Russian Medical Society for Arterial Hypertension expert consensus. Resistant hypertension: detection and management

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Abstract

The diagnosis of resistant arterial hypertension allows us to single out a separate group of patients in whom it is necessary to use special diagnostic methods and approaches to treatment. Elimination of reversible factors leading to the development of resistant arterial hypertension, such as non-adherence to therapy, inappropriate therapy, secondary forms of arterial hypertension, leads to an improvement in the patient's prognosis. Most patients with resistant hypertension should be evaluated to rule out primary aldosteronism, renal artery stenosis, chronic kidney disease, and obstructive sleep apnea. The algorithm for examining patients, recommendations for lifestyle changes and a step-by-step therapy plan can improve blood pressure control. It is optative to use the most simplified treatment regimen and long-acting combined drugs. For a separate category of patients, it is advisable to perform radiofrequency denervation of the renal arteries.

About the authors

Anna V. Aksenova

National Medical Research Center of Cardiology

Author for correspondence.
Email: aksenovaannav@gmail.com
ORCID iD: 0000-0001-8048-4882

канд. мед. наук, науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Olga A. Sivakova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-0060-095X

канд. мед. наук, зав. отд-нием, врач-кардиолог 5-го кардиологического отд-ния Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Nataliia V. Blinova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0001-5215-4894

канд. мед. наук, ст. науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Nikolai M. Danilov

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0001-9853-9087

д-р мед. наук, вед. науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Evgeniia M. Elfimova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-3140-5030

канд. мед. наук, науч. сотр. лаб. апноэ сна отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Oksana A. Kisliak

Pirogov Russian National Research Medical University

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-2028-8748

д-р мед. наук, проф., зав. каф. факультетской терапии лечебного фак-та ФГАОУ ВО «РНИМУ им. Н.И. Пирогова»

Russian Federation, Moscow

Aleksandr Yu. Litvin

National Medical Research Center of Cardiology; Pirogov Russian National Research Medical University

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0001-5918-9969

д-р мед. наук, рук. лаб. апноэ сна, гл. науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии», проф. отд. высшего и дополнительного профессионального образования ФГБУ «НМИЦ кардиологии», проф. каф. поликлинической терапии лечебного фак-та ФГАОУ ВО «РНИМУ им. Н.И. Пирогова»

Russian Federation, Moscow; Moscow

Elena V. Oshchepkova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0003-4534-9890

д-р мед. наук проф., гл. науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Victor V. Fomin

Sechenov First Moscow State Medical University (Sechenov University)

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-2682-4417

чл.-кор. РАН, д-р мед. наук, проф.,проректор по клинической работе и ДПО, зав. каф. факультетской терапии №1 Института клинической медицины им. Н.В. Склифосовского ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» (Сеченовский Университет)

Russian Federation, Moscow

Novella M. Chikhladze

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-8826-9690

д-р мед. наук, проф., вед. науч. сотр. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Galina V. Shelkova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-9053-6030

канд. мед. наук, мл. науч. сотр. организационно-методического отд., врач-кардиолог 5-го клинического отд-ния ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

Irina E. Chazova

National Medical Research Center of Cardiology

Email: aksenovaannav@gmail.com
ORCID iD: 0000-0002-9822-4357

акад. РАН, д-р мед. наук, проф., зам. ген. дир. по научно-экспертной работе ФГБУ «НМИЦ кардиологии», рук. отд. гипертонии Института клинической кардиологии им. А.Л. Мясникова ФГБУ «НМИЦ кардиологии»

Russian Federation, Moscow

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