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Resistant hypertension: epidemiology and risk factors

https://doi.org/10.20996/1819-6446-2016-12-4-459-464

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Abstract

Despite the possibilities of contemporary pharmacotherapy, more than 80% of hypertensive patients do not achieve target blood pressure levels. Besides the obvious reasons – poor adherence of patients to treatment and non-rational therapy, there are other objective risk factors of resistance. Three main modifiable causes of resistant hypertension, that are often underestimated, are considered: obesity, obstructive sleep apnea syndrome and primary hyperaldosteronism. Understanding these mechanisms of resistance and their diagnostic criteria can improve the results of resistant hypertension treatment.

About the Authors

I. E. Deneka
I.M. Sechenov First Moscow State Medical University
Russian Federation
Trubetskaya ul. 8-2, Moscow, 119991


A. A. Svetankova
I.M. Sechenov First Moscow State Medical University
Russian Federation
Trubetskaya ul. 8-2, Moscow, 119991


A. V. Rodionov
I.M. Sechenov First Moscow State Medical University
Russian Federation
Trubetskaya ul. 8-2, Moscow, 119991


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For citation:


Deneka I.E., Svetankova A.A., Rodionov A.V. Resistant hypertension: epidemiology and risk factors. Rational Pharmacotherapy in Cardiology. 2016;12(4):459-464. (In Russ.) https://doi.org/10.20996/1819-6446-2016-12-4-459-464

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