Диагностика и лечение резистентной артериальной гипертонии

Resistant hypertension (RH) can be defined as arterial hypertension not controlled by the use of three antihypertensive medicines (one being a diuretic) at optimal doses provided changed lifestyle. The present review summarizes the modern approaches to RH classification, diagnostic algorithm, differential diagnoses, and treatment. Special attention is paid to ambulatory blood pressure monitoring as essential tool for distinguishing specific hypertension types and pseudoresistance verification. Both traditional and new options of medicinal and interventional therapies are presented. Controversial issues of interventional techniques for RH correction are also discussed.