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Table 6 Differential diagnosis of uncontrolled hypertension

From: 2013 Korean Society of Hypertension guidelines for the management of hypertension. Part II—treatments of hypertension

Diagnoses

Causes

Pseudo-resistant hypertension

 

Poor compliance

Wrong cuff use

Using too small cuff

White coat hypertension

Calcified vessel in the elderly (pseudohypertension)

Resistant hypertension

 

Lifestyle factors: severe weight gain, heavy or binge drinking, excess salt intake

Medication: cold remedies, nonsteroidal anti-inflammatory drugs, corticosteroid, cyclosporine/tacrolimus, erythropoietin, cocaine, herbal licorice

Secondary hypertension

Sleep apnea syndrome

Volume expansion by renal diseases

Vascular damage or stiffness

Prescription of antihypertensive drugs: insufficient dose, wrong use of diuretics, ineffective combination, drug interaction