Management of Intractable Hypertension

The management of intractable haematuria.

Management of intractable spontaneous epistaxis

BACKGROUND Epistaxis is a common otolaryngology emergency and is often controlled with first-line interventions such as cautery, hemostatic agents, or anterior nasal packing. A subset of patients will continue to bleed and require more aggressive therapy. METHODS Intractable spontaneous epistaxis was traditionally managed with posterior nasal packing and prolonged hospital admission. In an ef...

Renal denervation: intractable hypertension and beyond.

BACKGROUND Hypertension continues to be a major burden of public health concern despite the recent advances and proven benefit of pharmacological therapy. A certain subset of patients has hypertension resistant to maximal medical therapy and appropriate lifestyle measures. A novel catheter-based technique for renal denervation (RDN) as a new therapeutic avenue has great promise for the treatmen...

Management of Intractable Steroid Induced Ocular Hypertension Following Posterior Subtenons Triamcinolone Acetonide Injection: A Case Report

Posterior sub-Tenon's (PST) injection of steroid has been used for the treatment of uveitis, cystoid macular edema and choroidal neovascularization. It allows high concentration of the drug to be delivered to the posterior segment of the eye via transscleral route with minimal systemic side effects. Triamcinolone acetonide is an aqueous suspension and it maintains a prolonged intraocular steroi...

Management of Hypertension Based on Temperament Concept in Persian Medicine

Hypertension can be classified into HOT and COLD in Persian medicine. In HOT hypertension, cardiac output is increased which causes an increase in heart rate or stoke volume; therefore, treated with bloodletting (cold temperament), food such as barley is recommended. In COLD hypertension, blood viscosity or arterial sympathetic tone is increased which is usually associated with mental stress wh...