治療抵抗性本態性高血圧の1例

Abstract

A 42-year-old woman was admitted to our hospital for a thorough examina- tion and treatment of her hypertension on July 23rd, 1996. She had been admitted to our hospital in 1994 and 1995 for close examination and had been diagnosed as having essential hypertension. Test results excluded the possibility of secondary hypertension. On admission, her blood presure was 220/140 mmHg. She was not overweight. A regiment that restricted the intake of sodium was initiated and strictly observed by the patient. From close examination, the possibilities of secondary hypertension (e. g. pheo- chromocytoma, renovascular disease, hyperaldsteronism), office hypertension, and a drug interaction were excluded. Control over her blood presure was attempted using a multitude of medications ; however, her blood presure remained high. We considered that this was an interesting case of resistant essential hypertension.