Resistant hypertension: focus on vascular lesions

Author:

Litvinova M. S.1ORCID,Khaisheva L. A.2ORCID,Shlyk S. V.2ORCID

Affiliation:

1. Rostov State Medical University; Clinical and Diagnostic Center «Health»

2. Rostov State Medical University

Abstract

The concept of resistant arterial hypertension was introduced many years ago and confirmed in the updated scientific statement of the American Heart Association (AHA) 2018 and the latest recommendations of the European Society of Cardiology (ESC) 2018. Special attention to this group of patients is due to the high risk of adverse outcomes compared with controlled hypertension. In this review, we want to highlight not only the difficulties in identifying, assessing and optimizing therapy for patients with RH, but to a greater extent focus on the main mechanisms of the formation of true resistance, their identification and the search for the optimal path of action.

Publisher

Rostov State Medical University

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