Key result
A 70-year-old woman with resistant hypertension despite a three-drug regimen and ibuprofen presented with uncontrolled blood pressure (164/92 to 170/96 mm Hg) for further evaluation.
Why the study?
How should a patient with resistant or difficult-to-control hypertension on multiple medications be further evaluated and treated?
Case Report (n=1)
How should a patient with resistant or difficult-to-control hypertension on multiple medications be further evaluated and treated?
This clinical vignette highlights the presentation of a patient with resistant hypertension requiring further evaluation and management.
Case underscores NSAID review in resistant hypertension; leaves open standardized evaluation protocols for such patients.
A 70-year-old woman with a long-standing history of hypertension comes for follow-up. Her medications include atenolol (100 mg daily), hydrochlorothiazide (12.5 mg daily), lisinopril (40 mg daily), and ibuprofen (400 mg twice daily for osteoarthritis). She does not smoke or drink alcohol. Her body-mass index is 32. Her blood pressure (measured three times while she is seated) ranges from 164/92 to 170/96 mm Hg; her pulse rate is 72 per minute. Examination of her ocular fundi reveals arteriolar narrowing. The results of cardiovascular examination are normal. How should she be further evaluated and treated?
No takes yet. Share an insight, caveat, or question.
Moser et al. (2006) conducted a case report in Resistant or Difficult-to-Control Hypertension (n=1). A 70-year-old woman with resistant hypertension despite a three-drug regimen and ibuprofen presented with uncontrolled blood pressure (164/92 to 170/96 mm Hg) for further evaluation.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: