refractory hypertension

refractory hypertension

A condition characterized by BP ≥140/90, or ≥160/90 if > 60 and absent features of 2º HTN, maximal dose of 2+ antihypertensives is being administered, and adequate time has passed to allow the usual antihypertensives to be effective DiffDx Spurious–pseudoHTN, 'white coat' HTN, noncompliance with therapy, presence of exogenous substances that ↑ BP–alcohol, anabolic steroids, caffeine, chlorpromazine, cyclosporine, erythropoietin, MAOIs, nicotine, sympathomimetics, tricyclic antidepressants, cocaine, corticosteroids, NSAIDs, salt; obesity should be controlled
References in periodicals archive ?
Hafeez Chaudhry from Faisalabad discussed optimized medical management of Refractory Hypertension.
Labetalol infusion for refractory hypertension causing severe hypotension and bradycardia: an issue of patient safety.
11] described Page Kidney following living related renal transplantation that presented with refractory hypertension from perinephric hematoma.
The cardiovascular system of swine has high similarity with human, and swine RDN model does appear to predict security and efficiency the treatment of refractory hypertension in human subjects.
Resistant or refractory hypertension is defined by a blood pressure of at least 140/90 mmHg despite adherence to treatment with full doses of at least three antihypertensive medications including a diuretic7 whereas uncontrolled hypertension is blood pressure more than 140/90 mmHg which is secondary to poor drug or dietary compliance although patient is taking full doses of at least three anti hypertensive medications including one diuretic.
The announcement from Medtronic in January has apparently brought down the curtain on the much-heralded approach to the treatment of refractory hypertension using radiofrequency renal artery sympathetic nerve ablation (RASNA) applied through the tip of the Symplicity catheter.
The announcement from Medtronic in January has apparently brought down the curtain on the much-heralded approach to the treatment of refractory hypertension using radio-frequency renal artery sympathetic nerve ablation (RASNA) applied through the tip of the Symplicity catheter.
During his course in hospital, he continued to have refractory hypertension, with a systolic blood pressure >200 mmHg, elevated creatinine of 187 umol/L and shortness of breath.
The minority with refractory hypertension that fails to respond to lifestyle changes and simple drug therapy should of course see a doctor, who may prescribe multiple medications to reduce blood pressure.
While aldosterone inhibitors are used to treat refractory hypertension, they typically are not used in blacks, possibly because they haven't been well studied in that population, Harshfield said.
Inclusion criteria consisted of between 20 and 70 years of age, diagnosis of essential hypertension after clinical and laboratory exclusion of secondary hypertension by a cardiologist, absence of severe or refractory hypertension, absence of evidence of target organ damage (i.