{"id":20742,"date":"2026-09-15T09:10:21","date_gmt":"2026-09-15T12:10:21","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=20742"},"modified":"2026-09-25T09:10:32","modified_gmt":"2026-09-25T12:10:32","slug":"saiba-como-aferir-e-avaliar-a-pressao-arterial-em-criancas","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/saiba-como-aferir-e-avaliar-a-pressao-arterial-em-criancas\/","title":{"rendered":"Tabela de press\u00e3o arterial na pediatria: percentis, classifica\u00e7\u00e3o e como aferir"},"content":{"rendered":"\n<figure class=\"wp-block-image is-resized\"><img height=\"576\" width=\"1024\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Blog-MedCof-12-1024x576.png\" alt=\"Saiba como aferir e avaliar a press\u00e3o arterial em crian\u00e7as.\" style=\"aspect-ratio:1.7777777777777777;width:800px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">A aferi\u00e7\u00e3o da press\u00e3o arterial \u00e9 muito importante para termos um controle sobre nossa sa\u00fade e at\u00e9 para investiga\u00e7\u00e3o de algumas doen\u00e7as. Saiba como aferir e avaliar a press\u00e3o arterial em crian\u00e7as.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Um dos grandes desafios dos estudantes, internos e at\u00e9 residentes, \u00e9 a aferi\u00e7\u00e3o precisa da press\u00e3o arterial na pediatria.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A avalia\u00e7\u00e3o da<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/cuidados-no-diagnostico-de-hipertensao-arterial-sistemica\/\"><b>&nbsp;press\u00e3o arterial<\/b>&nbsp;<\/a>\u00e9 principalmente importante quando se est\u00e1 na investiga\u00e7\u00e3o de doen\u00e7as cr\u00f4nicas, como tamb\u00e9m na emerg\u00eancia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Portanto, \u00e9 necess\u00e1rio que todo m\u00e9dico tenha habilidade para aferir a press\u00e3o arterial de crian\u00e7as e adolescentes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Resumo r\u00e1pido: a tabela de press\u00e3o arterial na pediatria<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Na crian\u00e7a, a PA normal depende de idade, sexo e percentil de estatura.<\/li>\n\n\n\n<li>A leitura \u00e9 feita em tabelas de percentil (refer\u00eancia da AAP 2017 e da SBP).<\/li>\n\n\n\n<li>Classifica\u00e7\u00e3o: normal abaixo do P90; elevada de P90 a menos que P95; est\u00e1gio 1 de P95 a P95 + 12; est\u00e1gio 2 acima disso.<\/li>\n\n\n\n<li>A partir de 13 anos, usam-se valores fixos, como no adulto (a partir de 120\/80).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o da PA em crian\u00e7as e adolescentes<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Classifica\u00e7\u00e3o<\/strong><\/th><th><strong>1 a menos de 13 anos<\/strong><\/th><th><strong>13 anos ou mais<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>Normal<\/strong><\/td><td>Menor que o percentil 90<\/td><td>Menor que 120\/80<\/td><\/tr><tr><td><strong>PA elevada<\/strong><\/td><td>Percentil 90 (ou 120\/80) at\u00e9 menos que o P95<\/td><td>120 a 129 \/ menor que 80<\/td><\/tr><tr><td><strong>HAS est\u00e1gio 1<\/strong><\/td><td>P95 at\u00e9 menos que P95 + 12 mmHg<\/td><td>130\/80 a 139\/89<\/td><\/tr><tr><td><strong>HAS est\u00e1gio 2<\/strong><\/td><td>Maior ou igual a P95 + 12 mmHg (ou 140\/90)<\/td><td>Maior ou igual a 140\/90<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Vale sempre o menor valor entre o crit\u00e9rio por percentil e o valor fixo. O diagn\u00f3stico de HAS exige a altera\u00e7\u00e3o confirmada em 3 ocasi\u00f5es diferentes. Se a PA vier igual ou maior que o P90, repete-se a aferi\u00e7\u00e3o mais 2 vezes e usa-se a m\u00e9dia das 3 medidas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tabela de triagem: valores de PA que exigem avalia\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A diretriz traz um valor de PA por idade (correspondente ao percentil 90 da menor estatura). Se a PA aferida for igual ou maior que o valor da idade, deve-se aprofundar a avalia\u00e7\u00e3o com as tabelas completas de percentil.