Evidence map›Paper›PMID 18326968›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2008

Mechanisms and treatment of resistant hypertension.

Eduardo Pimenta, Krishna K Gaddam, Suzanne Oparil

Abstract read
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Management of hypertension in the elderly.Nature reviews. Cardiology · 2012
    Review
  13. Epidemiology of resistant hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2011
    Review
  14. Cardiovascular Regulation in Obstructive Sleep Apnea.Drug discovery today. Disease models · 2011
    Article
  15. Resistant hypertension workup and approach to treatment.International journal of hypertension · 2010
    Article
  16. Hypertension: issues in control and resistance.Current hypertension reports · 2009
    Review
  17. Aldosterone excess or escape: Treating resistant hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2009
    Article
  18. Clinical approach in treatment of resistant hypertension.Integrated blood pressure control · 2009
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Eduardo PimentaVascular Biology and Hypertension Program, University of Alabama at Birmingham, 933 19th Street South, Birmingham, AL 35294, USA. eduardo.pimenta@ccc.uab.edu
Krishna K Gaddam
Suzanne Oparil

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Resistant hypertension is defined as blood pressure (BP) that remains uncontrolled in spite of the use of >/=3 antihypertensive medications. Stricter BP goals, higher obesity rates, older age, and increased use of exogenous BP-elevating substances are related to an increasing prevalence of resistant hypertension. The evaluation of patients with resistant hypertension is focused on identifying contributing and secondary causes of hypertension, including hyperaldosteronism, obstructive sleep apnea, chronic kidney disease, renal artery stenosis, and pheochromocytoma. Hyperaldosteronism is now recognized as the most common cause of resistant hypertension, and all patients with resistant hypertension should be screened with a plasma aldosterone/renin ratio even if the serum potassium level is normal. Treatment includes removal of contributing factors, appropriate management of secondary causes, and use of effective multidrug regimens. Recent studies indicate that the addition of spironolactone to standard treatment induces significant BP reduction in most patients with resistant hypertension.

Indexed as

Antihypertensive AgentsComorbidityDrug ResistanceDrug Therapy, CombinationHumansHypertensionMineralocorticoid Receptor AntagonistsRisk FactorsSpironolactoneAntihypertensive AgentsMineralocorticoid Receptor AntagonistsSpironolactone

Identifiers

PMID18326968
PMCPMC8110156

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.