Key result
Appropriate evaluation of patient compliance, dietary restrictions, and secondary causes can resolve many cases of resistant hypertension.
Appropriate evaluation of patient compliance, drug resistance, and secondary causes can resolve many cases of resistant hypertension.
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Highlights importance of ruling out nonadherence and secondary causes in resistant hypertension; leaves open need for prospective validation.
With appropriate evaluation of both patient- and physician-related factors, many cases of resistant hypertension can be resolved. Patients often do not understand the implications of their disease and need specific information regarding the importance of compliance with medication schedules and dietary restrictions. Physicians should also consider the possibility of drug resistance or the presence of an identifiable secondary cause, such as renal artery stenosis, chronic renal parenchymal disease, or pheochromocytoma.
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Gandhi et al. (1996) conducted a review in Resistant hypertension. Appropriate evaluation of patient compliance, dietary restrictions, and secondary causes can resolve many cases of resistant hypertension.
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