• Cleve Clin J Med · Feb 2013

    Case Reports

    Resistant hypertension: diagnostic strategies and management.

    • Emmanuel Bravo.
    • Department of Nephrology and Hypertension, Cleveland Clinic, Cleveland, OH 44195, USA. bravoe@ccf.org
    • Cleve Clin J Med. 2013 Feb 1; 80 (2): 91-6.

    AbstractBlood 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.

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