A TENSÃO ABOMINÁVEL - CASO CLÍNICO DE HIPERTENSÃO RESISTENTE

Authors

  • Filipe António Martins Unidade Local de Saúde da Lezíria, Santarém, Portugal, Interno de Formação Específica de Medicina Geral e Familiar
  • Inês Andias Ferreira Unidade Local de Saúde da Lezíria, Santarém, Portugal, Interno de Formação Específica de Medicina Geral e Familiar
  • Marta Sousa Cardoso Unidade Local de Saúde da Lezíria, Santarém, Portugal, Interno de Formação Específica de Medicina Geral e Familiar
  • Cláudia Resende Unidade Local de Saúde da Lezíria, Santarém, Portugal, Interno de Formação Específica de Medicina Geral e Familiar
  • Margarida Barroso Unidade Local de Saúde da Lezíria, Santarém, Portugal, Interno de Formação Específica de Medicina Geral e Familiar
  • Bárbara Torres Unidade Local de Saúde da Lezíria, Santarém, Portugal, Médica Assistente de Medicina Geral e Familiar
  • Raquel Landeiro Unidade Local de Saúde da Lezíria, Santarém, Portugal, Médica Assistente de Medicina Geral e Familiar

DOI:

https://doi.org/10.58043/rphrc.201

Keywords:

Hypertension Resistant to Conventional Therapy, Blood pressure and Cardiovascular Risk

Abstract

Resistant Hypertension (RH) is a complex condition, characterized by persistently elevated blood pressure despite optimized therapy with three or more medications. This article describes the case of a 58-year-old man with a complex history of multimorbidity (hypertension, type 2 diabetes, obesity, and dyslipidemia). Despite follow-up in various specialties (Cardiology, Nephrology, General and Family Medicine), blood pressure control remained insufficient, with episodes of therapeutic non-adherence, medication intolerances, and suspected white-coat hypertension. The multidisciplinary approach proved essential, but insufficient without patient commitment. The case highlights the central role of Family Medicine (FM) in coordinating a condition of this complexity, ensuring efficient communication between levels of care, rigorous monitoring, and therapeutic education for the effective control of RH within a FM context.

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References

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Published

2026-02-13

How to Cite

1.
Martins FA, Andias Ferreira I, Sousa Cardoso M, Resende C, Barroso M, Torres B, et al. A TENSÃO ABOMINÁVEL - CASO CLÍNICO DE HIPERTENSÃO RESISTENTE. RH [Internet]. 2026 Feb. 13 [cited 2026 Feb. 14];(111):21-3. Available from: https://revistahipertensao.pt/index.php/rh/article/view/201

Issue

No. 111 (2026): January / February

Section

Caso Clínico

License

Copyright (c) 2026 Filipe António Martins, Inês Andias Ferreira, Marta Sousa Cardoso, Cláudia Resende, Margarida Barroso, Bárbara Torres, Raquel Landeiro

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.