Investigation and management of resistant hypertension: British and Irish Hypertension Society position statement

Luca Faconti; Jacob George; Sarah Partridge; Carmen Maniero; Abilash Sathyanarayanan; Spoorthy Kulkarni; Vikas Kapil; Alfredo Petrosino; Philip Lewis; Terry McCormack; Neil R Poulter; Anthony Heagerty; Ian B Wilkinson

doi:10.1038/s41371-024-00983-6

Investigation and management of resistant hypertension: British and Irish Hypertension Society position statement

J Hum Hypertens. 2024 Dec 9. doi: 10.1038/s41371-024-00983-6. Online ahead of print.

Authors

Affiliations

¹ Department of Clinical Pharmacology, King's College London British Heart Foundation Centre, St. Thomas' Hospital, London, UK. luca.faconti@kcl.ac.uk.
² Division of Molecular & Clinical Medicine, School of Medicine, Ninewells Hospital & Medical School, University of Dundee, Dundee, UK.
³ Department of Primary Care and Public Health, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
⁴ William Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London, UK.
⁵ Nottingham University Hospitals, Nottingham, UK.
⁶ Division of Experimental Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
⁷ Barts Blood Pressure Centre of Excellence, Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London, UK.
⁸ London Tubular Centre, Department of Renal Medicine, University College London, Royal Free Hospital, London, UK.
⁹ Stockport NHS Foundation Trust, Stockport, UK.
¹⁰ Institute of Clinical and Applied Health Research, Hull York Medical School, Hull, UK.
¹¹ Imperial Clinical Trials Unit, School of Public Health, Imperial College London, London, UK.
¹² Division of Cardiovascular Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.

PMID: 39653728
DOI: 10.1038/s41371-024-00983-6

Abstract

People living with resistant hypertension (RH) are at high risk of adverse cardiovascular events. The British and Irish Hypertension Society has identified suspected RH as a condition for which specialist guidance may improve rates of blood pressure control and help clinicians identify those individuals who may benefit from specialist review. In this position statement we provide a practical approach for the investigation and management of adults with RH. We highlight gaps in the current evidence and identify important future research questions. Our aim is to support the delivery of high-quality and consistent care to people living with RH across the UK and Ireland.

Publication types

Review