supplementalcontent.pptVIP

Pearls Copyright ? 2015 Know the target BP and confirm resistance with home BP Rule out confounding causes, life style causes and noncompliance Optimize the ACEI and calcium channel blocker Switch from HCTZ to chlorthalidone If remains resistant on three agents investigate for secondary hypertension as clinically indicated No evidence that renal artery revascularization improves BP Don’t forget primary aldosteronism Fourth agent: Add mineralocorticoid receptor antagonist (spironolactone, eplerenone) Follow potassium COPYRIGHT ? 2015, ALL RIGHTS RESERVED Produced by and Copyright ? 2014 Copyri