By Massimo Salvetti (auth.)
This publication is designed to help physicians within the daily administration of hypertensive sufferers, with a selected concentrate on difficult-to-treat and resistant high blood pressure. the chosen scientific situations are consultant of the sufferers who're visible within the “real world”, instead of infrequent medical circumstances, and supply examples of administration in line with present foreign directions. The eventualities thought of contain not just situations within which arterial high blood pressure is really resistant but in addition cases of pseudo-resistant high blood pressure, together with instances within which resistance is said to comorbidities, concomitant remedies, or using medicines. the last word aim is to supply paradigmatic examples of evidence-based methods to difficult-to-treat sufferers that might support physicians to pick the main acceptable diagnostic instruments and evidence-based remedy approach for every person patient.
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Extra info for Resistant Hypertension
Sample text
One month before the visit, he had started also atenolol (50 mg OD initially, subsequently increased to 50 mg in the morning + 50 mg in the evening). The patient was substantially asymptomatic, but, during the last weeks, the sudden death of a friend had focused his attention on BP values, after a long period in which he had almost ignored the problem. In a recent visit at the office of the medical practitioner, the recorded values were around 160/100 mmHg. Previous diseases are tibial plateau fracture and laparoscopic cholecystectomy; there are no other known cardiovascular risk factors, associated clinical conditions or non-cardiovascular diseases.
6) led to severe, treatment-resistant hypertension. In ancient times Egyptians, Babylonians, Greeks, Romans, Brahmans of India and Chinese used liquorice for medical purposes (Hippocrates used liquorice to heal wounds and sore throats) as well as for its pleasant taste. It is derived from the root of Glycyrrhiza, a genus of about 18 species in the legume family of Fabaceae (Fig. 7). 7 Glycyrrhiza glabra (AME), a rare genetic form of severe hypertension [4, 5]. Therefore, the clinical picture may resemble that of AME: including hypertension, muscle weakness, hypokalaemia, low plasma renin activity and low plasma aldosterone levels or some combination of the above.
Aorta: tricuspid valve, normal dimensions (Fig. 4). – Mild mitral and tricuspid regurgitation were observed (+). Pulmonary artery systolic pressure 24 mmHg. 24 Clinical Case 2. 5 (a, b) Carotid artery ultrasound. CC, common carotid; BIF, carotid bifurcation; ICA, internal carotid artery; ECA, external carotid artery Ultrasound Evaluation of the Carotid Arteries Normal intima media thickness at the level of the common carotid artery, of the bifurcation and internal carotid arteries, bilaterally.