Journal of Lipid and Atherosclerosis  2013;2(1):37-40

doi:10.12997/jla.2013.2.1.37

Importance of Clinical Evaluations Related to Secondary Hypertension in Patients with Resistant Hypertension.

Jin Ho KIM 1 ; Sung Ha PARK ; Ah Young JI ; Jung Hee LEE ; Moonyun JIN ; Changho SONG ; Insoo KIM ; Young Ju KIM ; Moon Hyoung LEE

Affiliations

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Keywords

Renal artery segmental stenosis; Secondary hypertension; Resistant hypertension

Country

Republic of Korea

Language

English

Abstract

Resistant hypertension is defined as poorly controlled status of blood pressure despite of optimal use of three or more antihypertensive drugs of different classes, including diuretics. Although exact prevalence of resistant hypertension is not known, it has been reported to be 12.8% among patients treated with antihypertensive drugs. It is important to evaluate a possible secondary cause in patients with resistant hypertension. We report a case of resistant hypertension with renal artery segmental stenosis that was not revealed in renal Doppler study. Blood pressure of the patient was well controlled after renal balloon angioplasty.