Resistant hypertension with coronary artery disease
Journal
Македонски Медицински Преглед = Macedonian Medical Review
Date Issued
2022
Author(s)
Angelovski, Saso
Abstract
Resistant hypertension is encountered in around 30%
of hypertension population and it requires at least four
antihypertensive medications for treatment. It is asso-
ciated with cardiovascular (CV) events. Resistant hyper-
tension often occurs as a comorbidity with coronary
artery disease, so quantification of total CV risk, which is
best done with the SCORE system, is important for
risk stratification of hypertensive patients in order to
implement therapy to reduce the cardiovascular risk.
In this study, we report clinical findings of a 66-year-
old woman presenting with resistant hypertension and
coronary artery disease, her hospital treatment and re-
commendation for home treatment after being dischar-
ged from hospital. Further we discussed the recent
guidelines diagnostic and treatment algorithms.
In conclusion, hypertension is the most common risk
factor in patients with coronary vascular disease and
its regulation, especially in the resistant form, is one of
the most important factors for reducing the prevalence
of coronary artery disease as well as the degree of
major adverse cardiovascular events in patients with
existing coronary artery disease.
of hypertension population and it requires at least four
antihypertensive medications for treatment. It is asso-
ciated with cardiovascular (CV) events. Resistant hyper-
tension often occurs as a comorbidity with coronary
artery disease, so quantification of total CV risk, which is
best done with the SCORE system, is important for
risk stratification of hypertensive patients in order to
implement therapy to reduce the cardiovascular risk.
In this study, we report clinical findings of a 66-year-
old woman presenting with resistant hypertension and
coronary artery disease, her hospital treatment and re-
commendation for home treatment after being dischar-
ged from hospital. Further we discussed the recent
guidelines diagnostic and treatment algorithms.
In conclusion, hypertension is the most common risk
factor in patients with coronary vascular disease and
its regulation, especially in the resistant form, is one of
the most important factors for reducing the prevalence
of coronary artery disease as well as the degree of
major adverse cardiovascular events in patients with
existing coronary artery disease.
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