7th Brazilian Guideline of Arterial Hypertension: Chapter 13 – Resistant Arterial Hypertension
Definition and epidemiology
Resistant AH (RAH) is defined as uncontrolled office BP despite the use of at least three antihypertensive drugs at appropriate doses, including preferably one DIU, or as controlled BP using at least four drugs.– Because it does not include the systematic assessment of therapy and adherence, that situation is better defined as apparent RAH (pseudoresistance). Identification of true RAH is fundamental to establish specific approaches. Population-based studies have estimated a 12% prevalence in the hypertensive population. In Brazil, the ReHOT study assesses prevalence and therapeutic choice. Refractory hypertension is defined as uncontrolled BP using at least five antihypertensive drugs, and corresponds to 3.6% of resistant hypertensive individuals. To diagnose RAH, ABPM is required, as well as systematic assessment of adherence. (GR: I; LE: C).
[…]
Comments are moderated by the editorial team before publication. Discussions should be evidence-based and use scientific language. Conflicts of interest should be declared.