2022, Supplement 3
Cardiovasc Metab Sci 2022; 33 (S3)
Diagnostic and therapeutic phenotypes in patients with high blood pressure
Galván-Oseguera, Héctor; Moreno-González, Agustina
ABSTRACT
In patients with high blood pressure (HBP), we can find different characteristics which can help us establish the diagnosis, prognosis, and treatment. With the advancement of technology and knowledge of the pathophysiology of HBP, we now have other diagnostic methods outside the office which allow us to measure BP in different circumstances. Within HBP individual patients may have disease attributes that, alone or in combination, describe different phenotypes between individuals in relation to parameters which have clinical significance. Some of the main characteristics that we identify are those related to BP measurement, to the origin of BP elevation, to the circumstance in which BP was taken, to patients with high BP variability, patients who do not respond to treatment, patients where elevation of their BP is an emergency and one of the most important according to cardiovascular risk. From these characteristics we were able to identify 29 different HBP phenotypes in the literature, which can help us better define diagnosis, prognosis, and treatment. Many authors and clinicians call it a "tailor-made suit"; however, we will call it the hypertensive phenotype.