Update on Diagnosis and Treatment of Resistant Hypertension

[Guest guest]

I just found this new report (2011) and think it has a lot of good info. He

devotes over a page on effects of sodium and discusses various scenarios that

come into play.

Update on Diagnosis and Treatment of Resistant Hypertension by Pimenta

http://www.ijkd.org/index.php/ijkd/article/view/524/298

Dr. Grim, you might appreciate this part of the conclusion:

However, in the majority

of these patients, an underlying cause cannot be

found. More established approaches, such as low

dietary salt and mineralocorticoid receptor blockers

are indicated for these patients. New technologies,

such as carotid stimulation and renal denervation,

may be used in the near future in the management

of patients with resistant hypertension.

[Guest guest]

Thanks. One can see he is a young investigator who did not see the Baropacer fail about 30 years ago after about 4 years. But will stay tend one the renal nerve treatment. He has done some very nice studies with Favod Calhoun at Alabama showing that a low sodium diet works very well in resistant HTN. One of the reasons I keep pushing it. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertensionOn Jun 3, 2012, at 22:21, <jclark24p@...> wrote:

I just found this new report (2011) and think it has a lot of good info. He devotes over a page on effects of sodium and discusses various scenarios that come into play.

Update on Diagnosis and Treatment of Resistant Hypertension by Pimenta

http://www.ijkd.org/index.php/ijkd/article/view/524/298

Dr. Grim, you might appreciate this part of the conclusion:

However, in the majority

of these patients, an underlying cause cannot be

found. More established approaches, such as low

dietary salt and mineralocorticoid receptor blockers

are indicated for these patients. New technologies,

such as carotid stimulation and renal denervation,

may be used in the near future in the management

of patients with resistant hypertension.