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Idade<\/strong><\/th><th><strong>Meninos PAS<\/strong><\/th><th><strong>Meninos PAD<\/strong><\/th><th><strong>Meninas PAS<\/strong><\/th><th><strong>Meninas PAD<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>1<\/strong><\/td><td>98<\/td><td>52<\/td><td>98<\/td><td>54<\/td><\/tr><tr><td><strong>2<\/strong><\/td><td>100<\/td><td>55<\/td><td>101<\/td><td>58<\/td><\/tr><tr><td><strong>3<\/strong><\/td><td>101<\/td><td>58<\/td><td>102<\/td><td>60<\/td><\/tr><tr><td><strong>4<\/strong><\/td><td>102<\/td><td>60<\/td><td>103<\/td><td>62<\/td><\/tr><tr><td><strong>5<\/strong><\/td><td>103<\/td><td>63<\/td><td>104<\/td><td>64<\/td><\/tr><tr><td><strong>6<\/strong><\/td><td>105<\/td><td>66<\/td><td>105<\/td><td>67<\/td><\/tr><tr><td><strong>7<\/strong><\/td><td>106<\/td><td>68<\/td><td>106<\/td><td>68<\/td><\/tr><tr><td><strong>8<\/strong><\/td><td>107<\/td><td>69<\/td><td>107<\/td><td>69<\/td><\/tr><tr><td><strong>9<\/strong><\/td><td>107<\/td><td>70<\/td><td>108<\/td><td>71<\/td><\/tr><tr><td><strong>10<\/strong><\/td><td>108<\/td><td>72<\/td><td>109<\/td><td>72<\/td><\/tr><tr><td><strong>11<\/strong><\/td><td>110<\/td><td>74<\/td><td>111<\/td><td>74<\/td><\/tr><tr><td><strong>12<\/strong><\/td><td>113<\/td><td>75<\/td><td>114<\/td><td>75<\/td><\/tr><tr><td><strong>13 ou mais<\/strong><\/td><td>120<\/td><td>80<\/td><td>120<\/td><td>80<\/td><\/tr><\/tbody><\/table><figcaption class=\"wp-element-caption\"><em>Valores em mmHg. Fonte: diretriz da AAP (2017). Servem apenas para triagem, n\u00e3o para diagn\u00f3stico.<\/em><\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como usar a tabela de PA por percentis<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A tabela de refer\u00eancia cruza idade, sexo e percentil de estatura da crian\u00e7a e mostra os valores de PA correspondentes aos percentis 50, 90, 95 e 95 mais 12 mmHg. Comparando a PA aferida com essas colunas, define-se se a press\u00e3o \u00e9 normal, elevada ou hipertens\u00e3o. As tabelas completas por estatura s\u00e3o as da AAP (2017) e da SBP e devem ser consultadas na \u00edntegra no documento oficial.<\/p>\n\n\n\n<h2 id=\"h-tecnica-de-afericao-de-pa-em-criancas\" class=\"wp-block-heading\"><strong>T\u00e9cnica de Aferi\u00e7\u00e3o de PA em crian\u00e7as<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Para a correta identifica\u00e7\u00e3o e diagn\u00f3stico de hipertens\u00e3o, \u00e9 necess\u00e1rio a aferi\u00e7\u00e3o correta da PA em crian\u00e7as e adolescente, pois a falha nesse m\u00e9todo pode subestimar ou superestimar a PA.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Portanto, voc\u00ea deve estar atento a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:\n<ul class=\"wp-block-list\">\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n\n\n\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n\n\n\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n\n\n\n<h2 id=\"h-avaliacao\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.\u00a0<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vamos Praticar!<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n\n\n\n<h2 id=\"h-e-se-der-alterado\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n\n\n\n<h2 id=\"h-classificacao\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normal se &lt; p90;<\/li>\n\n\n\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;\n<ul class=\"wp-block-list\">\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n\n\n\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Raio-X MedCof: o que cai na prova sobre a PA na pediatria<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A aferi\u00e7\u00e3o e a classifica\u00e7\u00e3o da PA infantil s\u00e3o temas recorrentes em pediatria. Os pontos de maior rendimento:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A PA normal depende de idade, sexo e percentil de estatura.<\/li>\n\n\n\n<li>Normal menor que P90; elevada de P90 a menos que P95; est\u00e1gio 1 de P95 a P95 + 12; est\u00e1gio 2 acima disso.<\/li>\n\n\n\n<li>A partir de 13 anos, usam-se valores fixos (elevada a partir de 120\/80).<\/li>\n\n\n\n<li>Manguito com largura de 40% e comprimento de 80 a 100% da circunfer\u00eancia do bra\u00e7o.<\/li>\n\n\n\n<li>PA igual ou maior que o P90: repetir e usar a m\u00e9dia de 3 medidas.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">O que fazer: decore os cortes de percentil (P90, P95 e P95 + 12) e a escolha correta do manguito, que s\u00e3o as pegadinhas cl\u00e1ssicas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Perguntas frequentes sobre a PA na pediatria<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Como funciona a tabela de PA em pediatria?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A tabela cruza idade, sexo e percentil de estatura e mostra os valores de PA nos percentis 50, 90, 95 e 95 + 12 mmHg, usados para classificar a press\u00e3o.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Qual PA \u00e9 normal na crian\u00e7a?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Abaixo do percentil 90 para idade, sexo e estatura (de 1 a 13 anos). A partir de 13 anos, abaixo de 120\/80.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Como escolher o manguito?