this complexity. An approach from multiple perspectives, migrating from the classic reductionist models to others that take into account the dynamic interrelationships that are at stake, would be a useful strategy for the Family Physician in the challenge of achieving adequate control of blood pressure in his or her patients.
高血压是全球主要的死亡原因，鉴于家庭医生作为医疗系统门户的关键作用，其对高血压患者的诊疗方式是患者病情发展的关键决定因素。另一方面，复杂性理论有助于理解系统如何生长、适应和进化。高血压患者兼具生物和社会属性，可被理解为一个复杂系统。了解这些系统的特征有助于从另一个角度看待患者，这对患者本人和为其提供帮助的专业人员而言都更令人满意。本综述分析了“高血压患者”这一复杂系统的特征以及能让我们解释并应对这种复杂性的工具。从多个角度出发，从经典的还原论模型转向考虑到关键动态相互关系的其他模型，对于家庭医生应对为患者实现血压充分控制这一挑战而言，将是一种有用的策略。
