Resistant Hypertension 頑固型高血壓(英文) | 衛教單張
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Resistant Hypertension 頑固型高血壓(英文) · Latest treatment “Renal Denervation (RDN). · CMUH has successfully completed Renal Denervation procedures in the past ...
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ResistantHypertension頑固型高血壓(英文)
2021/3/4
Whatis“Resistant”hypertension?
Patientstake3ormoretypesofanti-hypertensivesbutthebloodpressureisstillhigherthan140/90mmHg.
PossibleSideEffectsorComplications?
Howtocureresistanthypertension?
MedicinalTreatment
Adoptingmultipleorhighdosageofmedicationofconsolidatedtreatment.
Theflawisthelikelyincreaseofadverseeffectsfromthemedicineandcouldleadtounforeseeabledrug-druginteraction.Moreoverifthepatientsfailtocomplywithmedicalorder,theeffectofmedicinaltreatmentcouldbelimited.
Non-MedicinalTreatment
Latesttreatment“RenalDenervation(RDN).
CMUHhassuccessfullycompletedRenalDenervationproceduresinthepastfewyears.
Q&AforRenalDenervation(RDNTreatment)
Q:Wouldthepatient’srenalfunctionbenormalaftertheprocedure?
A:Long-termclinicaltrialsrevealthat(HTN1&2)therenalfunctionremainednormalafterreceivingRDNtreatmentwithoutanycomplication.Thesuccessfulcasesofrenaltransplantationalsoprovedthatrenaldenervationdidnotimpairrenalfunction.Infact,denervationitselfhelpedloweringthebloodpressureinthesepatients,therebyprotectingtheheart,kidneyandbloodvesselsaswellasotherorganstopreventthehealthproblemscausedbyhypertension.
Q:Isthetreatmenttraumatic?
A:Thepatientsremainconsciousduringtheentiretreatmentbutcanstillfeelmildpain.Thewoundfortreatmentwillundergolocalanesthesiaandpatientsmayreceivepain-killerifnecessary.Whenthecatheterentersthebody,thepatientmayfeelminorpullinglikesensation. Butthepatientwillnotfeelthemovementofthecatheterduetothelackofnervewithintheartery,whichreducestheiranxietyanddiscomfort.
Q:Howdothephysiciansconfirmthecatheterisplacedonthecorrectposition?
A:Thephysicianwillapply“fluorescencemicroscopy”technique: Thephysicianwillinjectthecontrastmediaintotherenalarteryofthepatientviathecatheterbeforeconductingthetreatment.UnderthesupportofX-raytechnology,renalarterywillbeclearlydemonstratedonthemonitorsothephysiciancancontrolthepositionoftheinstrumentinsidethebodyduringthetreatment.
Q:Willtheprocedureleaveanyimplantinsidethepatient’sbody?
A:Theentireproceduredoesnotinvolveanyimplant.
Q:Howlongistheprocedure?
A:Theentireprocedurelastsforabout40~60minutes.
Q:Whencanthepatientrestoredailyactivitiesaftertheprocedure?
A:Pleaseconsultwithyourattendingphysician.Ingeneral,patientscangraduallyrestoredailyactivitieswithinashortperiodoftimeaftertheprocedure.
Q:Canthepatientstoptakinganti-hypertensivedrugwithoutprescriptionafterthetreatment?
A:Theattendingphysicianwilldiscusswiththepatientforthemedicininalprescriptionafterthetreatment.Remembertoconsultyourdoctorbeforemakinganydecisionformedicinesuspensionorchangeofprescription.
Q:IsthesurgerycoveredbytheNationalHealthInsuranceinTaiwan?
A:CurrentlytheNationalHealthInsurancedoesnotcoverthissurgeryandthepatientswillneedtopayatself-expense.
Foranyquestion,pleaseschedulefortheoutpatientclinicwithDepartmentofCardiologyandaphysicianwillexplaineverythingtoyou.
若有任何疑問,請不吝與我們聯絡
電話:(04)22052121分機2316
HE-10171-E
中國醫藥大學附設醫院暨體系院所
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