[en] The management of arterial hypertension, a well known silent killer, is still a challenge for physicians fighting for an optimal control of blood pressure values. The problem is even more complex when, after a good response, the control of blood pressure becomes again worse.
Our case record underscores the different steps allowing to increase the efficacy of blood pressure management in such secondary resistant form of hypertension. [fr] La prise en charge de l’hypertension artérielle, ce tueur silencieux bien connu, reste un défi quotidien pour les médecins en quête d’un contrôle optimal des valeurs tensionnelles.
Le problème est, par ailleurs, encore plus compliqué quand, après une phase de bonne réponse, ce contrôle se déstabilise.
L’histoire médicale rapportée souligne les différentes étapes à suivre pour améliorer l’efficacité de la prise en charge face à ces formes d’hypertension artérielle devenues secondairement
résistantes.
Disciplines :
Urology & nephrology
Author, co-author :
Krzesinski, Jean-Marie ; Université de Liège - ULiège > Département des sciences cliniques > Néphrologie
Language :
French
Title :
La vignette thérapeutique de l'étudiant - Comment gérer une hypertension artérielle qui devient résistante?
Alternative titles :
[fr] How to manage an arterial hypertension resistant to drug treatment
Krzesinski J M.-Epidémiologic de l'hypertension arterielle. Rev Med Liège, 2002, 57, 142-147.
Krzesinski J M, Xhignesse P.-Nouvelles directives en 2007 pour la prise en charge de l'hypertension artérielle. Rev Med Liège, 2007, 62, 566-574.
Krzesinski F, Krzesinski JM.-Pourquoi et comment faire mesurer correctement la pression artérielle par le patient. Rev Med Liege, 2009, 64, (sous presse).
Scheen AJ.-Comment j'explore... Le risque cardio-vasculaire absolu à 10 ans : de Framingham 1998 à SCORE 2003. Rev Med Liège, 2004, 59, 460-466.
Krzesinski JM.-Comment j'explore... une hypertension resistante. Rev Med Liege, 2002, 57, 475-478.
Scheen AJ.-La non-observance thérapeutique : problème majeur pour la prévention des maladies cardio-vasculaires. Rev Med Liège, 1999, 54, 914-920.
Lane DA, Shah S, Beevers D G.-Low dose spirono-lactone in the management of resistant hypertension : a surveillance study. J Hypertens, 2007, 25, 891-894.
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