Skip to main content

Hypertension, Secondary and Resistant

George Maxted, MD Reviewed 05/2023
 


BASICS

DESCRIPTION

Uncontrolled hypertension (HTN) comprises the following entities (see “Alert” below): 
  • Resistant HTN: blood pressure (BP) that remains above goal in spite of the concurrent use of thr...

DIAGNOSIS

HISTORY

  • Ask or review at every visit: SANS mnemonic: (i) Salt intake, (ii) Alcohol intake, (iii) NSAID use, (iv) Sleep

  • Ask about medication adherence. Estimates are that during the 1st year of...

TREATMENT

  • Treatment modality depends on etiology of HTN. Please see each etiology listed for information on proper treatment.

  • The National Institute for Health Care and Excellence (2) offers a useful ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Encourage aerobic activity of 30 min/day, depending on patient’s condition. 

Patient Monitoring

Remote blood pressure monitoring may be useful in a clinical setting...

REFERENCES

1
James  PA, Oparil  S, Carter  BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed ...

SEE ALSO

Aldosteronism, Primary; Coarctation of the Aorta; Cushing Disease and Cushing Syndrome; Hyperparathyroidism; Hypertension, Essential; Hyperthyroidism; Pheochromocytoma 

CODES

ICD10

  • I15.9 Secondary hypertension, unspecified

  • I15.8 Other secondary hypertension

  • I15.0 Renovascular hypertension

  • I15.1 Hypertension secondary to other renal disorders

  • I15.2 Hypertension secondary t...

CLINICAL PEARLS

  • Onset of HTN in adults >60 years of age is a strong indicator of secondary HTN.

  • Aldosterone inhibitors should be considered in all cases of resistant HTN.

  • Home BP monitoring predicts ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×