Benefits from Treatment and Control of Patients with Resistant Hypertension

Autor: Michael Doumas, Vasilios Papademetriou, Stella Douma, Charles Faselis, Konstantinos Tsioufis, Eugene Gkaliagkousi, Konstantinos Petidis, Chrysanthos Zamboulis
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: International Journal of Hypertension, Vol 2011 (2011)
Druh dokumentu: article
ISSN: 2090-0392
DOI: 10.4061/2011/318549
Popis: Resistant hypertension is commonly found in everyday clinical practice. However, the risks of resistant hypertension, as well as the benefits of treatment and control of blood pressure in patients with resistant hypertension remain vaguely clarified. Data from small clinical studies and observational cohorts suggest that patients with resistant hypertension are at increased cardiovascular risk, while control of blood pressure offers substantial benefits. It has to be noted however that data from appropriate large randomized studies are missing, and resistant hypertension remains remarkably understudied. Resistant hypertension has attracted significant scientific interest lately, as new therapeutic modalities become available. The interventional management of resistant hypertension either by carotid baroreceptor stimulation or renal sympathetic denervation is currently under investigation with promising preliminary results. This review presents available evidence regarding the benefits of treatment and control of blood pressure in patients with resistant hypertension and offers a critical evaluation of existing data in this field.
Databáze: Directory of Open Access Journals