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Diagnosis and treatment of resistant hypertension

Waeber B, Volpe M, Ruilope LM, Schmieder R (2014)

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Publication Type: Journal article

Publication year: 2014

Journal

Publisher: Informa Healthcare

Book Volume: 23

Pages Range: 193-9

Journal Issue: 4

DOI: 10.3109/08037051.2013.854946

Abstract

Abstract Hypertension resistant to lifestyle interventions and antihypertensive medications is a common problem encountered by physicians in everyday practice. It is most often defined as a blood pressure remaining >= 140/90 mmHg despite the regular intake of at least three drugs lowering blood pressure by different mechanisms, one of them being a diuretic. It now appears justified to include, unless contraindicated or not tolerated, a blocker of the renin-angiotensin system and a calcium channel blocker in this drug regimen, not only to gain antihypertensive efficacy, but also to prevent or regress target organ damage and delay the development of cardiorenal complications. A non-negligible fraction of treatment-resistant hypertension have normal "out of office" blood pressures. Ambulatory blood pressure monitoring and/or home blood pressure recording should therefore be routinely performed to identify patients with true resistant hypertension, i.e. patients who are more likely to benefit from treatment intensification.

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How to cite

APA:

Waeber, B., Volpe, M., Ruilope, L.M., & Schmieder, R. (2014). Diagnosis and treatment of resistant hypertension. Blood Pressure, 23(4), 193-9. https://doi.org/10.3109/08037051.2013.854946

MLA:

Waeber, Bernard, et al. "Diagnosis and treatment of resistant hypertension." Blood Pressure 23.4 (2014): 193-9.

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