07/11/2013

The possibility of resistant hypertension during the treatment of hypertensive patients

nov 7th, 2013. En: Propuestas del editor.

Por: Tetsuo Nishikawa, Masao Omura, Jun Saito y Yoko Matsuzawa. Hypertension Research (2013) 36, 924–929.

Patients with poorly controlled hypertension despite taking at least three different kinds of anti-hypertensive drugs, including diuretics, are considered to have resistant hypertension (RH). The prevalence of RH was reported to be 13% in the Japanese J-HOME study. The incidences of RH in younger and older Japanese individuals should be prospectively investigated in the near future. RH is associated with poor outcomes and various cardiovascular events. In addition, it is frequently associated with older age, obesity, sleep apnea, long-term hypertension, diabetes, dyslipidemia, reduced renal function, microalbuminuria and left ventricular hypertrophy.