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Hypertension

Spironolactone and resistant hypertension

True resistant hypertension is relatively frequent, yet effective treatment is often difficult to identify. In a new study, de Souza and colleagues demonstrate the potent blood pressure lowering effect of low-dose spironolactone in patients with evident resistant hypertension. This finding should have broad clinical implications in the effective management of a notoriously challenging condition.

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References

  1. Calhoun, D. A. et al. Resistant hypertension: diagnosis, evaluation, and treatment—a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research. Hypertension 51, 1403–1419 (2008).

    Article  CAS  Google Scholar 

  2. Nishisaka, M. K., Zaman, M. A. & Calhoun, D. A. Efficacy of low-dose spironolactone in subjects with resistant hypertension. Am. J. Hypertens. 16, 925–930 (2003).

    Article  Google Scholar 

  3. de Souza, F., Muxfeldt, E., Fiszman, R. & Salles, G. Efficacy of spironolactone therapy in patients with true resistant hypertension. Hypertension 55, 147–152 (2010).

    Article  CAS  PubMed  Google Scholar 

  4. Jeunemaitre, X. et al. Efficacy and tolerance of spironolactone in essential hypertension. Am. J. Cardiol. 60, 820–825 (1987).

    Article  CAS  PubMed  Google Scholar 

  5. Pimenta, E. et al. Effects of dietary sodium reduction on blood pressure in subjects with resistant hypertension: results from a randomized trial. Hypertension 54, 475–481 (2009).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Lane, D. A. & Beevers, D. G. Amiloride 10 mg is less effective than spironolactone 25 mg in patients with hypertension resistant to a multidrug regime including an angiotensin-blocking agent. J. Hypertens. 25, 2515–2516 (2007).

    Article  CAS  PubMed  Google Scholar 

  7. Ferri, C. et al. Relationship between insulin resistance and nonmodulating hypertension: linkage of metabolic abnormalities and cardiovascular risk. Diabetes 48, 1623–1630 (1999).

    Article  CAS  PubMed  Google Scholar 

  8. Bentley-Lewis, R. et al. Body mass index predicts aldosterone production in normotensive adults on a high-salt diet. J. Clin. Endocrinol. Metab. 92, 4472–4475 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Williams, J. Spironolactone and resistant hypertension. Nat Rev Endocrinol 6, 248–250 (2010). https://doi.org/10.1038/nrendo.2010.26

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