Adult Patient with Pseudo-Resistant Hypertension: Spurious Resistant Hypertension

  • Massimo Salvetti
Part of the Practical Case Studies in Hypertension Management book series (PCSHM)


This clinical case describes a patient with uncontrolled hypertension. This is quite common, since the majority of patients do not reach appropriate BP values despite treatment. In patients referred for resistant hypertension, a crucial aspect of the evaluation is represented by the confirmation of a true persistent elevation of BP values despite treatment. In fact, a more accurate evaluation of BP values may allow the identification of a subset of patients with false resistant hypertension. Physicians should explain during the visit the correct technique for self-BP measurement. In addition to this, when resistant hypertension is suspected, ambulatory BP monitoring represents an important part of the workup, allowing the confirmation of true resistance to treatment. In fact, studies have shown that up to one third of patients with suspected resistant hypertension have normal 24-h (or home) blood pressure values and that these patients have much less organ damage and a better prognosis as compared to “true resistant” hypertensives.


Pulse Wave Velocity Ambulatory Blood Pressure Monitoring Resistant Hypertension Blood Pressure Profile Regular Rhythm 
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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Massimo Salvetti
    • 1
  1. 1.ASST Spedali Civili di BresciaClinica Medica-University of BresciaBresciaItaly

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