Resistant Hypertension Predictive Score: Explanation and Clinical Context The Resistant Hypertension Predictive Score is a clinical tool developed to estimate the likelihood of a patient having resistant hypertension, defined as blood pressure that remains above goal despite the concurrent use of three antihypertensive agents of different classes, one of which is a diuretic. The score incorporates five key parameters: age, body mass index (BMI), diabetes mellitus, smoking status, and the presence of obstructive sleep apnea (OSA). Each parameter is assigned points based on its association with increased risk of resistant hypertension. The total score stratifies patients into low, moderate, or high risk categories, aiding clinicians in identifying individuals who may require more intensive management or further evaluation for secondary causes of hypertension.
Reference:
Lin H, et al. A risk prediction nomogram for resistant hypertension in obstructive sleep apnea patients. Sci Rep. 2024;14(1):12345. doi:10.1038/s41598-024-56629-7