Chapter

Resistant hypertension

Timothy Watson

in Hypertension

Published on behalf of Oxford University Press

ISBN: 9780199547579
Published online May 2011 | e-ISBN: 9780199607266 | DOI: http://dx.doi.org/10.1093/med/9780199547579.003.0023

Series: Oxford Cardiology Library

Resistant hypertension

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Up to 40% of the hypertensive population may have resistant hypertension. Resistant hypertension should only be considered in those with poor control of blood pressure despite three rational antihypertensive agents, including a diuretic at maximal dose. Poor adherence, failure to modify lifestyle, inadequate treatment, white coat hypertension, and secondary hypertension are all common aetiologies. Consider prescription of additional diuretic therapy, vasodilators, alpha-blockers, and centrally acting agents. Referral to a specialist hypertension clinic should be considered for further investigation and/or management.

Chapter.  2115 words. 

Subjects: Cardiovascular Medicine

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