Key result
Pharmacist-led medication review in an 89-year-old patient with resistant hypertension identified hypotension and dizziness resulting from a complicated medication regimen.
Case Report (n=1)
Pharmacist-led medication review is important for optimizing outcomes and avoiding adverse effects like hypotension in elderly patients with resistant hypertension.
May warrant pharmacist review in complex elderly hypertension; leaves open need for prospective trials before broader adoption.
Resistant hypertension (HTN) is defined as blood pressure (BP) that remains above goal, despite the concurrent use of three antihypertensive agents of different classes. This case describes an 89-year-old patient with an extensive history of resistant HTN and a complicated medication regimen who was referred to a pharmacy services clinic for medication review and assistance in management of antihypertensive medications. After the initial visit, the patient presented to the clinic with complaints of dizziness and fatigue and was found to be hypotensive. This case study discusses the important role of the pharmacist as part of a health care team in improving medication adherence and managing a patient's BP.
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Strunk et al. (2013) conducted a case report in Resistant hypertension (n=1). Pharmacist-led medication review and management was evaluated on Blood pressure management and adverse effects. Pharmacist-led medication review in an 89-year-old patient with resistant hypertension identified hypotension and dizziness resulting from a complicated medication regimen.
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