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Colegio de Medicos y Cirujanos República de Costa Rica
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2010, Number 594

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Rev Med Cos Cen 2010; 67 (594)

Hipertensión arterial del difícil manejo

Bolaños RH
Full text How to cite this article

Language: Spanish
References: 9
Page: 349-352
PDF size: 281.61 Kb.


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ABSTRACT

Resistant, or refractory, hypertension is defined by a blood pressure of at least 140/90 mm Hg or at least 130/80 mm Hg in patients with diabetes or renal disease (i.e., with a creatinine level of more than 1.5 mg per deciliter [133 µmol per liter] or urinary protein excretion of more than 300 mg over a 24-hour period), despite adherence to treatment with full doses of at least three antihypertensive medications, including a diuretic. Patients who have recently received a diagnosis of hypertension or who have not yet received treatment should not be considered to have resistant hypertension, regardless of their blood-pressure level.


REFERENCES

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  2. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on the Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003; 289:2560-72. [Erratum, JAMA 2003;290: 197.]

  3. Cuspidi C, Macca G, Sampieri L, et al. High prevalence of cardiac and extracardiac organ damage in refractory hypertension. J Hypertens 2001;19:2063-70.

  4. Graves JW, Bloomfild RL, Buckalew VM Jr. Plasma volume in resistant hypertension: guide to pathophysiology and therapy. Am J Med Sci 1989;298:361-5.

  5. Hajjar I, Kotchen TA. Trends in prevalence, awareness, treatment, and control of hypertension in the United States, 1988-2000. JAMA 2003;290:199-206.

  6. Hyman DJ, Pavlik VN. Characteristics of patients with uncontrolled hypertension in the United States. N Engl J Med 2001;345:479-86. [Erratum, N Engl J Med 2002;346:544.]

  7. Jee SH, He J, Whelton PK, Suh I, Klag MJ. The effect of chronic coffee drinking on blood pressure: a meta-analysis of controlled clinical trials. Hypertension 1999; 33:647-52.

  8. Moser Marvin, Setaro John. Resistant or Difficult to Control Hypertension. New England Journal of Medicine 2006; 355: 385-92.

  9. Setaro JF, Black HR. Refractory hypertension. N Engl J Med 1992;327:543-7. Omvik P. How smoking affects blood pressure. Blood Press 1996;5:71-7.




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C?MO CITAR (Vancouver)

Rev Med Cos Cen. 2010;67