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refractory hypertension

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refractory hypertension
A condition characterized by BP ≥140/90, or ≥160/90 if > 60 and absent features of 2º HTN, maximal dose of 2+ antihypertensives is being administered, and adequate time has passed to allow the usual antihypertensives to be effective DiffDx Spurious–pseudoHTN, 'white coat' HTN, noncompliance with therapy, presence of exogenous substances that ↑ BP–alcohol, anabolic steroids, caffeine, chlorpromazine, cyclosporine, erythropoietin, MAOIs, nicotine, sympathomimetics, tricyclic antidepressants, cocaine, corticosteroids, NSAIDs, salt; obesity should be controlled


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Effects of ascorbic acid on ambulatory blood pressure in elderly patients with refractory hypertension.
36) Since NSAIDs are available over the counter, clinicians must consider their contribution to new onset and refractory hypertension.
Resistant hypertension, also sometimes called refractory hypertension, occurs where high blood pressure is not returned to within normal ranges with the use of three anti-hypertensives from different drug classes, including a diuretic.
 
 
 
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