Diagnosis and treatment of resistant hypertension.

Détails

ID Serval
serval:BIB_63F6B94B2C12
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Diagnosis and treatment of resistant hypertension.
Périodique
Blood Pressure
Auteur(s)
Waeber B., Volpe M., Ruilope L.M., Schmieder R.E.
ISSN
1651-1999 (Electronic)
ISSN-L
0803-7051
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
23
Numéro
4
Pages
193-199
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Résumé
Hypertension resistant to lifestyle interventions and antihypertensive medications is a common problem encountered by physicians in everyday practice. It is most often defined as a blood pressure remaining ≥ 140/90 mmHg despite the regular intake of at least three drugs lowering blood pressure by different mechanisms, one of them being a diuretic. It now appears justified to include, unless contraindicated or not tolerated, a blocker of the renin-angiotensin system and a calcium channel blocker in this drug regimen, not only to gain antihypertensive efficacy, but also to prevent or regress target organ damage and delay the development of cardiorenal complications. A non-negligible fraction of treatment-resistant hypertension have normal "out of office" blood pressures. Ambulatory blood pressure monitoring and/or home blood pressure recording should therefore be routinely performed to identify patients with true resistant hypertension, i.e. patients who are more likely to benefit from treatment intensification.
Pubmed
Web of science
Création de la notice
19/09/2014 18:05
Dernière modification de la notice
20/08/2019 15:20
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