Diagnosis and Management of Resistant Hypertension: A Case Report

Zhen-Yu Zhang; Wen-Yi Yang; Anna F. Dominiczak; Ji-Guang Wang; Ying Wu; Bader Almustafa; Siew Mooi Ching; Yan Li; Varahabhatla Vamsi; Michael Bursztyn; Qiuyan Dai; Shaowen Liu; Jan A. Staessen

doi:10.1161/HYPERTENSIONAHA.119.13206

Diagnosis and Management of Resistant Hypertension: A Case Report

Zhen-Yu Zhang^*, Wen-Yi Yang, Anna F. Dominiczak, Ji-Guang Wang, Ying Wu, Bader Almustafa, Siew Mooi Ching, Yan Li, Varahabhatla Vamsi, Michael Bursztyn, Qiuyan Dai, Shaowen Liu, Jan A. Staessen

^*Corresponding author for this work

Carim - Hypertension and target organ damage

Research output: Contribution to journal › Editorial › Academic › peer-review

Abstract

We described the diagnostic workup and management of an obese patient with resistant hypertension, who was hospitalized for heart failure. The case was complicated by comorbidities such as diabetes mellitus. After the exclusion of pseudohypertension, renal denervation was the final treatment option. Within 1 year, the procedure led to control of blood pressure on just 2 antihypertensive agents and to normalization of the structure and function of the left ventricle. Reduction of the body mass index also contributed to maintaining a healthy condition of up to 6 years after the surgical procedure.

Original language	English
Pages (from-to)	1064-1067
Number of pages	4
Journal	Hypertension
Volume	74
Issue number	5
DOIs	https://doi.org/10.1161/HYPERTENSIONAHA.119.13206
Publication status	Published - Nov 2019

Keywords

RENAL DENERVATION
MEDICATION
ADHERENCE

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10.1161/HYPERTENSIONAHA.119.13206Licence: CC BY-NC-ND

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@article{c906555dd9284e1aa745589c6ab46a6f,

title = "Diagnosis and Management of Resistant Hypertension: A Case Report",

abstract = "We described the diagnostic workup and management of an obese patient with resistant hypertension, who was hospitalized for heart failure. The case was complicated by comorbidities such as diabetes mellitus. After the exclusion of pseudohypertension, renal denervation was the final treatment option. Within 1 year, the procedure led to control of blood pressure on just 2 antihypertensive agents and to normalization of the structure and function of the left ventricle. Reduction of the body mass index also contributed to maintaining a healthy condition of up to 6 years after the surgical procedure.",

keywords = "RENAL DENERVATION, MEDICATION, ADHERENCE",

author = "Zhen-Yu Zhang and Wen-Yi Yang and Dominiczak, {Anna F.} and Ji-Guang Wang and Ying Wu and Bader Almustafa and Ching, {Siew Mooi} and Yan Li and Varahabhatla Vamsi and Michael Bursztyn and Qiuyan Dai and Shaowen Liu and Staessen, {Jan A.}",

note = "Publisher Copyright: {\textcopyright} 2019 American Heart Association, Inc.",

year = "2019",

month = nov,

doi = "10.1161/HYPERTENSIONAHA.119.13206",

language = "English",

volume = "74",

pages = "1064--1067",

journal = "Hypertension",

issn = "0194-911X",

publisher = "Lippincott Williams & Wilkins",

number = "5",

}

TY - JOUR

T1 - Diagnosis and Management of Resistant Hypertension

T2 - A Case Report

AU - Zhang, Zhen-Yu

AU - Yang, Wen-Yi

AU - Dominiczak, Anna F.

AU - Wang, Ji-Guang

AU - Wu, Ying

AU - Almustafa, Bader

AU - Ching, Siew Mooi

AU - Li, Yan

AU - Vamsi, Varahabhatla

AU - Bursztyn, Michael

AU - Dai, Qiuyan

AU - Liu, Shaowen

AU - Staessen, Jan A.

PY - 2019/11

Y1 - 2019/11

N2 - We described the diagnostic workup and management of an obese patient with resistant hypertension, who was hospitalized for heart failure. The case was complicated by comorbidities such as diabetes mellitus. After the exclusion of pseudohypertension, renal denervation was the final treatment option. Within 1 year, the procedure led to control of blood pressure on just 2 antihypertensive agents and to normalization of the structure and function of the left ventricle. Reduction of the body mass index also contributed to maintaining a healthy condition of up to 6 years after the surgical procedure.

AB - We described the diagnostic workup and management of an obese patient with resistant hypertension, who was hospitalized for heart failure. The case was complicated by comorbidities such as diabetes mellitus. After the exclusion of pseudohypertension, renal denervation was the final treatment option. Within 1 year, the procedure led to control of blood pressure on just 2 antihypertensive agents and to normalization of the structure and function of the left ventricle. Reduction of the body mass index also contributed to maintaining a healthy condition of up to 6 years after the surgical procedure.

KW - RENAL DENERVATION

KW - MEDICATION

KW - ADHERENCE

U2 - 10.1161/HYPERTENSIONAHA.119.13206

DO - 10.1161/HYPERTENSIONAHA.119.13206

M3 - Editorial

C2 - 31422692

SN - 0194-911X

VL - 74

SP - 1064

EP - 1067

JO - Hypertension

JF - Hypertension

IS - 5

ER -

Diagnosis and Management of Resistant Hypertension: A Case Report

Abstract

Keywords

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