Russian Medical Society for Arterial Hypertension expert consensus. Resistant hypertension: detection and management

被引：1

作者：

Aksenova, Anna, V ^{[1
]}

Sivakova, Olga A. ^{[1
]}

Blinova, Nataliia, V ^{[1
]}

Danilov, Nikolai M. ^{[1
]}

Elfimova, Evgeniia M. ^{[1
]}

Kisliak, Oksana A. ^{[2
]}

Litvin, Aleksandr Yu ^{[1
,2
]}

Oshchepkova, Elena, V ^{[1
]}

Fomin, Victor V. ^{[3
]}

Chikhladze, Novella M. ^{[1
]}

Shelkova, Galina, V ^{[1
]}

Chazova, Irina E. ^{[1
]}

机构：

[1] Natl Med Res Ctr Cardiol, Moscow, Russia

[2] Pirogov Russian Natl Res Med Univ, Moscow, Russia

[3] Sechenov First Moscow State Med Univ, Sechenov Univ, Moscow, Russia

来源：

TERAPEVTICHESKII ARKHIV | 2021年 / 93卷 / 09期

关键词：

resistant arterial hypertension; non-adherence to therapy; treatment; secondary forms; radiofrequency denervation; OBSTRUCTIVE SLEEP-APNEA; CHRONIC KIDNEY-DISEASE; HIGH BLOOD-PRESSURE; CARDIOVASCULAR-DISEASE; AMERICAN-COLLEGE; RANDOMIZED-TRIAL; RISK-FACTORS; STATEMENT; ASSOCIATION; DENERVATION;

D O I：

10.26442/00403660.2021.09.201007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The diagnosis of resistant arterial hypertension allows us to single out a separate group of patients in whom it is necessary to use special diagnostic methods and approaches to treatment. Elimination of reversible factors leading to the development of resistant arterial hypertension, such as non-adherence to therapy, inappropriate therapy, secondary forms of arterial hypertension, leads to an improvement in the patient's prognosis. Most patients with resistant hypertension should be evaluated to rule out primary aldosteronism, renal artery stenosis, chronic kidney disease, and obstructive sleep apnea. The algorithm for examining patients, recommendations for lifestyle changes and a step-by-step therapy plan can improve blood pressure control. It is optative to use the most simplified treatment regimen and long-acting combined drugs. For a separate category of patients, it is advisable to perform radiofrequency denervation of the renal arteries.

引用

页码：1018 / 1029

页数：12

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[24] The 2020 Italian Society of Arterial Hypertension (SIIA) practical guidelines for the management of primary aldosteronism [J].

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