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Leveraging the Electronic Health Record to Identify and Manage Resistant Hypertension
Bairavi Shankar1, Anat Ben-Shlomo2, Susan Cheng1
1Department of Cardiology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., Suite A3100 Los Angeles, Los Angeles, CA, USA.
Current Hypertension Reports
|June 2, 2026
Summary
Electronic health records (EHRs) improve the detection and management of resistant hypertension (RH), a common condition affecting over 10% of adults. EHRs help identify causes and guide treatment, enhancing patient care and outcomes.
Area of Science:
- Cardiology
- Health Informatics
- Public Health
Background:
- Resistant hypertension (RH) impacts over 10% of adults, often remaining underdiagnosed and undertreated.
- Electronic Health Records (EHRs) are crucial for addressing diagnostic and treatment barriers in RH.
- EHRs offer insights into RH prevalence and its effects on quality of life and longevity.
Purpose of the Study:
- To review the role of EHRs in the diagnosis and management of resistant hypertension.
- To explore how EHRs can aid in detecting RH, ruling out other conditions, and guiding treatment decisions.
Main Methods:
- Review of current literature and clinical practices regarding EHR utilization for RH.
- Analysis of how EHR data can identify specific causes of elevated blood pressure.
- Discussion of potential benefits and challenges of EHR-based interventions for RH.
Main Results:
- EHRs can identify causes of elevated blood pressure, including medication non-adherence, clinical inertia, White Coat Effect, and hyperaldosteronism.
- Implementation of EHR interventions requires balancing data availability with streamlined clinical workflows.
- EHRs offer unique opportunities to improve clinical identification and management of RH.
Conclusions:
- EHRs are transforming care delivery and present a significant opportunity to enhance the identification and management of resistant hypertension.
- Optimizing EHR workflows is essential for maximizing efficiency and improving the quality of care for RH patients.
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