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Lai C.-C.,Cardiovascular Medical Center | Hwang H.-R.,Cardiovascular Medical Center | Mar G.-Y.,Cardiovascular Medical Center | Chiou C.-W.,Cardiovascular Medical Center | Liu C.-P.,Kaohsiung Veterans General Hospital
Journal of Internal Medicine of Taiwan | Year: 2014

Effective hypertension treatment decreases cardiovascular and renal events. However, a proportion of hypertensive patients who have been treated with three or more kinds of antihypertensive drugs containing diuretic regimen at maximally tolerated doses do not reach the goal of blood pressure control. They are so-called patients with resistant hypertension. For the patients, the standard management contains clinical reevaluation, aggressive lifestyle modification and adjustment of antihypertensive drugs. Renal artery sympathetic nerve denervation (RDN) considered as a new treatment strategy has been reported for safely and effectively controlling blood pressure. The technique was domestically permitted in early 2013. Bhatt DL, et al. reported the results of SYMPLICITY HTN-3, a randomized single-blinded controlled trial in the New England Journal of Medicine this March. The results revealed unpredicted similarity in systolic blood pressure between the RDN group and sham-procedure control group. This brings us to cautiously think over critical issues regarding clinical application of RDN. As the experience and evidence are increasingly documented, physicians need to update the knowledge with respect to the new modality for treating patients with resistant hypertension. Therefore, our team integrates the data and presents the review article here to show the essential studies related to the procedure. The article is expected to be helpful for readers to understand RDN and the related studies. (J Intern Med Taiwan 2014; 25:316-324).

The International Association of HealthCare Professionals is pleased to welcome Otilia J. Asuncion, MD, Internal Medicine Physician, to their prestigious organization with her upcoming publication in The Leading Physicians of the World. Dr. Otilia J. Asuncion is a highly trained and qualified internist with an extensive expertise in all facets of her work. Dr. Asuncion has been in practice for more than five decades and is currently serving patients within Regional Cardiovascular Medical Center in Steubenville, Ohio. She is also affiliated with Trinity Health East and East Liverpool City Hospital. Dr. Otilia J. Asuncion’s career in medicine began in 1964 when she graduated with her Medical Degree from the University of the Philippines College of Medicine in Manila, Philippines. Upon relocating to the United States, Dr. Asuncion subsequently served her internship at the University of Pittsburgh Medical Center, before completing her residency at Miami Valley Hospital. To keep up to date with the latest advances and developments in her challenging field, Dr. Asuncion maintains a professional membership with the American Medical Association, the Ohio State Medical Association, the American College of Physicians, and the Jefferson County Medical Society. She is dedicated to providing the highest level of quality and compassionate care to her patients, and attributes her success to truly caring for them. When she is not working, Dr. Asuncion enjoys shopping and reading, as well as attending national parks and medical meetings. Learn more about Dr. Asuncion by reading her upcoming publication in The Leading Physicians of the World. FindaTopDoc.com is a hub for all things medicine, featuring detailed descriptions of medical professionals across all areas of expertise, and information on thousands of healthcare topics.  Each month, millions of patients use FindaTopDoc to find a doctor nearby and instantly book an appointment online or create a review.  FindaTopDoc.com features each doctor’s full professional biography highlighting their achievements, experience, patient reviews and areas of expertise.  A leading provider of valuable health information that helps empower patient and doctor alike, FindaTopDoc enables readers to live a happier and healthier life.  For more information about FindaTopDoc, visit http://www.findatopdoc.com

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