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摘要:
When blood pressure values remain above the target in a hypertensive patient treated concomitantly with three anti-hypertensive drugs including a diuretic, maximum well-tolerated doses, this is a resistant arterial hypertension. In this case, it is advisable to look for a secondary cause such as a drug intake that influencing the blood pressure or the presence of obstructive sleeping syndrome (OSAS).</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">We report a clinical case of a patient with a high cardiovascular risk at the age of 50, hypertensive and diabetic, with dyslipidemia and obesity. He was on anti-hypertensive triple therapy at an optimal dose. Her diabetes was balanced with 6.4% glycated hemoglobin. Dyslipidemia has being treated. Despite healthy diet including a low sodium diet and weight loss, blood pres</span><span style="font-family:Verdana;">- </span><span style="font-family:Verdana;">sure target was not reached.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">With self-measurement, the mean arterial </span><span style="font-family:Verdana;">pressure was 180/110 mmHg and on ABPM it was 167/113 mmHg.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">The ventilatory</span><span style="font-family:Verdana;"> polygraphy finds a severe OSA with an IAH = 56.6. Treatment with PCP (Con</span><span style="font-family:Verdana;">- </span><span style="font-family:Verdana;">tinuous positive pressure) allowed this patient to control blood pressure.</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">The search for OSA should be systematic in face of resistant hypertension, in par</span><span style="font-family:Verdana;">- </span><span style="font-family:Verdana;">ticular in overweight or obese patients.
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篇名 A Very Severe Obstructive Sleep Apnea Syndrome: In a Cause of Resistant Hypertension with One Sample Case
来源期刊 心血管病(英文) 学科 医学
关键词 Obstructive Sleep Apnea Syndrome (OSAS) Resistant Hypertension Continuous Positive Airway Pressure (CPAP)
年,卷(期) 2021,(3) 所属期刊栏目
研究方向 页码范围 223-229
页数 7页 分类号 R54
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研究主题发展历程
节点文献
Obstructive
Sleep
Apnea
Syndrome
(OSAS)
Resistant
Hypertension
Continuous
Positive
Airway
Pressure
(CPAP)
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
心血管病(英文)
月刊
2164-5329
武汉市江夏区汤逊湖北路38号光谷总部空间
出版文献量(篇)
224
总下载数(次)
0
总被引数(次)
0
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