How common is true resistant hypertension?

Evaluating the true prevalence of resistant hypertension.

Letters to the Editor will be published, if suitable, as space permits. They should not exceed 1000 words (typed double-spaced) in length and may be subject to editing or abridgment. To the Editor: We are grateful to de la Sierra et al 1 and Persell 2 for their worthy effort to provide significant information about the prevalence of true resistant hypertension. l,2 These important articles fill...

How common is hypertension in young adults in Singapore?

Hypertension is today a major health problem in Singapore, as well as in many other countries around the world. It is an important risk factor for stroke, coronary artery disease, heart failure and chronic renal disease. Considerable controversies have arisen regarding the definition, as well as the sub-classification of hypertension. This is largely because it is widely believed that there is ...

Efficacy of spironolactone therapy in patients with true resistant hypertension.

The role of spironolactone in resistant hypertension management is unclear. The aim of this prospective trial was to evaluate the antihypertensive effect of spironolactone in patients with true resistant hypertension diagnosed by ambulatory blood pressure monitoring. A total of 175 patients had clinical and complementary exams obtained at baseline and received spironolactone in doses of 25 to 1...

Adjusted drug treatment is superior to renal sympathetic denervation in patients with true treatment-resistant hypertension.

We aimed to investigate for the first time the blood pressure (BP)-lowering effect of renal sympathetic denervation (RDN) versus clinically adjusted drug treatment in true treatment-resistant hypertension (TRH) after excluding patients with confounding poor drug adherence. Patients with apparent TRH (n=65) were referred for RDN, and those with secondary and spurious hypertension (n=26) were exc...

Unmasking true resistant hypertension: is the real-world resistance just revealed?