title: Resistant hypertension: diagnostic strategies and management.
abstract: Blood pressure that remains above target levels despite drug therapy is an increasingly common problem. The evaluation of resistant hypertension includes confirming blood pressure measurements with an automated device that works without the clinician present and with 24-hour ambulatory monitoring; assessing for target-organ damage; and determining if kidney disease is present or if the hypertension is secondary to another condition. The goal of management should be to optimize drug therapy by using different classes of appropriate drugs.
authors: Department of Nephrology and Hypertension, Cleveland Clinic, Cleveland, OH 44195, USA. bravoe@ccf.org
authors: Emmanuel
authors: E
authors: Bravo
mesh_terms: D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D018660:Blood Pressure Monitoring, Ambulatory; D002346:Carotid Sinus; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007668:Kidney / Q000294:innervation; D055118:Medication Adherence; D011311:Pressoreceptors; D013562:Sympathectomy; D017211:Treatment Failure; D014883:Water-Electrolyte Imbalance / Q000150:complications*
chemical_list: D000959:Antihypertensive Agents