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Antihypertensive Therapy Volume Reduction Following Dietary Consultation And The Establishment Of An Adequate Nutritional Intake

Tatyana Mateva, Ivan Enev, Boyko Matev



Regardless of the sex, age, and ethnicity of patients, certain tendencies related to eating present as independent risk factors in the development of hypertension. Lifestyle changes are a staple in all guidelines for the condition. However, the evaluation of the effect of dietary consultations on the overall hypertension management is rarely reported in medical publications.


A case of antihypertensive volume therapy reduction via the application of an interdisciplinary method regarding nutrition and medication in the context of long-distance consultations is presented. The objective characterization of corrected patient nutrition is also emphasized.

Materials and Methods:

A 47-year-old female patient with a height of 168 cm, weight of 100 kg, and BMI of 35.4 had a confirmed diagnosis of hypertension from two years prior. On the initial consultation she had already undergone therapy with 8 mg candesartan and 12.5 mg hydrochlorothiazide. The waist circumference was 118 cm.; there was low-to-nonexistent physical activity and high reported work stress.


Four months after the initial correction of food intake, the patient reported a weight loss of 16 kg. To maintain normal values of blood pressure, the pharmacological therapy was reduced to a monotherapy with 4 mg candesartan.


Considering the efficacy of the combined approach and the very modest financial requirements for its execution, it should be taken into account on the initiation of every single antihypertensive therapy. More research should be conducted focusing on the quantitative assessment of nutritional correction on antihypertensive therapy.


dietetic consultation, nutrition counselling, antihypertensive therapy, adequate alimentary intake, obesity

Full Text


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