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Maria Czarina Acelajado

Researcher at University of Alabama at Birmingham

Publications -  18
Citations -  606

Maria Czarina Acelajado is an academic researcher from University of Alabama at Birmingham. The author has contributed to research in topics: Blood pressure & Hyperaldosteronism. The author has an hindex of 10, co-authored 18 publications receiving 533 citations. Previous affiliations of Maria Czarina Acelajado include Medical University of South Carolina & Philippine General Hospital.

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Refractory Hypertension: Definition, Prevalence, and Patient Characteristics

TL;DR: In this article, patients with refractory hypertension were defined as those who remained uncontrolled after ≥3 visits to a hypertension clinic within a minimum 6-month follow-up period.
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Refractory Hypertension Evidence of Heightened Sympathetic Activity as a Cause of Antihypertensive Treatment Failure

TL;DR: Evidence of heightened sympathetic tone as indicated by 24-hour urinary normetanephrine levels, clinic and ambulatory heart rate, HR variability, arterial stiffness as indexed by pulse wave velocity, and systemic vascular resistance compared with patients with controlled resistant hypertension is found.
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Treatment of Resistant and Refractory Hypertension.

TL;DR: Refractory hypertension is defined as uncontrolled blood pressure despite use of ≥5 antihypertensive agents of different classes, including a long-acting thiazide-like diuretic and an MR (mineralocorticoid receptor) antagonist, at maximal or maximally tolerated doses.
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Resistant hypertension, secondary hypertension, and hypertensive crises: diagnostic evaluation and treatment.

TL;DR: Mineralocorticoid receptor antagonists are formidable add-on agents to the antihypertensive regimen, usually as a fourth drug, and are effective in reducing BP even in patients without biochemical evidence of aldosterone excess.
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Long-term effects of aldosterone blockade in resistant hypertension associated with chronic kidney disease

TL;DR: MRAs significantly reduced blood pressure in subjects with resistant hypertension associated with stage 3 CKD, although close biochemical monitoring is recommended because of an increased risk of hyperkalemia and worsening of renal function.