0:00:01hello i'm duck to tanya due mostly clinical have potential specialist and faculty member of
0:00:07we have attention programming division of cardiovascular disease
0:00:11at the university of alabama birmingham school of madison
0:00:15i am delighted to share with you to date kind treatment options for treatment with
0:00:19system hypertension
0:00:21our data show that hypertension affects a one billion people worldwide
0:00:28it's a major risk for cardiovascular disease
0:00:32one third of the us at our population has high blood pressure
0:00:37and the only one third of these are control
0:00:40high blood pressure is the most common risk factor for stroke and heart failure
0:00:46studies have shown that by controlling blood pressure we can we use harder text but
0:00:52twenty five percent
0:00:54strokes but thirty five percent
0:00:57and heart failure rates even by fifty percent
0:01:01treatment resistant hypertension was previously considered rare
0:01:05unfortunately its prevalence doubles over the last twenty years
0:01:11it has been shown that patients mistreatment resistant hypertension who follow a low sodium diet
0:01:18a high five a low fat diet and physically active conveyed used blood pressure buys
0:01:24these twenty to thirty points
0:01:27regarding drug treatment it combination therapy of different and to hypotensive classes is recommended
0:01:35cloth only down is shown to be the preferred diuretic
0:01:39it effectively reduces blood pressure and more importantly the risk for stroke and other cardiovascular
0:01:45and ones
0:01:47and a strong antagonists have been shown to be effective impatience as resistant hypertension
0:01:53and does this important in the end of how does the wrong levels
0:01:58it would uses blood pressure and left ventricular habit trophy
0:02:03additionally it improves the more talent e rate by thirty percent of patients with heart
0:02:10failure
0:02:12since patients with resistant hypertension
0:02:15i greatly increased cardiovascular wrist
0:02:18their integration ne of novel approaches for blood pressure lowering
0:02:23there are pirated sign the stimulation devices
0:02:28that have been shown to effectively low blood pressure in some patience
0:02:32for example
0:02:34they were used you buys
0:02:35showed in preliminary studies and means a starting the pressure rejection of thirty points another
0:02:42promising therapy this bilateral rena sympathetic the innovation
0:02:47by catheter that the levels are of energy to this reference and f four and
0:02:52sympathetic nerves and the advantage you shelf we nod data from the simplicity hypertension one
0:02:59study demonstrate that with this safe and easily perform technique
0:03:06of this blood pressure was reduced by an average of twenty seven oval fourteen points
0:03:12at one year cost procedure and off as blood pressure we'd actions consists of twenty
0:03:18four months after the procedure
0:03:22similarly the simplicity hypotension to try to show they decline and of a slot crashes
0:03:29through twenty four months
0:03:31one of the interesting scientific findings using we know sympathetic innovation is that there are
0:03:38a lot of target affects
0:03:40like improvement of glucose metabolism
0:03:44another finding is an improved us a look function
0:03:47on a cop choreography and patience three the screen and innovation these are fascinating observations
0:03:55that need to be further evaluated
0:03:57thanks for watching about current treatment options for a system hypertension