scholarly journals Treatment-Resistant Hypertension: An Update in Device Therapy

2018 ◽  
Author(s):  
Leandro Heleno Guimarães Lacerda ◽  
Ricardo Cambraia Parreira ◽  
Rebecca Vasconcellos ◽  
Swiany Silveira Lima ◽  
Anderson Kenedy Santos ◽  
...  
Keyword(s):  
Resistant Hypertension ◽  
Treatment Resistant ◽  
Device Therapy

scholarly journals Improvement of Blood Pressure Control by Adherence Check in Patients With Apparent Treatment-Resistant Hypertension: A Case Series

2020 ◽  
Vol 13 ◽  
pp. 117954762090488
Author(s):  
Keiko Hosohata ◽  
Ayaka Inada ◽  
Saki Oyama ◽  
Takashi Doi ◽  
Iku Niinomi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Resistant Hypertension ◽  
Antihypertensive Drugs ◽  
Case Series ◽  
Pressure Control ◽  
Supporting Evidence ◽  
Treatment Resistant ◽  
Uncontrolled Blood Pressure ◽  
Important Challenge ◽  
Prescribed Medicines

Adherence to medications is an important challenge while treating chronic disease such as resistant hypertension, which is defined as uncontrolled blood pressure (BP) despite treatment with more than 3 antihypertensive drugs to achieve targets. It is possible that poor adherence is the most significant contributor to rates of pseudo-resistance among treated hypertensive patients. In this report, we describe 4 patients with apparent treatment-resistant hypertension, who received intervention to promote adherence by pharmacists who set the prescribed medicines in a weekly medication calendar and conducted a weekly pill count. The results showed that the intervention of pharmacists to medication adherence improved systolic BP in patients with apparent treatment-resistant hypertension; however, further controlled trials are required to strengthen supporting evidence.

scholarly journals Effectiveness of Catheter-Based Renal Denervation for Treatment Resistant Hypertension – Results of a Systematic Review and Meta-Analysis

2014 ◽  
Vol 17 (7) ◽  
pp. A757-A758 ◽  
Author(s):  
M. McBride ◽  
H. Krum ◽  
M. Schlaich ◽  
R. Whitbourn ◽  
T. Walton ◽  
...  
Keyword(s):  
Systematic Review ◽  
Resistant Hypertension ◽  
Renal Denervation ◽  
Meta Analysis ◽  
Treatment Resistant

scholarly journals Moderation of alcohol consumption as a recommendation in European hypertension management guidelines: a survey on awareness, screening and implementation among European physicians

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e022026 ◽  
Author(s):  
Laila Zaidi Touis ◽  
Juliane Bolbrinker ◽  
Thomas Günther Riemer ◽  
Reinhold Kreutz
Keyword(s):  
Alcohol Consumption ◽  
European Society ◽  
Resistant Hypertension ◽  
Alcohol Intake ◽  
German Society ◽  
Survey Study ◽  
Treatment Resistant ◽  
Cross Sectional Survey ◽  
Level Of Evidence ◽  
European Guidelines

ObjectivesModeration of alcohol consumption is included as a class I, level of evidence A recommendation in the current European guidelines for the management of hypertension. We investigated its awareness and self-reported implementation among European physicians across different specialties and workplaces.Design and settingA cross-sectional survey study conducted in two annual German meetings (German Society of Cardiology and the German Society of Internal Medicine) and two annual European meetings (European Society of Hypertension and European Society Cardiology) in 2015.Participants1064 physicians attending the European meetings were interviewed including 52.1% cardiologists, 29.2% internists and 8.8% general practitioners.Main outcome measuresPhysician screening of alcohol consumption, awareness and self-implementation of the recommendation of the current European guidelines about moderation of alcohol consumption for the management of hypertension.ResultsOverall, 81.9% of physicians reported to generally quantify alcohol consumption in patients with hypertension. However, only 28.6% and 14.5% of participants reported screening alcohol consumption in their patients with newly detected or treatment-resistant hypertension. Physicians recommended a maximum alcohol intake of 13.1±11.7 g/day for women (95% CI 12.3 to 13.8) and 19.9±15.6 g/day for men (95% CI 18.8 to 20.9). In case of moderate to high alcohol consumption, 10.3% would manage only hypertension without addressing alcohol consumption, while 3.7% of the physicians would do so in case of alcohol dependence (p<0.001).ConclusionsThe average amount of alcohol intake per day recommended by European physicians in this survey was in agreement with the guidelines. The low number of physicians that screen for alcohol consumption in patients with newly detected and with treatment-resistant hypertension indicates an important deficit in the management of hypertension.

Predicting the risk of apparent treatment-resistant hypertension: a longitudinal, cohort study in an urban hypertension referral clinic

2018 ◽  
Vol 12 (11) ◽  
pp. 809-817 ◽  
Author(s):  
Michael G. Buhnerkempe ◽  
Albert Botchway ◽  
Carlos E. Nolasco Morales ◽  
Vivek Prakash ◽  
Lowell Hedquist ◽  
...  
Keyword(s):  
Cohort Study ◽  
Resistant Hypertension ◽  
Longitudinal Cohort Study ◽  
Treatment Resistant ◽  
Longitudinal Cohort
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