Resistant Hypertension: Detection, Evaluation, and Management

Published: September 13, 2018

nurse visiting senior male patient at home
  • Resistant hypertension (RH) is defined as a blood pressure (BP) of a hypertensive patient that remains elevated above goal in spite of the concurrent use of three antihypertensive agents of different classes.
  • Diagnosing RH requires adherence to antihypertensive agents and the exclusion of the “white coat effect” (office BP above goal but out-of-office BP at or below target).
  • This is an update to the 2008 American Heart Association (AHA) scientific statement on the detection (diagnosis), evaluation and management of resistant hypertension.

2018 Resistant Hypertension Guideline

Anna F. Dominiczak, MD, Editor-in-Chief of Hypertension, interviews Robert M. Carey, MD, the lead author of the 2018 AHA/ACC Resistant Hypertension guideline.