HYPERTENSION OF DIFFICULT CONTROL – A PSEUDO-RESISTANT HYPERTENSION CASE REPORT
DOI:
https://doi.org/10.58043/rphrc.21Abstract
Introduction: Cardio and cerebrovascular diseases continue to be the leading cause of death worldwide, for which there are several risk factors, with arterial hypertension being the most prevalent. In 5-10% of cases of hypertension, there is a secondary cause, with situations that should lead to its suspicion such as young age or resistant hypertension. This corresponds to an uncontrolled hypertension despite being medicated, which must be approached with care and investigated.
Clinical Case: A 44-year-old woman, with no relevant history, developed a new case of hypertension with multiple visits to the Emergency Department due to hypertensive crisis in late 2016. From the evaluation by her attending physician, it was found a case of difficult to control hypertension and the study for secondary causes was negative. She was correctly medicated, but after 6 months, with several adjustments in medication, she always had high blood pressure (BP) values, and was assumed as a case of resistant hypertension. In one of the reassessment appointments, after exploring the situation, the existence of depression and anxiety with poor adherence to treatment was found. It was decided to medicate and intercede in adherence to therapy and over time there was a stabilization of BP values.
Discussion: This case demonstrates a situation of pseudo-resistant hypertension in a complex patient. There are several factors that can influence BP control, from therapeutic adherence to external factors that affect the lives of patients, such as work and family problems, anxiety and depression, elements that may have been the cause of the difficult control of hypertension. The comprehensive and individual approach to each situation, as well as the doctor-patient relationship, has a fundamental role in the control of each chronic disease.
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