Resistant Hypertension: Causes & Reasons

Possible Causes for Resistant Hypertension

We thought that hypertension etiologic evaluation must be repeated in case of resistant hypertension in young patients, particularly when they developed intracranial aneurysms [ncbi.nlm.nih.gov]

BACKGROUND/AIMS: Atherosclerotic renal artery stenosis (ARAS) is frequently detected in patients with resistant hypertension (RHTN), but the evidence supporting the utility [ncbi.nlm.nih.gov]

Eligible subjects will undergo a two-week Medical Documentation Screening period to confirm resistant hypertension (SBP ≥ 155mmHg) while on maximum tolerable doses of ≥ three [clinicaltrials.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]

CONCLUSION: MDCT is widely used for renal artery evaluation in patients with resistant hypertension. [ncbi.nlm.nih.gov]

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]

Hypertension

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

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

The role of device therapy for treating the typical patient with resistant hypertension remains unclear. [doi.org]

Essential Hypertension

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

Pulmonary hypertension and resistant essential hypertension are syndromes that have been proven elusive in etiology, and frequently refractory to first-line management. [ncbi.nlm.nih.gov]

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

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]

RESULTS: Of 3107 patients visiting the practices, 564 were diagnosed as having arterial hypertension. Seventy-nine fulfilled criteria for resistant hypertension. [ncbi.nlm.nih.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]

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]

Routine measurement of plasma renin in hypertension and a new positron emission tomography/computerized tomography allow prompt diagnosis and management of PHA before resistant [ncbi.nlm.nih.gov]

Familial Hyperaldosteronism Type 1

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

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

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

Liddle Syndrome

Resistant hypertension can cause muscle weakness, polyuria, and polydipsia due to hypokalemia. [statpearls.com]

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]

Evaluation A patient with Liddle syndrome often presents with secondary or resistant hypertension. [statpearls.com]

Retinal Hemorrhage

What causes resistant hypertension? [hopkinsmedicine.org]

"Resistant Hypertension." [ahajournals.org]

[…] 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]

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]

Secondary Hyperaldosteronism

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

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

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

Primary Apnea

Resistant Hypertension and Obstructive Sleep Apnea While population studies on the association between resistant HTN and OSA are lacking, multiple clinic-based studies have [hindawi.com]

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

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]

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]

[…] in portal hypertension. presinusoidal /pre·si·nu·soi·dal/ ( pre″si-nŭ-soi´dal ) located in front of a sinusoid or affecting the circulation before the sinusoids. [medical-dictionary.thefreedictionary.com]

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]

Hyperinsulinemia

[…] glucose intolerance, and hypertension, possibly explaining their ubiquitous association, and (c) may be linked to the increased peripheral vascular resistance of hypertension [jci.org]

[…] pressure on the kidney, which may provide an explantation for the clustering of insulin resistance with hypertension and hyperuricemia. [semanticscholar.org]

Free PMC article Abstract Hyperinsulinemia may contribute to hypertension by increasing sympathetic activity and vascular resistance. [pubmed.ncbi.nlm.nih.gov]

Systolic Hypertension

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]

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

Pure Autonomic Failure

What causes resistant hypertension? [hopkinsmedicine.org]

"Resistant Hypertension." [ahajournals.org]

[…] 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]

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]

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]

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]

The main characteristics of metabolic syndrome include: insulin resistance, hypertension ( high blood pressure ), abnormalities in cholesterol levels, and an increased risk [emedicinehealth.com]

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

Resistant Hypertension

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

TABLE 1 The main categories to consider for patients with resistant hypertension Categories of resistant hypertension Longstanding uncontrolled hypertension Secondary hypertension [ncbi.nlm.nih.gov]

The etiology of resistance hypertension is multifactorial. [ncbi.nlm.nih.gov]

Neutrophilia

Resistant hypertension (RHT) is an important disease that causes an increase in cardiovascular risk, yet its etiology remains unclear. [ncbi.nlm.nih.gov]

Compliance Problem

Abstract The compliance problem represents a major obstacle in the development of implantable blood pumps. The motor-driven pumps are enclosed in an airtight casing with gas in the motor space. The trapped gas in the motor space either increases the load on the motor during systole or impedes blood sac filling.[…] [ncbi.nlm.nih.gov]

Borderline Blood Pressure

Effect of hydrosoluble coenzyme Q10 on blood pressures and insulin resistance in hypertensive patients with coronary artery disease. [passeportsante.net]

Metabolic Syndrome X

Hypertension, 34 (1999), pp. 1086-1090 [9.] G. Reaven. The metabolic syndrome or the insulin resistance syndrome? [revespcardiol.org]

The main characteristics of metabolic syndrome include: insulin resistance, hypertension (high blood pressure), abnormalities in cholesterol levels, and an increased risk [emedicinehealth.com]

Enhanced endothelin activity prevents vasodilation to insulin in insulin resistance. Hypertension, 40 (2002), pp. 78-82 [22.] H.E. Lebovitz. [revespcardiol.org]

Neurogenic Hypertension

[…] in true 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]

Neurogenic hypertension, Nitric oxide, Obesity, Oxidative stress, Prostacyclin, Prostaglandins, Sympathetic activity, Vasopressin. [benthamscience.com]