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Definition and diagnosis of resistant hypertension: search for a joint decision

Ю. И. Гринштейн, В. В. Шабалин

Authors: Yu. I. Grinshtein, V. V. Shabalin

Place: Krasnoyarsk, Russia

Institution: Krasnoyarsk State Medical University named after Professor V. F. Voyno-Yasenetsky

Abstract:

Resistant hypertension is defined as uncontrolled blood pressure on optimal doses of three antihypertensive agents, including a diuretic. According to the data from different studies, its prevalence achieves 10-15 %. The up-to-date approaches to classification, diagnostic algorithms are discussed; the reasons of resistant hypertension are reviewed. Special attention is paid to the opportunities of ambulatory blood pressure monitoring in distinguishing particular forms of resistant hypertension and pseudoresistant hypertension; a specific diagnostic algorithm is presented.

Keywords: arterial hypertension, resistant hypertension, pseudoresistant hypertension, ambulatory blood pressure monitoring

 

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