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J Family Med Prim Care. 2015 Apr-Jun;4(2):193-9. doi: 10.4103/2249-4863.154630.

Resistant hypertension: an approach to management in primary care.

Journal of family medicine and primary care

Julian P Yaxley, Sam V Thambar

Affiliations

  1. Department of Medicine, Redcliffe Hospital, Queensland, Australia.
  2. Department of Medicine, Gold Coast University Hospital, Queensland, Australia.

PMID: 25949966 PMCID: PMC4408700 DOI: 10.4103/2249-4863.154630

Abstract

Hypertension is widely encountered in family medicine. Despite its prevalence, many patients have uncontrolled or difficult-to-control blood pressure. Resistant hypertension is defined as hypertension that is poorly responsive to treatment and requires the use of multiple medications to achieve acceptable blood pressure ranges. It may be a consequence of secondary hypertension or have no identifiable cause. Resistant hypertension is important to recognise because it places patients at risk of end-organ damage. Primary care physicians should be aware of the therapeutic approach for hypertension when traditional therapy fails. This article aims to familiarise readers with the evaluation and management of resistant hypertension by outlining the most recent evidence-based treatment options.

Keywords: Blood pressure; cardiovascular disease; renal denervation; resistant hypertension

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