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Resistant hypertension.

Norman M Kaplan1

  • 1Department of Internal Medicine, Division of Hypertension, The University of Texas, Southwestern Medical Center, Dallas, Texas 75390, USA. Norman.Kaplan@UTSouthwestern.edu

Journal of Hypertension
|July 9, 2005
PubMed
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Resistant hypertension, defined as blood pressure above 140/90 mmHg despite three full-dose drugs including a diuretic, affects 5% in general practice and 50% in nephrology settings. This review details its causes and management strategies.

Area of Science:

  • Nephrology
  • Cardiology
  • Internal Medicine

Background:

  • Resistant hypertension is a significant clinical challenge, often requiring specialized care.
  • Prevalence varies widely, from 5% in general practice to 50% in nephrology referrals.

Purpose of the Study:

  • To review the primary etiological factors contributing to resistant hypertension.
  • To offer evidence-based recommendations for the diagnosis and treatment of this condition.

Main Methods:

  • Literature review of studies on resistant hypertension.
  • Analysis of etiological factors and treatment guidelines.

Main Results:

  • Identified key causes of resistant hypertension.
  • Outlined diagnostic and therapeutic approaches.

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Conclusions:

  • Effective management of resistant hypertension requires a thorough understanding of its causes.
  • Tailored treatment strategies are crucial for improving patient outcomes.