Resistant hypertension

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Resistant hypertension, defined as a persistent blood pressure over 140/90 mmHg despite the use of three antihypertensive agents including a diuretic, is unusual. The diagnosis requires ruling out initially pseudoresistance and a deficient compliance with treatment. Ambulatory blood pressure recordi...

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Autor principal: Bendersky, Mario
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2012
Materias:
Hipertensión arterial
Hypertension
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/21123
Aporte de:
Revistas de la UNC de Universidad Nacional de Córdoba
id I10-R10article-21123
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-10
container_title_str Revistas de la UNC
language Español
format Artículo revista
topic Hipertensión arterial
Hypertension
spellingShingle Hipertensión arterial
Hypertension
Bendersky, Mario
Resistant hypertension
topic_facet Hipertensión arterial
Hypertension
author Bendersky, Mario
author_facet Bendersky, Mario
author_sort Bendersky, Mario
title Resistant hypertension
title_short Resistant hypertension
title_full Resistant hypertension
title_fullStr Resistant hypertension
title_full_unstemmed Resistant hypertension
title_sort resistant hypertension
description Resistant hypertension, defined as a persistent blood pressure over 140/90 mmHg despite the use of three antihypertensive agents including a diuretic, is unusual. The diagnosis requires ruling out initially pseudoresistance and a deficient compliance with treatment. Ambulatory blood pressure recording allow the recognition of white coat hypertension. When there is a clinical or laboratory suspicion, secondary causes of hypertension should be discarded. Excessive salt intake, the presence of concomitant diseases such diabetes, chronic renal failure, obesity, and psychiatric conditions as panic attacks, anxiety and depression, should also be wanted. The presence of target organ damage requires a more aggressive treatment of hypertension. Recent clinical studies indicate that the administration of aldosterone antagonists as a fourth therapeutic line provides significant additional blood pressure reduction, when added to previous antihypertensive regimens in subjects with resistant hypertension.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2012
url https://revistas.unc.edu.ar/index.php/med/article/view/21123
work_keys_str_mv AT benderskymario resistanthypertension
AT benderskymario hipertensionarterialresistente
bdutipo_str Revistas
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