Resistant hypertension is more likely to be encountered with certain diseases and with certain risk factors.


Diseases associated with resistant hypertension:

(1) primary hyperaldosteronism (Conn's disease)

(2) atherosclerosis with renovascular disease and/or aortic stiffening

(3) obstructive sleep apnea

(4) chronic kidney disease

(5) pheochromocytoma

(6) coarctation of the aorta

(7) Cushing's disease

(8) hyperparathyroidism


Patient findings associated with greater risk of poor blood pressure control:

(1) older age

(2) Black race

(3) high dietary sodium intake

(4) high baseline blood pressure

(5) long history of poorly-controlled hypertension

(6) diabetes mellitus

(7) obesity


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