
CASE DISCUSSION
Approach to Resistant Hypertension: The Endocrine Angle
Presented from by Dr. Sammer Ramadan
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Case Description
ChatGPT said: Resistant hypertension, defined as blood pressure uncontrolled despite optimal doses of three antihypertensives including a diuretic, often has an underlying endocrine cause. Common etiologies include primary aldosteronism, pheochromocytoma, Cushing’s syndrome, thyroid and parathyroid...
Case Summary
- Resistant hypertension is defined as blood pressure above the target despite adherence to three anti-hypertensive agents of different classes, one of which is ideally a diuretic, or controlled blood pressure requiring four agents or more. It's often misdiagnosed due to pseudo-resistant hypertension (poor measurement technique, white-coat syndrome) and should be distinguished from refractory hypertension, which remains uncontrolled despite five or more agents.
Speaker Profile

Dr. Sammer Ramadan
Senior Consultant Endocrinologist, Chief Of Medicine, Stockholm Primary Healthcare, SwedenDr. Sammer Ramadan is a Senior Consultant Endocrinologist and the Chief of Medicine at Stockholm Primary Healthcare, Sweden. With extensive clinical and administrative experience, he plays a pivotal role in managing complex endocrine disorders and overseeing comprehensive patient care services. Dr. Ramadan is recognized for his expertise in diabetes, thyroid disorders, and metabolic syndromes, as well as his commitment to preventive healthcare. He is also actively involved in medical education and international collaborations, contributing to advancements in endocrine care and healthcare systems globally.