{"id":50671,"date":"2023-09-22T14:13:57","date_gmt":"2023-09-22T18:13:57","guid":{"rendered":"https:\/\/hypertension.ca\/prevention-et-traitement\/traitement-de-lhypertension-en-association-avec-une-hypertrophie-ventriculaire-gauche\/"},"modified":"2023-10-10T12:19:44","modified_gmt":"2023-10-10T16:19:44","slug":"traitement-de-lhypertension-en-association-avec-une-hypertrophie-ventriculaire-gauche","status":"publish","type":"page","link":"https:\/\/hypertension.idlwebclients.com\/fr\/lignes-directrices\/prevention-et-traitement\/traitement-de-lhypertension-en-association-avec-une-hypertrophie-ventriculaire-gauche\/","title":{"rendered":"Traitement de l\u2019hypertension en association avec une hypertrophie ventriculaire gauche"},"content":{"rendered":"<div id=\"modal-ready\"><section class=\"l-section wpb_row us_custom_5c31ec89 event-banner-section height_medium width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner us_custom_461a6918\"><div class=\"wpb_wrapper\"><div class=\"w-image img-w-100 align_center\"><div class=\"w-image-h\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1440\" height=\"252\" src=\"https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page.jpg\" class=\"attachment-full size-full\" alt=\"\" srcset=\"https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page.jpg 1440w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-300x53.jpg 300w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-1024x179.jpg 1024w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-200x35.jpg 200w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-600x105.jpg 600w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-1000x175.jpg 1000w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-500x88.jpg 500w, https:\/\/hypertension.idlwebclients.com\/wp-content\/uploads\/2023\/04\/HC-Guidelines-Credits-Page-700x123.jpg 700w\" sizes=\"(max-width: 1440px) 100vw, 1440px\" \/><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><h1 class=\"w-post-elm post_title us_custom_83a03b96 title-underline small-underline has_text_color entry-title color_link_inherit\">Traitement de l\u2019hypertension en association avec une hypertrophie ventriculaire gauche<\/h1><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row us_custom_887a049b height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column sub-title\"><div class=\"wpb_wrapper\"><h2>Recommandations<\/h2>\n<\/div><\/div>[vc_empty_space height=\u00a0\u00bb20px\u00a0\u00bb]<div class=\"wpb_text_column us_custom_50cc7d67\"><div class=\"wpb_wrapper\"><ul>\n<li>Les patients hypertendus atteints d\u2019hypertrophie ventriculaire gauche doivent \u00eatre trait\u00e9s par un traitement antihypertenseur pour r\u00e9duire le taux d\u2019\u00e9v\u00e9nements cardiovasculaires subs\u00e9quents (grade C).<\/li>\n<li>Le choix du traitement initial peut \u00eatre influenc\u00e9 par la pr\u00e9sence d\u2019une hypertrophie ventriculaire gauche (grade D). Le traitement initial peut \u00eatre un traitement m\u00e9dicamenteux \u00e0 l\u2019aide d\u2019inhibiteurs ECA, d\u2019ARA, de BCC \u00e0 action prolong\u00e9e ou de diur\u00e9tiques de type thiazide\/thiazide. Les vasodilatateurs art\u00e9riels directs comme l\u2019hydralazine ou le minoxidil ne doivent pas \u00eatre utilis\u00e9s.<\/li>\n<\/ul>\n<\/div><\/div><div class=\"wpb_text_column sub-title\"><div class=\"wpb_wrapper\"><h2>Hypertension r\u00e9sistante<\/h2>\n<\/div><\/div>[vc_empty_space height=\u00a0\u00bb20px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbMessages cl\u00e9s\u00a0\u00bb font_container=\u00a0\u00bbtag:h4|text_align:left\u00a0\u00bb use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb css=\u00a0\u00bb%7B%22default%22%3A%7B%22color%22%3A%22_content_primary%22%2C%22font-size%22%3A%2218px%22%2C%22font-weight%22%3A%22700%22%7D%7D\u00a0\u00bb]<div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ul>\n<li>L\u2019hypertension r\u00e9fractaire est d\u00e9finie comme une PA sup\u00e9rieure \u00e0 la cible malgr\u00e9 la prise d\u2019au moins trois m\u00e9dicaments hypotenseurs \u00e0 des doses optimales, de pr\u00e9f\u00e9rence un diur\u00e9tique (et habituellement un inhibiteur du syst\u00e8me r\u00e9nine-angiotensine-aldost\u00e9rone et un BCC).<\/li>\n<li>Une mesure pr\u00e9cise de la PA au cabinet et \u00e0 l\u2019ext\u00e9rieur du bureau est essentielle.<\/li>\n<li>D\u2019autres raisons de l\u2019hypertension apparente r\u00e9sistante doivent \u00eatre \u00e9limin\u00e9es avant de diagnostiquer l\u2019hypertension v\u00e9ritable r\u00e9sistante, y compris la non-observance, l\u2019effet de la blouse blanche et l\u2019hypertension secondaire.<\/li>\n<li>La pharmacoth\u00e9rapie avec l\u2019utilisation additionnelle de spironolactone, de bisoprolol, de doxazosine, d\u2019amiloride, d\u2019\u00e9pl\u00e9r\u00e9none ou de clonidine avec le sch\u00e9ma de r\u00e9f\u00e9rence diminue significativement la PA, la plus grande r\u00e9duction de la PA \u00e9tant d\u00e9montr\u00e9e avec la spironolactone.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div>","protected":false},"excerpt":{"rendered":"Traitement de l\u2019hypertension en association avec une hypertrophie ventriculaire gauche Recommandations [vc_empty_space height=\"20px\"] Les patients hypertendus atteints d\u2019hypertrophie ventriculaire gauche doivent \u00eatre trait\u00e9s par un traitement antihypertenseur pour r\u00e9duire le taux d\u2019\u00e9v\u00e9nements cardiovasculaires subs\u00e9quents (grade C). Le choix du traitement initial peut \u00eatre influenc\u00e9 par la pr\u00e9sence d\u2019une hypertrophie ventriculaire gauche (grade D). Le traitement...","protected":false},"author":4209,"featured_media":0,"parent":50665,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-50671","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/50671","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/users\/4209"}],"replies":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/comments?post=50671"}],"version-history":[{"count":3,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/50671\/revisions"}],"predecessor-version":[{"id":50801,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/50671\/revisions\/50801"}],"up":[{"embeddable":true,"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/pages\/50665"}],"wp:attachment":[{"href":"https:\/\/hypertension.idlwebclients.com\/fr\/wp-json\/wp\/v2\/media?parent=50671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}