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Com largura de cerca de 40% da circunfer\u00eancia do bra\u00e7o e comprimento de 80 a 100% dessa circunfer\u00eancia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>O que fazer se a PA vier alterada?<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Se estiver igual ou acima do percentil 90, repetir mais 2 vezes e avaliar a m\u00e9dia das 3 medidas.<\/p>\n\n\n\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n\n\n\n<h2 id=\"h-avaliacao-0\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n\n\n\n<h2 id=\"h-e-se-der-alterado-0\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 id=\"h-classificacao-0\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\n<ul class=\"wp-block-list\">\n<li>Normal se &lt; p90;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\n<ul class=\"wp-block-list\">\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<!-- \/wp:post-content -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-0\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-0\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Posi\u00e7\u00e3o:<!-- wp:list --><br><ul><br><li style=\"list-style-type: none;\"><br><ul><!-- wp:list-item --><\/ul><br><\/li><br><br><li style=\"list-style-type: none;\"><br><ul><br><li>Sentada ou deitada;<\/li><br><\/ul><br><\/li><br><\/ul><br><br><p><!-- \/wp:list-item --><!-- wp:list-item --><\/p><br><ul><br><li style=\"list-style-type: none;\"><br><ul><br><li>Pernas descruzadas;<\/li><br><\/ul><br><\/li><br><\/ul><br><p><!-- \/wp:list-item --><\/p><br><p><!-- \/wp:list --><\/p><br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Repouso h\u00e1 > 5 minutos;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Bexiga vazia;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Sem exerc\u00edcio f\u00edsico na \u00faltima hora;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Aferir preferencialmente no <strong>Bra\u00e7o direito ao n\u00edvel do cora\u00e7\u00e3o;<\/strong><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-1\"} -->\n<h2 id=\"h-avaliacao-1\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-1\"} -->\n<h2 id=\"h-e-se-der-alterado-1\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading \/--><!-- wp:heading --><\/p>\n<!-- \/wp:heading -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-1\"} -->\n<h2 id=\"h-classificacao-1\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list-item --><\/p>\n<!-- \/wp:list-item -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph \/--><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-1\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-1\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-2\"} -->\n<h2 id=\"h-avaliacao-2\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-2\"} -->\n<h2 id=\"h-e-se-der-alterado-2\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading \/--><!-- wp:heading --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-2\"} -->\n<h2 id=\"h-classificacao-2\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list --><!-- wp:paragraph \/--><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-2\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-2\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Posi\u00e7\u00e3o:<!-- wp:list --><br><ul><br><li style=\"list-style-type: none;\"><br><ul><!-- wp:list-item --><\/ul><br><\/li><br><br><li style=\"list-style-type: none;\"><br><ul><br><li>Sentada ou deitada;<\/li><br><\/ul><br><\/li><br><\/ul><br><br><p><!-- \/wp:list-item --><!-- wp:list-item --><\/p><br><ul><br><li style=\"list-style-type: none;\"><br><ul><br><li>Pernas descruzadas;<\/li><br><\/ul><br><\/li><br><\/ul><br><p><!-- \/wp:list-item --><\/p><br><p><!-- \/wp:list --><\/p><br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Repouso h\u00e1 > 5 minutos;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Bexiga vazia;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Sem exerc\u00edcio f\u00edsico na \u00faltima hora;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Aferir preferencialmente no <strong>Bra\u00e7o direito ao n\u00edvel do cora\u00e7\u00e3o;<\/strong><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-3\"} -->\n<h2 id=\"h-avaliacao-3\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:image --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-3\"} -->\n<h2 id=\"h-e-se-der-alterado-3\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:image --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading --><!-- \/wp:paragraph --><!-- wp:heading --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-3\"} -->\n<h2 id=\"h-classificacao-3\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list --><!-- wp:paragraph --><!