《Table 20.Treatment strategies for elderly patients with resistant hypertension.》

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《2019 Chinese guideline for the management of hypertension in the elderly》

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BP:blood pressure；GFR:glomerular filtration rate.

For patients who meet the diagnostic criteria of RH，we should find out the causes of poor BP control，the causes include:（1）inappropriate lifestyle:obesity，excessive drinking and high-salt diet；（2）the use of anti-hypertensive drugs inhibitor:non-steroidal anti-inflammatory drugs，steroids，erythropoietin，ephedrine，liquorice and antidepressants；[161–165]（3）inadequate drug treatment:inadequate dosage，absence of diuretics，inappropriate combination therapy；and（4）other factors:such as insomnia，prostatic hypertrophy（nocturnal urination often affects sleep），chronic pain and longterm anxiety，secondary hypertension.Treatment strategies for elderly patients with resistant hypertension are illustrated in the following Table 20.