Center for the Diagnosis and Treatment of Hypertension and Cardiovascular Complications

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High blood pressure is the most common chronic disease in our country and is the leading cause of cardiovascular events with often disabling consequences such as myocardial infarction, stroke, heart failure, and atrial fibrillation. Correct, timely, and appropriate management of high blood pressure can also avoid serious consequences in the brain, kidney, and eye at all ages of life.

Center for the Diagnosis and Treatment of Hypertension and Cardiovascular Complications

High blood pressure is’ the most prevalent chronic disease in our country and is the leading cause of cardiovascular events with often disabling consequences such as myocardial infarction, stroke, heart failure, and atrial fibrillation.

Correct, timely, and appropriate management of high blood pressure can also avoid serious consequences in the brain, kidney, and eye at all ages of life.

The Center’s activities are conducted on an outpatient basis and are intended for the clinical management of hypertension with special reference to difficult-to-treat forms, therapy-resistant forms, and secondary forms. In addition, diagnostic activity is directed at identifying, preventing, and treating cardiac, vascular, and renal organ damage resulting from hypertension. Finally, therapeutic approaches based on lifestyle modifications and antihypertensive drugs will be developed on an individualized basis, following the European Hypertension Guidelines.

Center for the Diagnosis and Treatment of Hypertension and Cardiovascular Complications

High blood pressure is’ the most prevalent chronic disease in our country and is the leading cause of cardiovascular events with often disabling consequences such as myocardial infarction, stroke, heart failure, and atrial fibrillation.

Correct, timely, and appropriate management of high blood pressure can also avoid serious consequences in the brain, kidney, and eye at all ages of life.

The Center’s activities are conducted on an outpatient basis and are intended for the clinical management of hypertension with special reference to difficult-to-treat forms, therapy-resistant forms, and secondary forms. In addition, diagnostic activity is directed at identifying, preventing, and treating cardiac, vascular, and renal organ damage resulting from hypertension. Finally, therapeutic approaches based on lifestyle modifications and antihypertensive drugs will be developed on an individualized basis, following the European Hypertension Guidelines.

Outline of diagnostic procedure

Level I examinations:

The patient will have blood draw for CBC, azotemia, creatinine, uricemia, sodium, potassium, total cholesterol, HDL, LDL, triglycerides, blood glucose, PCR, thyroid profile, complete urinalysis, and microalbuminuria and creatinuria assay on morning urine.

In selected cases he will, in addition, be subjected to sampling for dosage of renin and aldosterone, plasma and urinary cortisol, and urinary electrolytes on 24-hour urine sample.

In addition, the patient will have clinical blood pressure measurement, 24-hour blood pressure monitoring, Home Blood Pressure profile evaluation, central aortic pressure and arterial stiffness evaluation (with Pulse Wave Velocity, arterial stiffness and Vascular Age determination), EchoDoppler of the epiaortic vessels, 12-lead electrocardiogram and Doppler echocardiogram, and cycloergometer stress test.

Level II examinations:

Advanced hormone assays (renin, aldosterone, cortisol, catecholamines, thyroid hormones)

Abdominal Doppler ultrasound and iliac-femoral axis study

Advanced imaging (CT or CT angiography chest and abdomen, MRI kidney and adrenals)

 

Outline of diagnostic procedure

Level I examinations:

The patient will have blood draw for CBC, azotemia, creatinine, uricemia, sodium, potassium, total cholesterol, HDL, LDL, triglycerides, blood glucose, PCR, thyroid profile, complete urinalysis, and microalbuminuria and creatinuria assay on morning urine.

In selected cases he will, in addition, be subjected to sampling for dosage of renin and aldosterone, plasma and urinary cortisol, and urinary electrolytes on 24-hour urine sample.

In addition, the patient will have clinical blood pressure measurement, 24-hour blood pressure monitoring, Home Blood Pressure profile evaluation, central aortic pressure and arterial stiffness evaluation (with Pulse Wave Velocity, arterial stiffness and Vascular Age determination), EchoDoppler of the epiaortic vessels, 12-lead electrocardiogram and Doppler echocardiogram, and cycloergometer stress test.

Level II examinations:

Advanced hormone assays (renin, aldosterone, cortisol, catecholamines, thyroid hormones)

Abdominal Doppler ultrasound and iliac-femoral axis study

Advanced imaging (CT or CT angiography chest and abdomen, MRI kidney and adrenals)

 

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