A guide for easy- and difficult-to-treat hypertension

Schmieder R, Volpe M, Waeber B, Ruilope LM (2014)

Publication Type: Journal article

Publication year: 2014

Journal

International Journal of Cardiology Elsevier

Book Volume: 172

Pages Range: 17-22

Journal Issue: 1

DOI: 10.1016/j.ijcard.2013.12.125

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.

Authors with CRIS profile

Roland Schmieder Professur für Innere Medizin (Nephrologie)

Involved external institutions

Università degli studi "La Sapienza" IT Italy (IT) Lausanne University Hospital / Centre hospitalier universitaire vaudois (CHUV) CH Switzerland (CH) Hospital Universitario 12 de Octubre ES Spain (ES)

How to cite

APA:

Schmieder, R., Volpe, M., Waeber, B., & Ruilope, L.M. (2014). A guide for easy- and difficult-to-treat hypertension. International Journal of Cardiology, 172(1), 17-22. https://doi.org/10.1016/j.ijcard.2013.12.125

MLA:

Schmieder, Roland, et al. "A guide for easy- and difficult-to-treat hypertension." International Journal of Cardiology 172.1 (2014): 17-22.

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