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Approach to Resistant Hypertension from Cardiology and Nephrology Standpoints: Tailoring Therapy.
Luke J Laffin1, George L Bakris2
1Section of Preventive Cardiology and Rehabilitation, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail code JB1, Cleveland, OH 44195, USA.
Cardiology Clinics
|July 12, 2021
Summary
Resistant hypertension requires careful evaluation to rule out other causes. Evidence-based treatment tailored to comorbidities improves blood pressure control and patient adherence.
Area of Science:
- Nephrology
- Cardiology
- Primary Care Medicine
Background:
- Resistant hypertension is a common clinical challenge.
- Accurate diagnosis is crucial to differentiate true resistant hypertension from pseudoresistance or secondary causes.
Purpose of the Study:
- To outline a diagnostic and treatment strategy for resistant hypertension.
- To emphasize the importance of considering comorbidities, particularly renal and cardiovascular disease.
Main Methods:
- Systematic review of evidence-based guidelines.
- Clinical case analysis approach.
- Focus on differentiating pseudoresistant and secondary hypertension.
Main Results:
- Excluding pseudoresistant or secondary hypertension is a critical first step.
- Tailored, evidence-based treatment improves outcomes.
- Comorbidity-specific management enhances adherence and control.
Conclusions:
- A structured approach to resistant hypertension diagnosis and management is essential.
- Personalized treatment plans considering comorbidities lead to superior blood pressure control and adherence.
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