Atef Elbahry
Port Fouad Hospital –Port-Said, Egypt
Title: Resistant hypertension: what do we need to know?
Biography
Biography: Atef Elbahry
Abstract
Resistant hypertension is a condition with difficult clinical management & high cardiovascular risk. Treatment or true resistant hypertension is a diagnosis of exclusion requiring a systemic approach to evaluation & management . The first step in the diagnosis of true resistant hypertension is the exclusion of causes of pseudo-resistance hypertension. Most epidemiological studies evaluating the prognosis of true resistance hypertension have limitations such as lack of uniformity in definitions & informations on drugs used , inclusion cases of pseudo-resistant hypertension as well as insufficient follow up time & exclusion of young people. New defintion is needed & definition should have global standards. Successful treatment requires identification and reversal of lifestyle factors contributing to treatment resistance . Recomendations for pharmacological treatment of true resistant hypertension remain largely empiric due to the lack of systemic assessments of 3 or 4 drugs combinations. Expanding our understanding of the causes of true resistant hypertenstion & therapy potentially allowing for more effective prevention &/or treatment will be essential to improve the long term clinical management of this disorder.
