Clinical Management of Resistant Hypertension

Veglio, Franco; Mancia, Giuseppe; Volpe, Massimo

doi:10.1007/s40292-013-0022-3

Cited by 9 publications

(1 citation statement)

References 29 publications

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“…Hypertension is elevated blood pressure above 140mmHg systolic and 90 mmHg diastolic (Veglio et al, 2013;Kilic et al, 2016). Uncontrolled blood pressure levels result from patients having persistently high blood pressure values beyond the 140mmHg systolic and 90 mmHg diastolic despite being on medication (MOH, 2016).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Control of Blood Pressure Levels Among Hypertensive Adult Patients in Selected Hospitals, Kakamega County, Kenya

Ng'ambwa

Okoth

Sum

2021

JHMN

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Purpose: The study aimed to investigate the factors influencing blood pressure levels in hypertensive adult patients in Kenya's Kakamega County. The specific objectives were as follows: to assess patient factors that influence blood pressure levels among hypertensive adult patients in Kakamega County, examine health-care provider factors that influence blood pressure levels in hypertensive adult patients; determine institutional factors that influence blood pressure levels in hypertensive adult patients in Kakamega County based on the clinical recommendations for cardiovascular disease management from 2018. Methodology: The researcher used a cross-sectional analytical study design. Patients and health care providers were requested to sign a written consent before data was collected using a questionnaire and an observation checklist. Quantitative data were evaluated using descriptive and inferential statistics, statistical package for social sciences version 22, with a statistically significant p-value of 0.05. The strength of the relationship between the variables and the patient's blood pressure level was tested using multiple regression. Findings: The findings showed that the number of years a patient was told he or she had hypertension patient sensitization about the disease (p = 0.04), the patient's BMI (p = 0.01), BP stability at the time of admission (0.0001), having a treatment supporter to advise the patient when to take medications (0.04). The health care provider's age group and knowledge about the disease (p = 0.02) was all separately correlated with blood pressure control. According to the current analysis, in Kakamega County, being a male without adequate patient sensitization about the hypertension disease made patients to be more likely to have uncontrolled blood pressure levels. Unique contribution to theory, practice and policy: The study recommends a model that combines patient and health-care system variables emphasizing on patient sensitization about the hypertension disease, modifiable and modifiable risk factors should be created in attempt to have blood pressure controlled.

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Section: Introductionmentioning

confidence: 99%

Factors Influencing Control of Blood Pressure Levels Among Hypertensive Adult Patients in Selected Hospitals, Kakamega County, Kenya

Ng'ambwa

Okoth

Sum

2021

JHMN

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National Survey on Excellence Centers and Reference Centers for Hypertension Diagnosis and Treatment: Geographical Distribution, Medical Facilities and Diagnostic Opportunities

Luca

Sarzani

Ambrosioni

et al. 2013

High Blood Press Cardiovasc Prev

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Essential hypertension is a complex clinical condition, characterized by multiple and concomitant abnormal activation of different regulatory and contraregulatory pathophysiological mechanisms, leading to sustained increase of blood pressure (BP) levels. Asymptomatic rise of BP may, indeed, promote development and progression of hypertension-related organ damage, which in turn, increases the risk of major cardiovascular and cerebrovascular events. A progressive and independent relationship has been demonstrated between high BP levels and increased cardiovascular risk, even in the high-tonormal range. Conversely, evidence from randomized controlled clinical trials have independently shown that lowering BP to the recommended targets reduces individual cardiovascular risk, thus improving event-free survival and reducing the incidence of hypertension-related cardiovascular events. Despite these benefits, overall rates of BP control remain poor, worldwide. Currently available guidelines support a substantial equivalence amongst various antihypertensive drug classes. However, several studies have also reported clinically relevant differences among antihypertensive drugs, in terms of both BP lowering efficacy and tolerability/safety profile. These differences should be taken into account not only when adopting first-line antihypertensive therapy, but also when titrating or modulating combination therapies, with the aim of achieving effective and sustained BP control. This review will briefly describe evidence supporting the use of dihydropyridinic calcium channel blockers for the clinical management of hypertension, with a particular focus on barnidipine. Indeed, this drug has been demonstrated to be effective, safe and well tolerated in lowering BP levels and in reducing hypertension-related organ damage, thus showing a potential key role for improving the clinical management of hypertension.

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National Cross-Sectional Survey on Blood Pressure: A Gateway to a Better Appraisal of Hypertension in the Young

Volpe

Borghi

2016

High Blood Press Cardiovasc Prev

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Clinical Management of Resistant Hypertension

Cited by 9 publications

References 29 publications

Factors Influencing Control of Blood Pressure Levels Among Hypertensive Adult Patients in Selected Hospitals, Kakamega County, Kenya

Factors Influencing Control of Blood Pressure Levels Among Hypertensive Adult Patients in Selected Hospitals, Kakamega County, Kenya

National Survey on Excellence Centers and Reference Centers for Hypertension Diagnosis and Treatment: Geographical Distribution, Medical Facilities and Diagnostic Opportunities

National Cross-Sectional Survey on Blood Pressure: A Gateway to a Better Appraisal of Hypertension in the Young

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