Presentation
The patient was discharged and was lost to follow-up until he presented again in 2012 for 'resistant hypertension' in our outpatient clinic. [ncbi.nlm.nih.gov]
Entire Body System
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Fatigue
After the initial visit, the patient presented to the clinic with complaints of dizziness and fatigue and was found to be hypotensive. [ncbi.nlm.nih.gov]
He reports compliance with his medication regimen, and does not report any specific intolerances that he attributes to medications, but does note that he has a dry mouth, feels fatigued, and has excessive daytime sleepiness. Continue [clevelandclinicmeded.com]
As an aside, the fatigue and dry mouth were attributed to the β-blocker and the alpha 2 -agonist, supporting the adherence he claimed to his BP regimen. [cjasn.asnjournals.org]
Have your blood pressure and blood glucose levels tested regularly and see a kidney specialist if you experience fluid retention in your legs, ankles, feet or face; have unexplained fatigue, headache, nausea or vomiting. [mainlinehealth.org]
Martínez-Lavín, “Sympathetic nervous system dysfunction in fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome, and interstitial cystitis: a review of case-control studies.,” J. Clin. Rheumatol., vol. 20, no. 3, pp. 146–50, Apr. 2014. [acta.tums.ac.ir]
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Short Stature
A radial access was chosen because the patient was very obese and of short stature. [ncbi.nlm.nih.gov]
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Intermittent Claudication
Patients with intermittent claudication, stenosis of the major arteries of the legs in arteriography or Doppler ultrasound, presence of ulcers caused by atherosclerotic disease, revascularisation or amputation due to ischaemia were diagnosed of peripheral [revistanefrologia.com]
Gastrointestinal
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Nausea
Have your blood pressure and blood glucose levels tested regularly and see a kidney specialist if you experience fluid retention in your legs, ankles, feet or face; have unexplained fatigue, headache, nausea or vomiting. [mainlinehealth.org]
Symptoms of a hypertensive crisis may include severe chest pain and headache, blurred vision, nausea, anxiety and shortness of breath. The affected person might also be unresponsive or have seizures. [idorsia.com]
Cardiovascular
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Ejection Murmur
Physical exam revealed a systolic ejection murmur, and ECHO demonstrated moderate hypertrophy. [ncbi.nlm.nih.gov]
Psychiatrical
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Impulsivity
[…] to bilateral carotid sinus leads (CSLs). 26 Directional telemetry makes it possible to externally program the IPG, allowing adjustment of stimulation parameters. 26 These parameters include the amplitude of voltage and the frequency and duration of impulses [uscjournal.com]
Pulse and respiratory grouping of sympathetic impulses in human muscle-nerves. Acta Physiol Scand, 74 (1968), pp. 96-108 [13] M. Esler, G. Jackman, A. Bobik, et al. Determination of norepinephrine apparent release rate and clearance in humans. [revportcardiol.org]
Urogenital
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Prostatic Disease
Long-acting alpha-blockers such as doxazosin are particularly appealing in older men who may have prostate disease, unless they are already on prostate therapy with an alpha-blocker. [ncbi.nlm.nih.gov]
Neurologic
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Headache
We report the case of a 34-year-old male patient who presented with generalized weakness, poorly controlled hypertension, nocturnal hypertension spikes, and morning headaches. [ncbi.nlm.nih.gov]
Such actions may include: Skipping your medication : When you take an aspirin and your headache goes away, you know the aspirin is working. [hopkinsmedicine.org]
Workup
Diagnostic workup and management of resistant hypertension were discussed in different clinical presentations. [ncbi.nlm.nih.gov]
At baseline, clinical data were collected and patients underwent echocardiographic measurements, routine blood testing and additional workup for exclusion of secondary causes of RHT (office-based uncontrolled hypertension under at least 3 drugs including [onlinejacc.org]
In addition, this paper will attempt to provide a rational for the workup and treatment of patients with resistant hypertension. 2. [hindawi.com]
Serum
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Aldosterone Decreased
On administration of pioglitazone (30 mg/d) and nifedipine (40 mg/d), hypertension and hypokalemia improved and plasma aldosterone decreased for more than 6 months. [ncbi.nlm.nih.gov]
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Hyperaldosteronemia
Although it is the most used screening method in patients with suspected primary hyperaldosteronemia, given the low prevalence of this condition, the screening tests are reserved for those patients with resistant hypertension or hypertension associated [scielo.org.co]
Treatment
Our conclusion is that optimising medical treatment based on simple algorithms remains the state of the art in treatment-resistant hypertension. [ncbi.nlm.nih.gov]
Prognosis
CONCLUSIONS: ATRH entails a worse renal prognosis in T2D with hypertension. BP control is not associated with a more-favorable renal outcome in aTRH. [ncbi.nlm.nih.gov]
This article will describe how resistant hypertension is defined, its prevalence and prognosis, methods to diagnose it effectively in routine practice and strategies to effectively manage patients diagnosed with the condition. [heart.bmj.com]
Conclusions In treated hypertensive patients, among prospective RHT dynamic patterns, persistent RHT is frequent and independently associated with adverse cardiovascular prognosis. [onlinejacc.org]
Etiology
The etiology of resistance hypertension is multifactorial. [ncbi.nlm.nih.gov]
In the etiological study of hypertension, several analytical alterations were identified, and they are explained in table 1. [scielo.org.co]
SMASH-U: a proposal for etiologic classification of intracerebral hemorrhage. Stroke (2012) 43:2592–7. doi:10.1161/STROKEAHA.112.661603 PubMed Abstract CrossRef Full Text Google Scholar 5. [frontiersin.org]
Epidemiology
KEYWORDS: Epidemiology; pharmacology; resistant hypertension [ncbi.nlm.nih.gov]
Definitions of Resistant Hypertension and Epidemiology of Resistant Hypertension Ferro, Charles J. Pages 1-12 Definition and Characteristics of Hypertension Associated with Chronic Kidney Disease: Epidemiological Data Franczyk, Beata (et al.) [springer.com]
Pathophysiology
CONCLUSION: The renin-angiotensin-aldosterone system seems to play a cardinal role in the pathophysiology of resistant HT and requires appropriate management. [ncbi.nlm.nih.gov]
Prevention
The contribution of carotid baroreceptor feedback in preventing or potentially contributing to the essential hypertensive cascade is poorly understood. [ncbi.nlm.nih.gov]
Session Title: Prevention: Risk Predictors, Subclinical Atherosclerosis, and Resistent Hypertension Abstract Category: 21. Prevention: Hypertension Presentation Number: 1166M-363C 2014 American College of Cardiology Foundation [onlinejacc.org]