Resistant hypertension: an approach to management in primary care

Abstract

Hypertension is widely encountered in family medicine. Despite its prevalence, many patients have uncontrolled or difficult-to-control blood pressure. Resistant hypertension is defined as hypertension that is poorly responsive to treatment and requires the use of multiple medications to achieve acceptable blood pressure ranges. It may be a consequence of secondary hypertension or have no identifiable cause. Resistant hypertension is important to recognise because it places patients at risk of end-organ damage. Primary care physicians should be aware of the therapeutic approach for hypertension when traditional therapy fails. This article aims to familiarise readers with the evaluation and management of resistant hypertension by outlining the most recent evidence-based treatment options.

Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure

“…To effectively manage or control elevated BP, clinicians will require easy and valid tools to assess patients’ HTN self-care activities to provide appropriate recommendations and reach treatment goals. Moreover, patients with Stage 1 or Stage 2 HTN also need to focus on self-care behaviors in addition to antihypertensive medication adherence as medication alone (even when taken appropriately) is insufficient for BP control in many cases (Yaxley & Thambar, 2015).…”

High Intensity Focused Ultrasound: Terapi Non-Invasif Efektif untuk Hipertensi Resisten

“…15 Oleh karena itu sangat penting untuk menjaga tekanan darah pasien hipertensi resisten agar tidak terjadi kerusakan organ atau komplikasi lainnya. 21 Pendekatan tradisional berupa manajemen farmakologi seringkali gagal menjaga tekanan darah pasien hipertensi resisten sehingga diperlukan pendekatan terapi lain, salah satunya satunya menggunakan Renal Denervation (RDN…”

Analysis of the reasons for the lack of adherence to treatment and methods of their correction in patients with resistant and pseudoresistant arterial hypertension in family doctor practice

“…Всі фактори, які обумовлюють низьку прихильність до лікування, можуть бути розподілені на фактори пов'язані з пацієнтом і пов'язані з лікарем [4]. При цьому, переконливо доведено, що низька прихильність до антигіпертензивної терапії є основною причиною несприятливих серцево-судинних подій, викликаних неконтрольованим високим артеріальним тиском [5,6].…”