Resistant Hypertension: Causes & Reasons

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Possible Causes for Resistant Hypertension

Renal Artery Stenosis

Percutaneous renal sympathetic denervation is an evolving therapy for resistant hypertension. [ncbi.nlm.nih.gov]

We present a case of aortic intimal sarcoma causing bilateral renal artery stenosis which manifested as resistant hypertension and acute kidney inury. [ncbi.nlm.nih.gov]

Twelve patients with resistant hypertension and moderate RAS were selected for the study. [ncbi.nlm.nih.gov]

Renal Hypertension

[…] could be classified as having resistant hypertension. [af-ablation.org]

Abstract The effects of 6 weeks of treatment with captopril on the renal hemodynamics of 16 patients with treatment-resistant renal hypertension (six had diabetic nephropathy [ncbi.nlm.nih.gov]

Severe hypertension. Hypertension resistant to standard medical therapy. [patient.info]

Malignant Hypertension

Resistant hypertension. [everydayhealth.com]

Resistant hypertension: diagnosis, evaluation, and treatment. [emedicine.medscape.com]

hypertension. [journals.lww.com]

Pheochromocytoma

Currently Browsing: Nephrology Resistant Hypertension Program The Resistant Hypertension Program at Massachusetts General Hospital specializes in the evaluation, diagnosis [massgeneral.org]

Download Our Free Treatment Guide Resistant Hypertension What is a pheochromocytoma? [my.clevelandclinic.org]

[…] and management of patients with resistant or difficult to treat hypertension. [massgeneral.org]

High Sodium Diet

KEYWORDS: Hypertension; Sodium; Sodium Resistance [ncbi.nlm.nih.gov]

In a study by Copenhagen University Hospital, a low-sodium diet resulted in a 3.5 percent decrease in blood pressure for people with hypertension. [fitnessmagazine.com]

The link between sodium intake and cardiovascular disease has traditionally involved hypertension. [lpi.oregonstate.edu]

Hypertension

The exact prevalence of resistant hypertension is unknown ( 3 ). [doi.org]

Resistant hypertension may be associated with secondary causes of hypertension including obstructive sleep apnea or primary aldosteronism. [doi.org]

@article{Vongpatanasin2014ResistantHA, title={Resistant hypertension: a review of diagnosis and management.}, author={Wanpen Vongpatanasin}, journal={JAMA}, year={2014}, volume [pdfs.semanticscholar.org]

Essential Hypertension

[…] in patients with resistant hypertension. [doi.org]

In established hypertension, the output is normal and resistance is elevated. [care.diabetesjournals.org]

[…] is not synonymous with resistant hypertension. [doi.org]

Hyperaldosteronism

[…] uab.edu Abstract Resistant hypertension affects an estimated 10-15 million American adults and is increasing in prevalence. [ncbi.nlm.nih.gov]

A pharmacy database was used to identify patients with resistant hypertension who could then be tested for the presence of primary hyperaldosteronism. [ncbi.nlm.nih.gov]

Resistant hypertension, defined as uncontrolled blood pressure on 3 or more different antihypertensive agents, is common, affecting 15-20% of the entire hypertensive population [clinicaltrials.gov]

Conn Syndrome

Smaller APAs without KCNJ5 mutations usually present in older men with resistant hypertension, having been overlooked earlier because of their size. [ncbi.nlm.nih.gov]

There is hypertension and spontaneous or low dose diuretic induced hypokalaemia 2. Severe hypertension or drug resistant hypertension 3. [richardbogle.com]

Patients with hypertension, especially resistant hypertension (i.e. blood pressure that is difficult to control and that requires multiple medications) should be tested for [web.archive.org]

Familial Hyperaldosteronism Type 1

There is hypertension and spontaneous or low dose diuretic induced hypokalaemia 2. Severe hypertension or drug resistant hypertension 3. [richardbogle.com]

Conclusions: Our results confirm the increasing frequency of diagnosis of PA among patients investigated for resistant hypertension. [omicsonline.org]

hypertension and early death from hypertensive stroke) are considerable. [online.epocrates.com]

Renal Vascular Disorder

[…] symptoms grade 2 – RAS with controlled hypertension grade 3 – RAS with resistant hypertension, abnormal renal function, or volume overload Epidemiology prevalence 7% in the [medbullets.com]

Download Our Free Treatment Guide Resistant Hypertension What are the symptoms? [my.clevelandclinic.org]

