Resistant Hypertension Causes & Reasons

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Possible Causes

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. [dx.doi.org]

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

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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]

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Renal Artery Stenosis

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]

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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]

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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]

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Hyperaldosteronism

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

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]

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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]

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Metabolic Syndrome

These metabolic factors include insulin resistance, hypertension ( high blood pressure ), cholesterol abnormalities, and an increased risk for blood clotting. [medicinenet.com]

These metabolic factors include insulin resistance, hypertension (high blood pressure), cholesterol abnormalities, and an increased risk for blood clotting. [medicinenet.com]

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

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Malignant Hypertension

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

hypertension. [journals.lww.com]

Resistant hypertension. [everydayhealth.com]

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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]

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Obstructive Sleep Apnea

hypertension. [ncbi.nlm.nih.gov]

BACKGROUND: Obstructive sleep apnea (OSA) and resistant hypertension (RHTN) are two major risk factors of chronic heart failure (CHF) and limited information is available [ncbi.nlm.nih.gov]

Effect of eplerenone on the severity of obstructive sleep apnea and arterial stiffness in patients with resistant arterial hypertension. [nature.com]

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Insulin Resistance

BACKGROUND: The emergence of diseases such as dyslipidemia, systemic arterial hypertension, insulin resistance and metabolic syndrome in children and adolescents has brought [ncbi.nlm.nih.gov]

I want to focus on an aspect of hypertension that is largely ignored by conventional physicians: insulin resistance. [whitakerwellness.com]

Insulin resistance, hyperinsulinemia and hypertension. J Hypertens. 1993; 11 (suppl 5): S27–S38. Google Scholar 23 Slater EE. Insulin resistance and hypertension. [circ.ahajournals.org]

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Primary Apnea

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

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]

Resistant hypertension, obstructive sleep apnoea and aldosterone. J Hum Hypertens. 2012;26:281–7. 17. Jin ZN, Wei YX. [nature.com]

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Secondary Aldosteronism

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]

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Systolic Hypertension

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

Renal denervation can reduce blood pressure in certain patients with resistant hypertension. [ncbi.nlm.nih.gov]

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]

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Retinal Hemorrhage

What causes resistant hypertension? [hopkinsmedicine.org]

"Resistant Hypertension." [ahajournals.org]

[…] system and resistant hypertension FREE Tatsuo Shimosawa Hypertens Res 36: 657-660; doi:10.1038/hr.2013.69 Abstract Full Text PDF The possibility of resistant hypertension [nature.com]

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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]

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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]

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]

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]

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Hyperuricemia

Many factors contribute to hyperuricemia, which can include: genetics, insulin resistance, hypertension, renal insufficiency, being over-weight, diet, and consuming alcohol [goutandyou.com]

Hypertension Renal insufficiency Obesity Poor Diet Use of diuretics The causes of hyperuricemia can be sorted into three types. [reliawire.com]

Undiagnosed and asymptomatic HU pose health risks including resistant hypertension and chronic kidney disease [13]. [cureus.com]

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Vitamin D Deficiency

Hypovitaminsis D was found to be associated with the development of obesity and insulin resistance in women with PCOS. [publications.waset.org]

Other confounders of this chronic condition are also under influence of Vitamin D, such as metabolic syndrome, hypertension, hyperglycemia, hyperlipidemia, insulin resistance [hindawi.com]

Low vitamin D levels were found to be associated with the development of obesity and insulin resistance in women with PCOS. [publications.waset.org]

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Hypertensive Crisis

Resistant hypertension: diagnosis and management. J Cardiovasc Pharmacol Ther (2006) 11 ( 2 ):113–8.10.1177/1074248406289735 [ PubMed ] [ CrossRef ] 4. [ncbi.nlm.nih.gov]

drug abuse, oral contraceptives, CKD, sleep apnea), or 50 years, or resistant hypertension or no history of noncompliance with medication. [renalandurologynews.com]

In hypertensive crisis, there is a lack of autoregulation in vascular bed and blood flow and so an abrupt increase of BP and systemic vascular resistance can occur, which [ncbi.nlm.nih.gov]

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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]

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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]

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Pure Autonomic Failure

What causes resistant hypertension? [hopkinsmedicine.org]

"Resistant Hypertension." [ahajournals.org]

[…] system and resistant hypertension FREE Tatsuo Shimosawa Hypertens Res 36: 657-660; doi:10.1038/hr.2013.69 Abstract Full Text PDF The possibility of resistant hypertension [nature.com]

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Hypertensive Heart Disease

The myocardial ischemia was due to severe resistant hypertension complicated with concentric left ventricular hypertrophy and increased arterial stiffness. [cardiovascularultrasound.biomedcentral.com]

Sleep apnea, certain medications, tobacco, obesity, and alcohol use exacerbate hypertension and if uncontrolled may lead to treatment-resistant hypertension. [ncbi.nlm.nih.gov]

Renal sympathetic denervation reduces left ventricular hypertrophy and improves cardiac function in patients with resistant hypertension. J. Am. Coll. [futuremedicine.com]

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Ovarian Cyst

insulin resistance and dylipidaemia. [3] Recently it is concluded that insulin as the key factor involved in metabolic and endocrine abnormalities leading to glucose intolerance [jbclinpharm.org]

Polycystic ovarian syndrome involves metabolic and cardiovascular risks linked to insulin resistance. [emedicinehealth.com]

Hyperinsulinemia due to insulin resistance may be present and may contribute to increased ovarian production of androgens. [msdmanuals.com]

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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]

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Sleep Apnea

Abstract Obstructive sleep apnea syndrome (OSAS) causes resistant hypertension and a hypopnea-related nocturnal blood pressure (BP) surge. [ncbi.nlm.nih.gov]

Resistant hypertension OSAS is known to be a frequent cause of resistant hypertension ( Table 1 ). 14 Resistant hypertension is defined when BP levels cannot be controlled [nature.com]

Quick Facts Up to 70-80% of OSAS patients are hypertensive. OSAS is shown to be present in as much as 60% of therapy-resistant hypertension cases. [meditech.hu]

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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]

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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]

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