What are the latest developments in the treatment of hypertension?
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What are the latest developments in the treatment of hypertension?

September 9, 2019


There are many new developments in the treatment
of hypertension. And I’m fortunate enough in my role as the director of Bart’s Blood
Pressure Clinic in London to be experimenting with most of these new therapies in randomised
controlled clinical trials. This includes treatment modalities
such as renal nerve denervation, the use of barrel reflex activation, and the use of carotid sinus amplification therapies. However, I don’t really want to talk about those, because these are all experimental and to me, the most important new developments
in hypertension therapy are to avoid adding
more and more tablets to the patient’s medical regimen, and to try and use a one pill approach
to manage hypertension. This means that one pill will contain
one active ingredient, and if that doesn’t work we move on to
another pill with two active ingredients. If that doesn’t work, we change
that to a pill with three active ingredients. But we don’t keep
adding tablets to the patient’s medical regimen, because this is not pleasant for them to endure. I, myself, would hate to take tablets on a daily basis
for an asymptomatic condition and I’m totally sympathetic with my patients who feel the same way. As far as I’m concerned,
the management of hypertension should really involve minimising tablets where possible,
maximising the use of lifestyle, and trying to avoid making patients life a misery with
enduring pharmacological approaches.

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