Integrated Hemodynamic Management (IHM) is a new concept that requires correction of hemodynamic modulators in order to achieve simultaneously normal blood pressure and normal cardiac output
Essential hypertension is the result of alteration in any (or any combination) of the hemodynamic modulators (volemia, inotropy and vasoactivity)
Correct treatment of hypertension should involve identification and correction of the hemodynamic modulators – volemia, inotropy, vasoactivity.
In daily practice is impossible to predict which hemodynamic modulator is altered (in order to select the most appropriate drug/combination of drugs) and in what proportion (in order to chose the right dose)
The modern hypertension approach - IHM - refer to the targeted correction of the hemodynamic modulators in order to achieve simultaneously normal blood pressure and normal cardiac output