Over recent years, invasive hypertension treatments have led to a new clinical condition, called device-resistant hypertension (DRH).1 DRH is defined as blood pressure (BP) >140/90 mm Hg, with at least 3 antihypertensives at maximal doses, including a diuretic,2 without BP decrease after the invasive treatments. These patients are not infrequent and are obliged to visit several hypertension units for managing their BP. We have observed a significant BP decrease only by using intravenous drugs recommended for emergencies.2,3 Thus, we refined a protocol to perform a chronic intravenous antihypertensive infusion in patients with DRH via an elastomeric pump and a peripherally inserted central catheter (PICC).

Antihypertensive Bridge Therapy by Continuous Drug Infusion with an Elastomeric Pump in Device-Resistant Hypertension

D'AVOLIO, ANTONIO;FULCHERI, Chiara;DE NICOLO', AMEDEO;BERRA, ELENA;MULATERO, Paolo;VEGLIO, Franco
Last
2016

Abstract

Over recent years, invasive hypertension treatments have led to a new clinical condition, called device-resistant hypertension (DRH).1 DRH is defined as blood pressure (BP) >140/90 mm Hg, with at least 3 antihypertensives at maximal doses, including a diuretic,2 without BP decrease after the invasive treatments. These patients are not infrequent and are obliged to visit several hypertension units for managing their BP. We have observed a significant BP decrease only by using intravenous drugs recommended for emergencies.2,3 Thus, we refined a protocol to perform a chronic intravenous antihypertensive infusion in patients with DRH via an elastomeric pump and a peripherally inserted central catheter (PICC).
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http://hyper.ahajournals.org/
hypertension, resistant hypertension, elastomer,urapidil
Rabbia, Franco; D'Avolio, Antonio; Bernini, Giampaolo; Fulcheri, Chiara; DE NICOLO', Amedeo; Berra, Elena; Bruno, Rosa Maria; Mulatero, Paolo; Taddei, Stefano; Veglio, Franco
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2318/1561871
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