Abstract
Although the blood pressure (BP) of many patients can be controlled using standard combinations, treatment of hypertension frequently represents a clinical challenge to the primary care physician. This article will review best practices for managing patients with easy- and difficult-to-treat hypertension, including preferred antihypertensive combinations, optimizing adherence and persistence, recognizing white-coat hypertension, and intensifying therapy for treatment-resistant patients. Each physician must decide based on his or her own level of experience at what point a patient becomes too challenging and would benefit from referral to a hypertension specialist for more intensive management and to complete the exclusion of secondary forms of arterial hypertension. With intensive pharmacotherapy, many patients with difficult-to-treat hypertension can achieve BP control. If it fails, interventional strategies (e.g., renal denervation) are a valid option to get BP controlled.
| Original language | English |
|---|---|
| Pages (from-to) | 17-22 |
| Number of pages | 6 |
| Journal | International Journal of Cardiology |
| Volume | 172 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Mar 1 2014 |
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Keywords
- Hypertension
- Renal denervation
- Treatment algorithm
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Medicine(all)
Cite this
A guide for easy- and difficult-to-treat hypertension. / Schmieder, Roland E.; Volpe, Massimo; Waeber, Bernard; Ruilope, Luis M.
In: International Journal of Cardiology, Vol. 172, No. 1, 01.03.2014, p. 17-22.Research output: Contribution to journal › Article
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TY - JOUR
T1 - A guide for easy- and difficult-to-treat hypertension
AU - Schmieder, Roland E.
AU - Volpe, Massimo
AU - Waeber, Bernard
AU - Ruilope, Luis M.
PY - 2014/3/1
Y1 - 2014/3/1
N2 - Although the blood pressure (BP) of many patients can be controlled using standard combinations, treatment of hypertension frequently represents a clinical challenge to the primary care physician. This article will review best practices for managing patients with easy- and difficult-to-treat hypertension, including preferred antihypertensive combinations, optimizing adherence and persistence, recognizing white-coat hypertension, and intensifying therapy for treatment-resistant patients. Each physician must decide based on his or her own level of experience at what point a patient becomes too challenging and would benefit from referral to a hypertension specialist for more intensive management and to complete the exclusion of secondary forms of arterial hypertension. With intensive pharmacotherapy, many patients with difficult-to-treat hypertension can achieve BP control. If it fails, interventional strategies (e.g., renal denervation) are a valid option to get BP controlled.
AB - Although the blood pressure (BP) of many patients can be controlled using standard combinations, treatment of hypertension frequently represents a clinical challenge to the primary care physician. This article will review best practices for managing patients with easy- and difficult-to-treat hypertension, including preferred antihypertensive combinations, optimizing adherence and persistence, recognizing white-coat hypertension, and intensifying therapy for treatment-resistant patients. Each physician must decide based on his or her own level of experience at what point a patient becomes too challenging and would benefit from referral to a hypertension specialist for more intensive management and to complete the exclusion of secondary forms of arterial hypertension. With intensive pharmacotherapy, many patients with difficult-to-treat hypertension can achieve BP control. If it fails, interventional strategies (e.g., renal denervation) are a valid option to get BP controlled.
KW - Hypertension
KW - Renal denervation
KW - Treatment algorithm
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U2 - 10.1016/j.ijcard.2013.12.125
DO - 10.1016/j.ijcard.2013.12.125
M3 - Article
C2 - 24456885
AN - SCOPUS:84894085155
VL - 172
SP - 17
EP - 22
JO - International Journal of Cardiology
JF - International Journal of Cardiology
SN - 0167-5273
IS - 1
ER -