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Medicine

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Cardiology

Question
33 out of 36
 

A patient is said to be having resistant hypertension if his BP is not controlled even by use of how many drugs?



A 1

B 2

C 3

D 4

Ans. C

Resistant Hypertension

1. It refers to patients with BP persistently >140/90 mmHg despite taking three or more antihypertensive agents, including a diuretic, in reasonable combination and at full doses.

2. Resistant hypertension may be related to

a. "Pseudo resistance" (high office blood pressures and lower home blood pressures),

b. Non adherence to therapy,

c. Identifiable causes of hypertension (including obesity and excessive alcohol intake), and use of any of a number of nonprescription and prescription drugs.

d. The actual blood pressure can be determined by direct intraarterial measurement (Ref. Hari-18th ed., Pg- 2058)

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