A guide for easy- and difficult-to-treat hypertension.

Details

Serval ID
serval:BIB_B94F600DAA1B
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
A guide for easy- and difficult-to-treat hypertension.
Journal
International Journal of Cardiology
Author(s)
Schmieder R.E., Volpe M., Waeber B., Ruilope L.M.
ISSN
1874-1754 (Electronic)
ISSN-L
0167-5273
Publication state
Published
Issued date
2014
Volume
172
Number
1
Pages
17-22
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublish
Abstract
Although the blood pressure (BP) of many patients can be controlled using standard combinations, treatment of hypertension frequently represents a clinical challenge to the primary care physician. This article will review best practices for managing patients with easy- and difficult-to-treat hypertension, including preferred antihypertensive combinations, optimizing adherence and persistence, recognizing white-coat hypertension, and intensifying therapy for treatment-resistant patients. Each physician must decide based on his or her own level of experience at what point a patient becomes too challenging and would benefit from referral to a hypertension specialist for more intensive management and to complete the exclusion of secondary forms of arterial hypertension. With intensive pharmacotherapy, many patients with difficult-to-treat hypertension can achieve BP control. If it fails, interventional strategies (e.g., renal denervation) are a valid option to get BP controlled.
Pubmed
Web of science
Create date
06/06/2014 12:08
Last modification date
20/08/2019 15:27
Usage data