Secondary hypertension also should be considered in patients with resistant hypertension, and early or late onset of hypertension. [aafp.org]

Primary Apnea

Characterization of resistant hypertension: association between resistant hypertension, aldosterone, and persistent intravascular volume expansion. [thieme-connect.com]

Clinical characteristics of patients with resistant hypertension: the RESIST-POL study.J Hum Hypertens. 2013; 27:678–685. doi: 10.1038/jhh.2013.32CrossrefMedlineGoogle Scholar [ahajournals.org]

Secondary Hyperaldosteronism

Pathophysiology and Treatment of Resistant Hypertension: The Role of Aldosterone and Amiloride-Sensitive Sodium Channels. [thecurbsiders.com]

Resistant hypertension: diagnosis, evaluation, and treatment. [renalandurologynews.com]

According to published guidelines, resistant hypertension in diabetes needs to undergo screening for PA. [karger.com]

Presinusoidal Portal Hypertension

Hepatic arterial resistance does not change in presinusoidal portal hypertension, whereas it increases in sinusoidal portal hypertension. [ncbi.nlm.nih.gov]

We aimed to determine the mean hepatic artery resistance index (RI) in presinusoidal portal hypertension and to compare the values with those in sinusoidal portal hypertension [link.springer.com]

Increased vascular resistance in intrahepatic portal hypertension is secondary to increased intrahepatic and portocollateral resistance. [musculoskeletalkey.com]

Systolic Hypertension

[…] in the pathogenesis of resistant hypertension. [eurheartj.oxfordjournals.org]

Resistant hypertension has been classified as “true” resistant hypertension if blood pressure is still elevated after witnessed intake of antihypertensive drugs ( Fadl Elmula [frontiersin.org]

KEYWORDS: arteriovenous anastomosis; combined hypertension; isolated systolic hypertension; treatment resistant hypertension [ncbi.nlm.nih.gov]

Fibromuscular Hyperplasia of the Renal Artery

Catheter-based renal sympathetic denervation for resistant hypertension: a multicentre safety and proof-of-principle cohort study. [vasculardiseasemanagement.com]

Patients with hypertension and hypokalaemia or resistant hypertension should be screened. [patient.info]

Liddle Syndrome

The proband was referred because of resistant hypokalemic hypertension, suppressed renin and aldosterone, and no mutations in the genes encoding β - or γ ENaC. [ncbi.nlm.nih.gov]

A heterozygous βR597PfrX607 frameshift mutation was identified in the proband-2 in the second pedigree, showing malignant phenotype including resistant hypertension, hypokalemia [ncbi.nlm.nih.gov]

Genetic analysis of the C-terminus of SCNN1B and SCNN1G genes was conducted in an adolescent, with treatment-resistant hypertension and hypokalemia, who was suspected of having [ncbi.nlm.nih.gov]

Renovascular Hypertension

@article{Costache2018MorphologicalAF, title={Morphological and functional renovascular changes as cause of resistant arterial hypertension - case report and literature review [semanticscholar.org]

Resistant hypertension, decrease of diuresis and increase of serum creatinine concentration were observed in both presented patients. [ncbi.nlm.nih.gov]

The embolization promptly ameliorated hyperreninemia and resistant hypertension without deterioration of renal function. [ncbi.nlm.nih.gov]

Labile Hypertension

Resistant hypertension. [everydayhealth.com]

Chronotherapy is the newest approach to resistant hypertension. [racgp.org.au]

Additional Hypertension Types: Isolated Systolic, Malignant, and Resistant Isolated systolic hypertension, malignant hypertension, and resistant hypertension are all recognized [everydayhealth.com]

Congenital Renal Artery Stenosis

Download Our Free Treatment Guide Resistant Hypertension What are the symptoms? [my.clevelandclinic.org]

Secondary hypertension also should be considered in patients with resistant hypertension, and early or late onset of hypertension. [aafp.org]

"Renal artery stenosis in patients with resistant hypertension". The American Journal of Cardiology. 112 (9): 1417–1420. doi : 10.1016/j.amjcard.2013.06.030. [en.wikipedia.org]

Metabolic Syndrome

MetS is a complex disease that includes endothelial dysfunction, insulin resistance, diabetes, hypertension, ectopic obesity, and dyslipidaemia, and an increased risk of cardiovascular [ncbi.nlm.nih.gov]

