Abstract

Background: Refractory hypertension presents a significant obstacle in cardiovascular medicine, targeting a specific patient group that struggles to manage blood pressure despite using a variety of antihypertensive drugs. Grasping both the prevalence and the underlying factors of refractory hypertension is essential for devising more effective treatment approaches. Methods: To explore the prevalence and determinants of refractory hypertension, a study was carried out in a cardiology clinic, involving 500 patients diagnosed with hypertension. Refractory hypertension was specifically defined for individuals whose blood pressure remained uncontrolled even after the application of three different classes of antihypertensive medications, including a diuretic. The study employed patient interviews and reviews of electronic health records to gather data, which was then analyzed through descriptive statistics, bivariate analysis, and multivariable logistic regression techniques.

Description