ANTIHIPERTENSIVOS CALCIOANTAGONISTAS PDF

Vague J. The degree of masculine differentiation of obesities: a factor determining predisposition to diabetes, atherosclerosis, gout and uric calculus disease. Role of insulin resistance in human disease. Diabetes ; Hipertension and insulin resistance.

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Resistant hypertension is defined as blood pressure that remains above target in spite of using three optimally dosed antihypertensive drugs of different classes, and one of the three drugs should be a diuretic. Patients whose blood pressure is controlled but requiring 4 or more drugs are also considered as resistant to treatment.

The best available evidence supports the use of low dose spironolactone as the preferred fourth antihypertensive drug if the patient's blood potassium level is low. With higher blood potassium levels, intensification of thiazide-like diuretic therapy should be considered. Renal sympathetic denervation therapy, as a device based intervention, could potentially stimulate a paradigm shift in the management of resistant hypertension.

Key words: Hypertension, diuretics, cardiovascular system, Cardiovascular Agents. Ver Tabla 1 y Tabla 2 World Health Organization. Geneva: World Health Organization Press; Roger VL et al.

Heart disease and stroke statistics update: a report from the American Heart Association. Circulation ;ee Wolf-Maier K et al. Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. JAMA ; Outcome beyond blood pressure control? Eur Heart J ; Chobanian AV,et al. Mancia G. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens ; Mancia G et al.

The task force for the management of arterial hypertension of the European Society of H, The task force for the management of arterial hypertension of the European Society of C. Resistant hypertension: an overview of evaluation and treatment. J Am Coll Cardiol; Calhoun DAet al. Resistant hypertension: diagnosis, evaluation, and treatment: a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research.

Circulation ;e Eur Heart J. Three-year follow-up and event rates in the international REduction of Atherothrombosis for Continued Health Registry. Persell SD. Prevalence of resistant hypertension in the United States, Hypertension ; Daugherty SL et al. Incidence and prognosis of resistant hypertension in hypertensive patients.

Circulation ; Clinical features of patients with resistant hypertension classified on the basis of ambulatory blood pressure monitoring. Uncontrolled and apparent treatment resistant hypertension in the United States, The association between medication adherence and treatment intensification with blood pressure control in resistant hypertension.

ValavikJ et al. Gaddam KK et al. Characterization of resistant hypertension: association between resistant hypertension, aldosterone, and persistent intravascular volume expansion. Arch Intern Med. Bobrie G et al. Sequential nephron blockade versus sequential renin-angiotensin system blockade in resistant hypertension: a prospective, randomized, open blinded endpoint study.

J Hypertens. Di Bona GF et al. Neural control of the kidney: past, present, and future. New therapeutic approaches to resistant hypertension. Curr Hypertens Rep; Krum H et al. Catheter-based renal sympathetic denervation for resistant hypertension: a multicentre safety and proof-of- principle cohort study. Esler MD et al. Renal sympathetic denervation for treatment of drug-resistant hypertension: one-year results from the Symplicity HTN-2 randomized, controlled trial.

Catheter-based renal denervation for the treatment of patients with drug-resistant hypertension: EnligHTN 1: three-month data of a first in man study using a multi-electrode radiofrequency ablation catheter. Hering D et al. Substantial reduction in single sympathetic nerve firing after renal denervation in patients with resistant hypertension. Brinkman J et al.

Lambert GW et al. Bisognano JD,et al. Baroreflex activation therapy lowers blood pressure in patients with resistant hypertension: results from the double-blind, randomized, placebo-controlled rheos pivotal trial. J Am Coll Cardiol ; Servicios Personalizados Revista.

Citado por SciELO. Similares en SciELO. DeSC SUMMARY Resistant hypertension is defined as blood pressure that remains above target in spite of using three optimally dosed antihypertensive drugs of different classes, and one of the three drugs should be a diuretic. Renal sympathetic denervation therapy, as a device based intervention, could potentially stimulate a paradigm shift in the management of resistant hypertension Key words: Hypertension, diuretics, cardiovascular system, Cardiovascular Agents.

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