RESISTANT ARTERIAL HYPERTENSION
Resistant hypertension is defined as a lack to lower 140 mmHg (systolic blood pressure) and 90 mmHg (diastolic blood pressure) values of ambulatory blood pressure (BP) response using 3 antihypertensive agents of different classes, one of which should be a diuretic in patients fully adherent to antih...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
InterMedservice
2018-09-01
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| Series: | Евразийский Кардиологический Журнал |
| Subjects: | |
| Online Access: | https://www.heartj.asia/jour/article/view/301 |
| _version_ | 1826571924303511552 |
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| author | T. E. Esaulova A. V. Aksenova O. A. Sivakova I. Ye. Chazova |
| author_facet | T. E. Esaulova A. V. Aksenova O. A. Sivakova I. Ye. Chazova |
| author_sort | T. E. Esaulova |
| collection | DOAJ |
| description | Resistant hypertension is defined as a lack to lower 140 mmHg (systolic blood pressure) and 90 mmHg (diastolic blood pressure) values of ambulatory blood pressure (BP) response using 3 antihypertensive agents of different classes, one of which should be a diuretic in patients fully adherent to antihypertensive therapy. Prevalence of resistant hypertension is ranging from about 5 to 50 % in various cohorts. Initial management requires identification of true treatment resistance by out-of-office BP measurements, assessment of adherence and screening for treatable causes of uncontrolled BP. Recent studies try to indicate possible biomarkers of resistance hypertension. Treatment include lifestyle changes, enhancing treatment adherence and optimization of the doses. An invasive approach to resistant hypertension should be kept for persistently severe cases managed in a specialized hypertension center. This article aims to familiarize readers with the evaluation and management of resistant hypertension by outlining the most recent evidence-based treatment options. |
| first_indexed | 2024-04-10T02:44:01Z |
| format | Article |
| id | doaj.art-dec8a7b848b54239952698522d7770f2 |
| institution | Directory Open Access Journal |
| issn | 2225-1685 2305-0748 |
| language | Russian |
| last_indexed | 2025-03-14T12:18:51Z |
| publishDate | 2018-09-01 |
| publisher | InterMedservice |
| record_format | Article |
| series | Евразийский Кардиологический Журнал |
| spelling | doaj.art-dec8a7b848b54239952698522d7770f22025-03-02T09:34:19ZrusInterMedserviceЕвразийский Кардиологический Журнал2225-16852305-07482018-09-0103768710.38109/2225-1685-2018-3-76-87300RESISTANT ARTERIAL HYPERTENSIONT. E. Esaulova0A. V. Aksenova1O. A. Sivakova2I. Ye. Chazova3National Medical Research Center of Cardiology of the Ministry of Health of RussiaNational Medical Research Center of Cardiology of the Ministry of Health of RussiaNational Medical Research Center of Cardiology of the Ministry of Health of RussiaNational Medical Research Center of Cardiology of the Ministry of Health of RussiaResistant hypertension is defined as a lack to lower 140 mmHg (systolic blood pressure) and 90 mmHg (diastolic blood pressure) values of ambulatory blood pressure (BP) response using 3 antihypertensive agents of different classes, one of which should be a diuretic in patients fully adherent to antihypertensive therapy. Prevalence of resistant hypertension is ranging from about 5 to 50 % in various cohorts. Initial management requires identification of true treatment resistance by out-of-office BP measurements, assessment of adherence and screening for treatable causes of uncontrolled BP. Recent studies try to indicate possible biomarkers of resistance hypertension. Treatment include lifestyle changes, enhancing treatment adherence and optimization of the doses. An invasive approach to resistant hypertension should be kept for persistently severe cases managed in a specialized hypertension center. This article aims to familiarize readers with the evaluation and management of resistant hypertension by outlining the most recent evidence-based treatment options.https://www.heartj.asia/jour/article/view/301blood pressurearterial hypertensionresistant hypertensiontreatment of resistant hypertensionbiomarkers of resistance hypertensioninvasive approach |
| spellingShingle | T. E. Esaulova A. V. Aksenova O. A. Sivakova I. Ye. Chazova RESISTANT ARTERIAL HYPERTENSION Евразийский Кардиологический Журнал blood pressure arterial hypertension resistant hypertension treatment of resistant hypertension biomarkers of resistance hypertension invasive approach |
| title | RESISTANT ARTERIAL HYPERTENSION |
| title_full | RESISTANT ARTERIAL HYPERTENSION |
| title_fullStr | RESISTANT ARTERIAL HYPERTENSION |
| title_full_unstemmed | RESISTANT ARTERIAL HYPERTENSION |
| title_short | RESISTANT ARTERIAL HYPERTENSION |
| title_sort | resistant arterial hypertension |
| topic | blood pressure arterial hypertension resistant hypertension treatment of resistant hypertension biomarkers of resistance hypertension invasive approach |
| url | https://www.heartj.asia/jour/article/view/301 |
| work_keys_str_mv | AT teesaulova resistantarterialhypertension AT avaksenova resistantarterialhypertension AT oasivakova resistantarterialhypertension AT iyechazova resistantarterialhypertension |