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 ?
The title of the lecture is, "Neuromodulation by median nerve stimulation: a novel approach to refractory hypertension.
Ablation technologies are majorly employed for surgical procedures in cardiological disorders such as atrial fibrillation, arrhythmia, refractory hypertension and others; along with this, removal of cancerous and non cancerous tumors is also important application of ablation devices.
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.
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.
Refractory hypertension has been difficult to treat safely and effectively.
These diuretics lower blood pressure but may not be sufficient to normalize it in refractory hypertension.
36) Since NSAIDs are available over the counter, clinicians must consider their contribution to new onset and refractory hypertension.
Of the hypertension population, 10% to 15% do not adequately respond to medications and are deemed a resistant or refractory hypertension patient," said Dr.
Pseudohypertension should be suspected in older patients with refractory hypertension, a lack of end-organ damage or symptoms of overmedication.
Since multidisciplinary clinics have been shown to be effective for treating many chronic disorders, such as diabetes mellitus, heart failure, pain, asthma, rheumatoid arthritis, and HIV, (1,2) we created a multidisciplinary clinic dedicated exclusively to the treatment of refractory hypertension, defined as blood pressure >140/90 despite prescription of three antihypertensive medications.