Resistant Hypertension: An Approach to Management
Resistant hypertension (RH) is a prevalent and significant cause of morbidity and mortality. Adverse health outcomes can be significant. True RH must be confirmed by adequate in-office and out-of-office blood pressure (BP) measurements. Common causes of apparent RH include white-coat hypertension, nonadherence with prescribed antihypertensive therapy, inadequate antihypertensive combination therapy and the use of interfering concomitant medications. Obesity, obstructive sleep apnoea and renal parenchymal disease are among the most common contributing features of RH; patients should be screened for secondary causes of hypertension. Management of RH relies on lifestyle measures, pharmacotherapy and interventional approaches, where required.
Modern Medicine ā Issue 5 2024.
