Current Hypertension Reports

, Volume 12, Issue 5, pp 325–330

Detection and Treatment of Resistant Hypertension

  • Julian Segura
  • Alejandro de la Sierra
  • Luis M. Ruilope
Article

DOI: 10.1007/s11906-010-0136-0

Cite this article as:
Segura, J., de la Sierra, A. & Ruilope, L.M. Curr Hypertens Rep (2010) 12: 325. doi:10.1007/s11906-010-0136-0

Abstract

The evaluation of patients with resistant hypertension should be directed toward confirming true treatment resistance, identifying the causes contributing to treatment resistance (including secondary causes of hypertension), and documenting target-organ damage. Treatment of resistant hypertension is aimed at reversing lifestyle factors contributing to treatment resistance, accurately diagnosing and appropriately treating secondary causes of hypertension, and effectively using multidrug regimens. Lifestyle changes, pharmacologic therapies, and nonpharmacologic therapies have all shown benefits in patients with resistant hypertension, but much additional knowledge is needed to better identify and treat these patients.

Keywords

Resistant hypertension Blood pressure control Secondary hypertension Ambulatory blood pressure measurement Salt restriction Overweight Obesity Obstructive sleep apnea Fixed combination Spironolactone Endothelin antagonists Renal denervation 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Julian Segura
    • 1
  • Alejandro de la Sierra
    • 1
  • Luis M. Ruilope
    • 1
  1. 1.Hypertension UnitHospital 12 de OctubreMadridSpain