Hyperuricemia is strongly linked to hypertension, insulin resistance, obesity and hypertriglyceridemia. [ncbi.nlm.nih.gov]

Patients with hypertension, treated or untreated, are insulin resistant, hyperglycemic, and hyperinsulinemic. [diabetes.diabetesjournals.org]

Autosomal Dominant Progressive Nephropathy with Hypertension

Editorial Apr 10, 2014 Renal Denervation for Resistant Hypertension? [nejm.org]

[…] of CKD Role of Dyslipidemia in the Progression of CKD Renal Denervation in the Management of Resistant Hypertension Arshia Ghaffari, DO Home Dialysis Modalities: Benefits [keck.usc.edu]

As secondary hypertension is often resistant to treatment, the incidence of secondary hypertension in patients with a resistance-resistant hypertension may be higher. [nature.com]

Retinal Hemorrhage

[…] online publication, September 12, 2013; doi:10.1038/hr.2013.107 Abstract | Full Text | PDF Neuroadrenergic disarray in pseudo-resistant and resistant hypertension FREE Guido [nature.com]

What causes resistant hypertension? [hopkinsmedicine.org]

"Resistant Hypertension." [ahajournals.org]

Papillary Muscle Disorder

Brand-new chapters include Radiation Safety, Renal Denervation for Resistant Hypertension, Post PCI Hospitalization, Length of Stay and Discharge Planning, and Interventional [books.google.com]

Portal Hypertension

PostHepatic Portal vein & tributaries PreHepatic Bile canaliculi & sinusoids Hepatic vein IntraHepatic IVC Occulsion↑ resistance↑ pressure hypertension Systemic cirulation [slideshare.net]

Home | CCC | Portal Hypertension by, last update April 25, 2019 OVERVIEW Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral [lifeinthefastlane.com]

Any condition causing increased portal venous flow, or increased hepatic resistance, can develop into portal hypertension. [hepatitiscentral.com]

Familial Partial Lipodystrophy

The first presented with acanthosis nigricans at age 5 yr, diabetes with insulin resistance, hypertension and hypertriglyceridemia at age 13 yr, and partial lipodystrophy [ncbi.nlm.nih.gov]

The patients also suffered from hypertension, insulin resistance and hypertriglyceridemia. Type 6 due to mutations in the CIDEC gene. [en.wikipedia.org]

hypertension, hypertriglyceridaemia, low HDL cholesterol, and hyperglycaemia 1. [endocrine-abstracts.org]

Obstructive Sleep Apnea

[…] indicated that OSA is related to an increased risk of resistant hypertension. [ncbi.nlm.nih.gov]

OSA and PLMs were not associated with resistant hypertension. [ncbi.nlm.nih.gov]

These results suggest that 6-month CPAP therapy improves the nocturnal BP dipping status in some patients with obstructive sleep apnea and resistant hypertension. [ncbi.nlm.nih.gov]

Acute Hypertensive Retinopathy

hypertensive crises Resistant hypertension : hypertension that is resistant to treatment with ≥ 3 antihypertensives of different classes Specific indicators (for details [amboss.com]

[…] remains resistant to preventive therapies Pharmacologic Use non-dialyzable anti-hypertensive drugs ( Figure 1 ) Do not hold anti-hypertensive drugs before dialysis Decrease [clinicaladvisor.com]

[…] retinopathy is more common in salt-sensitive hypertension than in salt-resistant hypertension. 28 Secondary hypertension : Renal hypertension secondary to focal segmental [nature.com]

Neurogenic Hypertension

Davis M, Schiffrin EL, Joyal D (2014) Renal denervation therapy for resistant hypertension. [link.springer.com]

[…] in hypertension in patients with severe or resistant hypertension, chronic renal disease, comorbidities associated with increased sympathetic tone, and ingestion of drugs [pubmed.ncbi.nlm.nih.gov]

Hering D, Schlaich M (2015) The role of central nervous system mechanisms in resistant hypertension. [link.springer.com]

Resistant Hypertension

To make our point, we first reviewed the prevalence and risks associated with treatment-resistant hypertension. [ncbi.nlm.nih.gov]

Resistant hypertension may be associated with secondary causes of hypertension including obstructive sleep apnea or primary aldosteronism. [ncbi.nlm.nih.gov]

resistant hypertension. [ncbi.nlm.nih.gov]