Abstract

To the Editor: We read with considerable interest the article by de la Sierra et al1 clarifying the prevalence and clinical features of resistant hypertension based on office and ambulatory blood pressure (BP) monitoring in a large cohort of treated hypertensive patients in Spain. The prevalence of white-coat resistant hypertension (24-hour ambulatory BP <130/80 mm Hg for systolic/diastolic) and true resistant hypertension (24-hour ambulatory BP ≥130 and/or 80 mm Hg) was 37.5% and 62.5% among patients with uncontrolled office BP (≥140 and/or 90 mm Hg) and taking ≥3 antihypertensive drugs. They also demonstrated a difference in characteristics between white-coat and true resistant hypertension. These findings indicate that physicians …

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