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 |
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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 |
Keywords
- Hypertension
- Renal denervation
- Treatment algorithm
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Medicine(all)