Resistant Hypertension: A Review of Diagnosis and Management

• Autores: Wanpen Vongpatanasin
• Localización: JAMA: the journal of the American Medical Association, ISSN 0098-7484, Vol. 311, Nº. 21, 2014, págs. 2216-2224
• Idioma: inglés
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• Resumen

  • Resistant hypertension—uncontrolled hypertension with 3 or more antihypertensive agents—is increasingly common in clinical practice. Clinicians should exclude pseudoresistant hypertension, which results from nonadherence to medications or from elevated blood pressure related to the white coat syndrome. In patients with truly resistant hypertension, thiazide diuretics, particularly chlorthalidone, should be considered as one of the initial agents. The other 2 agents should include calcium channel blockers and angiotensin-converting enzyme inhibitors for cardiovascular protection