Diagnostics and treatment of resistant arterial hypertension

Authors

  • O. Korzh Kharkov Medical Academy of Postgraduate Education, Ukraine

DOI:

https://doi.org/10.22141/2306-2436.5.1-2.2016.121241

Keywords:

resistant arterial hypertension, diagnostics, treatment

Abstract

Resistant arterial hypertension is diagnosed when three antihypertensives assignment does not result in achieving target blood pressure, which for most patients is the level below 140/90 mm Hg, wherein one of the medicaments must be diuretic and all drugs must be assigned to optimal or maximum tolerated doses. Despite the high prevalence of resistant arterial hypertension, the lack of blood pressure control is often associated with an inadequate selection of antihypertensive therapy, blood pressure misjudgement or failure of patients to medical recommendations. Therefore, before carrying out diagnostic measures necessary to consistently assess the adequacy of patients receiving therapy that inherent in the definition of RAH and exclude pseudoresistance.

Author Biography

O. Korzh, Kharkov Medical Academy of Postgraduate Education

MD, PhD, Professor

References

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Daugherty SL, Powers JD, Magid DJ, Tavel HM, Masoudi FA, Margolis KL et al.Incidence and prognosis of resistant hypertension in hypertensive patients // Circulation.-2012.-Vol.125.-P.1635–1642.

Florczak E, Szwench E, Siliwinski P, Bielen P, Klisiewicz A, Michalowska I et al.Clinical characteristics of patients with resistant hypertension // J Human Hypertens.-2013.-Vol.27.-P.678–685.

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Published

2016-06-01

Issue

Section

Clinical and experimental medicine