RT Journal Article
SR Electronic
T1 Resistant hypertension: Diagnostic strategies and management
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 91
OP 96
DO 10.3949/ccjm.80gr.12005
VO 80
IS 2
A1 Emmanuel Bravo
YR 2013
UL http://www.ccjm.org/content/80/2/91.abstract
AB 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.