Resistant hypertension: new insights and therapeutic perspectives

Eur Heart J Cardiovasc Pharmacother. 2020 Jul 1;6(3):188-193. doi: 10.1093/ehjcvp/pvz057.

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.

Keywords: Controlled resistant hypertension; Masked uncontrolled resistant hypertension; Refractory hypertension; Resistant hypertension; Uncontrolled hypertension.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antihypertensive Agents / therapeutic use*
  • Blood Pressure / drug effects*
  • Drug Resistance*
  • Drug Therapy, Combination
  • Humans
  • Hypertension / epidemiology
  • Hypertension / physiopathology
  • Hypertension / therapy*
  • Kidney / blood supply*
  • Masked Hypertension / epidemiology
  • Masked Hypertension / physiopathology
  • Masked Hypertension / therapy*
  • Phenotype
  • Prevalence
  • Renal Artery / innervation*
  • Sympathectomy* / adverse effects
  • Treatment Outcome

Substances

  • Antihypertensive Agents