دورية أكاديمية
[Refractory hypertension: diagnosis and treatment optimization].
| العنوان: | [Refractory hypertension: diagnosis and treatment optimization]. |
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| المؤلفون: | Fursov AN, Chernetsov VA, Chernov SA, Potekhin NP, Sokolianskiĭ NV, Zakharova EG, Liapkova NB |
| المصدر: | Voenno-meditsinskii zhurnal [Voen Med Zh] 2014 May; Vol. 335 (5), pp. 22-5. |
| نوع المنشور: | English Abstract; Journal Article; Review |
| اللغة: | Russian |
| بيانات الدورية: | Publisher: Krasnai︠a︡ zvezda Country of Publication: Russia (Federation) NLM ID: 2984871R Publication Model: Print Cited Medium: Print ISSN: 0026-9050 (Print) Linking ISSN: 00269050 NLM ISO Abbreviation: Voen Med Zh Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Moskva : Krasnai︠a︡ zvezda Original Publication: Moskva : Gos. izd-vo med. lit-ry |
| مواضيع طبية MeSH: | Algorithms*, Antihypertensive Agents/*therapeutic use , Hypertension/*diagnosis , Hypertension/*drug therapy, Humans ; Hypertension/blood ; Hypertension/pathology ; Hypertension/physiopathology ; International Normalized Ratio ; Kidney/innervation ; Kidney/metabolism ; Kidney/pathology ; Kidney/physiopathology ; Sympathetic Nervous System/metabolism ; Sympathetic Nervous System/pathology ; Sympathetic Nervous System/physiopathology |
| مستخلص: | Resistant hypertension occurs in up to 15% of patients with arterial hypertension in Russia. Medical treatment of resistant hypertension must include minimum 3 medications with maximum or maximum tolerated doses besides one of the medications must be diuretic. According to department of arterial hypertension of the Burdenko Main Military Clinical Hospital to achieve the target levels of arterial blood pressure it was necessary to prescribe 4-5 components antihypertension therapy in patients. Authors suggested an algorithm of diagnosis and treatment of patients with resistant hypertension with the help of surgical method. This method is based on decreasing of sympathic nervous system activity by selective break of neuronal connections with the help of interventional intravascular radio-wave ablation. Endovascular renal sympathetic denervation allows to effectively control arterial blood pressure, to optimize antihypertensive therapy, but this method does not cure from arterial hypertension. |
| المشرفين على المادة: | 0 (Antihypertensive Agents) |
| تواريخ الأحداث: | Date Created: 20141008 Date Completed: 20141121 Latest Revision: 20141007 |
| رمز التحديث: | 20231215 |
| PMID: | 25286559 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0026-9050 |
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