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15July, 2016

Interventional Management Of Resistant Hypertension

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  1. Stents no Benefit in Renal Artery Stenosis (Coral Trial 2013) – “Effective Medical Therapy should be the first line of treatment in patients with presumed Renovascular Hypertension”.  For patients who fail medical therapy or are unable to tolerate medical therapy, stenting remains a reasonable option.
  1. Approaches that target the Sympathetic Nervous System in Resistant Hypertension

 

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15July, 2016

Ambulatory & Home Blood Pressure Monitoring

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Some patients have pseudoresistant hypertension due to errors in blood pressure measurement or white coat hypertension. Resistant hypertension can only be distinguished from white coat hypertension by out of office blood pressure measurement.  This is best accomplished with 24-hour ambulatory monitoring, although home and workplace assessments can be utilized if one is confident that the blood pressure is being measured accurately. Ambulatory measurements should ideally be attained in all patients with resistant hypertension.

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