Resistant hypertension: new insights and therapeutic perspectives

Author:

Ruilope Luis M1234ORCID,Rodríguez-Sánchez Elena1,Navarro-García José Alberto1,Segura Julian1,Órtiz Alberto5,Lucia Alejandro6,Ruiz-Hurtado Gema12ORCID

Affiliation:

1. Cardiorenal Translational Laboratory and Hypertension Unit, Institute of Research i+12, Hospital Universitario, 12 de Octubre, Madrid, Spain

2. Hospital Universitario, 12 de Octubre, Madrid, CIBER-CV, Spain

3. Department of Preventive Medicine and Public Health, School of Medicine, Universidad Autónoma de Madrid, Madrid, Spain

4. Universidad Europea de Madrid, Madrid, Spain

5. IIS-Fundacion Jimenez Diaz UAM and School of Medicine, UAM, Madrid, Spain

6. Faculty of Sports Sciences, Universidad Europea de Madrid, Madrid, Spain

Abstract

Abstract Resistant hypertension (RH) is a concept that currently goes beyond the classical definition of blood pressure ≥140/90 mmHg in subjects receiving three or more drugs of different classes at maximally tolerated doses. Here, we review the clinical relevance of RH and the different types of RH-associated phenotypes, namely refractory hypertension, controlled resistant hypertension, and masked uncontrolled hypertension. We also discuss current drug strategies and future treatments for these high-risk phenotypes.

Funder

Spanish Institute of Health Carlos III

RETIC REDINREN

Publisher

Oxford University Press (OUP)

Subject

Pharmacology (medical),Cardiology and Cardiovascular Medicine

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