-- \/wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-3\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-3\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Posi\u00e7\u00e3o:<!-- wp:list --><br><ul><br><li style=\"list-style-type: none;\"><br><ul><!-- wp:list-item --><\/ul><br><\/li><br><br><li style=\"list-style-type: none;\"><br><ul><br><li>Sentada ou deitada;<\/li><br><\/ul><br><\/li><br><\/ul><br><br><p><!-- \/wp:list-item --><!-- wp:list-item --><\/p><br><ul><br><li style=\"list-style-type: none;\"><br><ul><br><li>Pernas descruzadas;<\/li><br><\/ul><br><\/li><br><\/ul><br><p><!-- \/wp:list-item --><\/p><br><p><!-- \/wp:list --><\/p><br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Repouso h\u00e1 > 5 minutos;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Bexiga vazia;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Sem exerc\u00edcio f\u00edsico na \u00faltima hora;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Aferir preferencialmente no <strong>Bra\u00e7o direito ao n\u00edvel do cora\u00e7\u00e3o;<\/strong><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-4\"} -->\n<h2 id=\"h-avaliacao-4\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-4\"} -->\n<h2 id=\"h-e-se-der-alterado-4\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading \/--><!-- wp:heading --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-4\"} -->\n<h2 id=\"h-classificacao-4\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list --><!-- wp:paragraph \/--><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-4\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-4\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-5\"} -->\n<h2 id=\"h-avaliacao-5\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-5\"} -->\n<h2 id=\"h-e-se-der-alterado-5\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:heading {\"level\":1} \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:image \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading \/--><!-- wp:heading --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-5\"} -->\n<h2 id=\"h-classificacao-5\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list --><!-- wp:paragraph \/--><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-5\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-5\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n<!-- \/wp:embed -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Posi\u00e7\u00e3o:<!-- wp:list --><br><ul><br><li style=\"list-style-type: none;\"><br><ul><!-- wp:list-item --><\/ul><br><\/li><br><br><li style=\"list-style-type: none;\"><br><ul><br><li>Sentada ou deitada;<\/li><br><\/ul><br><\/li><br><\/ul><br><br><p><!-- \/wp:list-item --><!-- wp:list-item --><\/p><br><ul><br><li style=\"list-style-type: none;\"><br><ul><br><li>Pernas descruzadas;<\/li><br><\/ul><br><\/li><br><\/ul><br><p><!-- \/wp:list-item --><\/p><br><p><!-- \/wp:list --><\/p><br><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Repouso h\u00e1 > 5 minutos;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Bexiga vazia;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Sem exerc\u00edcio f\u00edsico na \u00faltima hora;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Aferir preferencialmente no <strong>Bra\u00e7o direito ao n\u00edvel do cora\u00e7\u00e3o;<\/strong><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Selecione o <strong>manguito adequado,<\/strong> que deve cobrir <strong>40% do comprimento e 80 a 100% da circunfer\u00eancia<\/strong> do bra\u00e7o:<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>1\u00ba passo: Medir a dist\u00e2ncia do acr\u00f4mio ao ol\u00e9crano (comprimento);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>2\u00ba passo: Identificar o ponto m\u00e9dio da dist\u00e2ncia entre o acr\u00f4mio e o ol\u00e9crano ;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>3\u00ba passo: Medir a circunfer\u00eancia do bra\u00e7o nesse ponto m\u00e9dio (circunfer\u00eancia);<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Observe de forma esquem\u00e1tica abaixo:\t\t<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"543px\",\"height\":\"auto\",\"aspectRatio\":\"1.0752475247524753\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"505\" width=\"543\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-18.png\" alt=\"\" style=\"aspect-ratio:1.0752475247524753;width:543px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: Uptodate, 2023.