Translating research evidence into clinical practice: a reminder of important clinical lessons in management of resistant hypertension through a case study in general practice

BMJ Case Rep. 2020 Jun 30;13(6):e235007. doi: 10.1136/bcr-2020-235007.

Abstract

A case of a 59-year-old man with resistant hypertension, despite 8 months of non-pharmacological and pharmacological management up to maximal doses of triple antihypertensive therapy. Review of the literature found a study that reported improved blood pressure control with bedtime dosing of antihypertensive treatment. Changing to bedtime dosage of antihypertensives resulted in significant improvement in blood pressure control to below target levels. This highlights the importance of the clinicians' awareness and implementation of research findings and hence delivery of best evidence-based care.

Keywords: cardiovascular medicine; general practice / family medicine; hypertension.

Publication types

  • Case Reports

MeSH terms

  • Antihypertensive Agents* / administration & dosage
  • Antihypertensive Agents* / classification
  • Blood Pressure / drug effects
  • Blood Pressure Monitoring, Ambulatory / methods
  • Clinical Decision-Making
  • Drug Administration Schedule*
  • Drug Chronotherapy*
  • Drug Therapy, Combination / methods*
  • Evidence-Based Practice
  • Family Practice / methods
  • Family Practice / standards
  • Humans
  • Hypertension* / diagnosis
  • Hypertension* / drug therapy
  • Hypertension* / physiopathology
  • Male
  • Middle Aged

Substances

  • Antihypertensive Agents