EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

A REVIEW ON COMMON SECONDARY ANTECEDENTS OF RESISTANT HYPERTENSION AND ITS MANAGEMENT

*Haritha Peruvankuzhiyil, Nasiya N., Jerrin Jose K., Dr. Shijikumar P. S. and Dr. Sirajudheen M. K.

ABSTRACT

Hypertension is a state in which the force of the blood against the artery walls is too high usually 140/90, and is considered severe if the pressure is above 180/120. Hypertension becomes resistant due to uncontrolled blood pressure despite the use of three antihypertensive drugs, including a diuretic, in optimal doses. The most common antecedents or causes of resistant hypertensions are poor patient adherence, physician inertia, inadequate doses, excess alcohol intake, and incorrect combination of antihypertensive drugs. Patient whose blood pressure is controlled but require 4 or more medication to do so should also be considered resistant to the treatment. The secondary forms of resistant are endocrine disorders, renal disease, neurological disorders, chronic kidney disease, acute stress, drug induced hypertension, obstructive sleep apnea and primary aldosteronism. Most commonly it is found in the patients having chronic kidney disease and cardiovascular disease. The management of resistant hypertension includes the evaluation for secondary causes of hypertension, pharmacological management of resistant hypertension, newer drugs for the management of resistant hypertension, interventional management of resistant hypertension, reduction of dietary sodium intake, exclusion of drugs induced hypertension and verification of true resistant hypertension. This review mainly aimed at the common secondary antecedents of resistant hypertension and its management.

Keywords: Resistant hypertension, obstructive sleep apnea, aldosteronism, secondary causes.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia