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Resistant Hypertension Workup and Approach to Treatment
Joint Authors
Papadopoulos, Dimitris P.
Makris, Anastasios
Seferou, Maria
Source
International Journal of Hypertension
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-12-26
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Resistant hypertension is defined as blood pressure above the patient's goal despite the use of 3 or more antihypertensive agents from different classes at optimal doses, one of which should ideally be a diuretic.
Evaluation of patients with resistive hypertension should first confirm that they have true resistant hypertension by ruling out or correcting factors associated with pseudoresistance such as white coat hypertension, suboptimal blood pressure measurement technique, poor adherence to prescribed medication, suboptimal dosing of antihypertensive agents or inappropriate combinations, the white coat effect, and clinical inertia.
Management includes lifestyle and dietary modification, elimination of medications contributing to resistance, and evaluation of potential secondary causes of hypertension.
Pharmacological treatment should be tailored to the patient's profile and focus on the causative pathway of resistance.
Patients with uncontrolled hypertension despite receiving an optimal therapy are candidates for newer interventional therapies such as carotid baroreceptor stimulation and renal denervation.
American Psychological Association (APA)
Makris, Anastasios& Seferou, Maria& Papadopoulos, Dimitris P.. 2010. Resistant Hypertension Workup and Approach to Treatment. International Journal of Hypertension،Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-484029
Modern Language Association (MLA)
Makris, Anastasios…[et al.]. Resistant Hypertension Workup and Approach to Treatment. International Journal of Hypertension No. 2011 (2011), pp.1-10.
https://search.emarefa.net/detail/BIM-484029
American Medical Association (AMA)
Makris, Anastasios& Seferou, Maria& Papadopoulos, Dimitris P.. Resistant Hypertension Workup and Approach to Treatment. International Journal of Hypertension. 2010. Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-484029
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484029