1. [Obstructive sleep apnea and drugs as causes of treatment-resistant hypertension].
- Author
-
Waeber B and Feihl F
- Subjects
- Adrenal Gland Neoplasms complications, Blood Pressure Monitoring, Ambulatory, Comorbidity, Humans, Hyperaldosteronism complications, Hypertension physiopathology, Kidney Diseases complications, Medication Adherence, Pheochromocytoma complications, Renal Artery Obstruction complications, Risk Factors, Sleep Apnea, Obstructive drug therapy, Vasoconstrictor Agents adverse effects, White Coat Hypertension diagnosis, Antihypertensive Agents therapeutic use, Hypertension drug therapy, Hypertension etiology, Sleep Apnea, Obstructive complications
- Abstract
Treatment-resistant hypertension is still common despite the availability of several types of antihypertensive agents acting by different mechanisms. The existence of refractory hypertension should lead to rule out "white-coat hypertension", poor adherence to prescribed drugs as well as classical causes of secondary hypertension such as renal artery stenosis, primary aldosteronism, pheochromocytoma and renal disease. It is also important to consider the possible existence of obstructive sleep apnea or the regular intake of vasopressive drugs or substances.
- Published
- 2012