POINT: Should Sleep Studies Be Performed for All Patients With Poorly Controlled Hypertension? Yes

Chest: The Journal of Circulation, Respiration and Related Systems

Luciano F. Drager^1,2¹  Geraldo Lorenzi-Filho^3² 

[1] Hypertension Unit, Heart Institute (InCor), University of São Paulo^1;Hypertension Unit, Renal Division, University of São Paulo^2;Sleep Laboratory, Pulmonary Division, Heart Institute (InCor), University of São Paulo^3

关键词: DBP;    diastolic BP;    ITT;    intention-to-treat;    RCT;    randomized controlled trial;    RH;    resistant hypertension;    SBP;    systolic BP;   

DOI  :  10.1016/j.chest.2019.04.008

学科分类：呼吸医学

来源: American College of Chest Physicians

【 摘 要 】

Resistant hypertension (RH) is characterized by a lack of appropriate BP control despite the use of three antihypertensive drug classes (commonly including a long-acting calcium channel blocker, a blocker of the renin-angiotensin system, and a diuretic) in optimized doses. This definition also comprises patients whose BP is controlled by using four or more classes (assuming a lack of control when these patients were using three drug classes).¹ An extreme phenotype of RH, namely refractory hypertension, has gained recent interesting the literature to nominate patients with uncontrolled hypertension despite using five classes.

【 授权许可】

CC BY