[Management of patients with hypertension resistant to treatment]

A patient with a blood pressure greater than 140/90 mmHg under triple drug therapy, including a diuretic, has a resistant hypertension. Management mandates the following steps: to identify antihypertensive treatments previously prescribed (doses, efficacy, side effects); to evaluate blood pressure levels outside the medical office; to inquire about poor compliance; to search for secondary hypertension. In most cases, tailoring of treatments improves the care of such patients.