<\/figcaption><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"anchor\":\"h-avaliacao-6\"} -->\n<h2 id=\"h-avaliacao-6\" class=\"wp-block-heading\"><strong>Avalia\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:image --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Uma vez aferida a press\u00e3o arterial a avalia\u00e7\u00e3o deve ser realizada a partir da an\u00e1lise dos percentis! Portanto, devemos avaliar o gr\u00e1fico para saber se a PA est\u00e1 ou n\u00e3o adequada para a crian\u00e7a.&nbsp;<strong style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif;\"><a href=\"https:\/\/www.sbp.com.br\/fileadmin\/user_upload\/21635c-MO_-_Hipertensao_Arterial_Infanc_e_Adolesc.pdf\">Clique aqui para acessar a tabela completa.<\/a><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>&#x1f4dd; <strong>Vamos Praticar!<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Maria \u00e9 uma crian\u00e7a de 4 anos, que est\u00e1 no percentil 75 de estatura, e est\u00e1 com uma PA de 93&#215;51 mmHg, e sua m\u00e3e ficou preocupada por achar baixa. Essa preocupa\u00e7\u00e3o retrata a realidade?<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"width\":\"800px\",\"height\":\"auto\",\"aspectRatio\":\"1.4260249554367201\"} -->\n<figure class=\"wp-block-image is-resized\"><img height=\"567\" width=\"808\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/03\/Untitled-19.png\" alt=\"\" style=\"aspect-ratio:1.4260249554367201;width:800px;height:auto\"\/><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>R: Quando colocamos as informa\u00e7\u00f5es do texto no gr\u00e1fico, podemos ver que a press\u00e3o de Maria est\u00e1 no percentil 50, n\u00e3o apresentando riscos no momento para a crian\u00e7a.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-e-se-der-alterado-6\"} -->\n<h2 id=\"h-e-se-der-alterado-6\" class=\"wp-block-heading\"><strong>E se der alterado?<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Se quando for feita a aferi\u00e7\u00e3o da PA o percentil encontrada for maior ou igual ao p90, a aferi\u00e7\u00e3o deve ser feita por mais 2 vezes, e ap\u00f3s isso, calcular a m\u00e9dia das 3 medidas e avaliar no gr\u00e1fico.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":1} --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:image --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading --><!-- \/wp:paragraph --><!-- wp:heading --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-classificacao-6\"} -->\n<h2 id=\"h-classificacao-6\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:heading --><!-- wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ent\u00e3o, a partir da avalia\u00e7\u00e3o da press\u00e3o, \u00e9 necess\u00e1rio que que classifique a partir do percentil encontrado:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:paragraph --><!-- wp:list --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>Normal se &lt; p90;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>PA elevada se \u2265 p90 e &lt;p95, ou 120&#215;80 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 1 se \u2265 p95 e &lt; p95 + 12mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><!-- wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li><!-- wp:list -->\n<ul class=\"wp-block-list\"><!-- wp:list-item -->\n<li>HAS est\u00e1gio 2 se \u2265 p95 + 12 mmHg;<\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list --><\/li>\n<!-- \/wp:list-item --><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Lembrando que essa classifica\u00e7\u00e3o e v\u00e1lida para crian\u00e7as de 1 a 13 anos.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list-item --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><!-- \/wp:list --><!-- wp:paragraph --><!-- \/wp:paragraph --><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"anchor\":\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-6\"} -->\n<h2 id=\"h-use-a-metodologia-do-grupo-medcof-e-conquiste-sua-aprovacao-6\" class=\"wp-block-heading\"><strong>Use a metodologia do Grupo MedCof e conquiste sua aprova\u00e7\u00e3o\u200b<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Conhe\u00e7a o&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/?gad_source=1&amp;gclid=CjwKCAiAloavBhBOEiwAbtAJOz-7xq_hITHvKfMwVqxpiifO0EmzWegC7Dv3MbKh1mmkLXOJUZ8b1RoCKdYQAvD_BwE\"><strong>Grupo MedCof,<\/strong><\/a>&nbsp;avalanque seus estudos e conquiste a sua aprova\u00e7\u00e3o. Confira o relato de quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/watch?v=lQ-WAjPz7QQ\",\"type\":\"video\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"lQ-WAjPz7QQ\"><iframe loading=\"lazy\" title=\"Aprova\u00e7\u00e3o na Resid\u00eancia M\u00e9dica do ENARE - 2\u00ba Lugar em Radiologia e Diagn\u00f3stico por Imagem\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/lQ-WAjPz7QQ?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" 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