Improving Management of Resistant Hypertension

In 2025, the American College of Cardiology updated their guidelines for managing adults with hypertension. Now, they offer an “expert consensus decision pathway” focused specifically on optimizing care of patients with resistant hypertension, defined as uncontrolled hypertension (≥130/80 mm Hg) despite at least three antihypertensive agents, including a diuretic, or controlled hypertension requiring four or more medications.

Key Recommendations

• Before diagnosing resistant hypertension, rule out pseudo-resistance by verifying the accuracy of home and office blood pressure (BP) re…