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Resistant Hypertension: Current Status, Future Challenges

Resistant hypertension in adolescents is increasing in frequency and is increasingly recognized as having significant short- and long-term health consequences. It may be seen in up to 30% of all hypertensive patients cared for. Adolescents with resistant hypertension are at higher cardiovascular (CV...

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Detalles Bibliográficos
Autores principales: Hajizadeh, Niloofar, Assadi, Farahnak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990922/
https://www.ncbi.nlm.nih.gov/pubmed/24791187
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author Hajizadeh, Niloofar
Assadi, Farahnak
author_facet Hajizadeh, Niloofar
Assadi, Farahnak
author_sort Hajizadeh, Niloofar
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description Resistant hypertension in adolescents is increasing in frequency and is increasingly recognized as having significant short- and long-term health consequences. It may be seen in up to 30% of all hypertensive patients cared for. Adolescents with resistant hypertension are at higher cardiovascular (CV) risk due to a long history of severe hypertension complicated by other CV risk factors such as obesity. Common causes of resistant hypertension include primary aldosteronism, sleep apnea, diabetes and chronic kidney disease. Careful blood pressure (BP) measurement and thorough evaluation of patients with sustained BP elevation should make a possible early diagnosis of resistant hypertension. Successful treatment requires identification and reversal of life-style factors contributing to treatment resistant and diagnosis and appropriate treatment of causes of hypertension. Improved pharmacologic therapies may offer the potential for preventing or at least ameliorating early CV disease. This review highlights these and other important issues in the evaluation and management of adolescents with resistant hypertension and provides practical guidance to the practitioners involved in caring for such patients.
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spelling pubmed-39909222014-05-01 Resistant Hypertension: Current Status, Future Challenges Hajizadeh, Niloofar Assadi, Farahnak Int J Prev Med Review Article Resistant hypertension in adolescents is increasing in frequency and is increasingly recognized as having significant short- and long-term health consequences. It may be seen in up to 30% of all hypertensive patients cared for. Adolescents with resistant hypertension are at higher cardiovascular (CV) risk due to a long history of severe hypertension complicated by other CV risk factors such as obesity. Common causes of resistant hypertension include primary aldosteronism, sleep apnea, diabetes and chronic kidney disease. Careful blood pressure (BP) measurement and thorough evaluation of patients with sustained BP elevation should make a possible early diagnosis of resistant hypertension. Successful treatment requires identification and reversal of life-style factors contributing to treatment resistant and diagnosis and appropriate treatment of causes of hypertension. Improved pharmacologic therapies may offer the potential for preventing or at least ameliorating early CV disease. This review highlights these and other important issues in the evaluation and management of adolescents with resistant hypertension and provides practical guidance to the practitioners involved in caring for such patients. Medknow Publications & Media Pvt Ltd 2014-03 /pmc/articles/PMC3990922/ /pubmed/24791187 Text en Copyright: © International Journal of Preventive Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Hajizadeh, Niloofar
Assadi, Farahnak
Resistant Hypertension: Current Status, Future Challenges
title Resistant Hypertension: Current Status, Future Challenges
title_full Resistant Hypertension: Current Status, Future Challenges
title_fullStr Resistant Hypertension: Current Status, Future Challenges
title_full_unstemmed Resistant Hypertension: Current Status, Future Challenges
title_short Resistant Hypertension: Current Status, Future Challenges
title_sort resistant hypertension: current status, future challenges
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990922/
https://www.ncbi.nlm.nih.gov/pubmed/24791187
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