Abstract

RESISTANT HYPERTENSION

*N. S. Neki, Gurpal Singh Sachdeva, Harshinder Kaur, Chandandeep

ABSTRACT

Resistant Hypertension defined as failure of diastolic blood pressure to fall below 90 mm Hg despite the use of three or more drugs including a diuretic is a common clinical problem faced by both primary care clinicians and specialists. Poor compliance, suboptimal therapy, excessive dietary sodium intake, white coat hypertension must be ruled out before labelling as resistant hypertension. Apart from that certain factors like obesity, drug withdrawal, sleep apnea, chronic kidney disease, various genetic and secondary causes play a major role.

Keywords: Resistant hypertension; obesity;sleep apnoea.