{"id":"f352a57a64ad","type":"article","url":"https://hartvaat.nl/2026/02/10/resistente-hypertensie-is-geen-essentiele-hypertensie-het-is-vooral-aldosteronis/","title":"Resistente hypertensie is geen essentiële hypertensie — het is vooral aldosteronisme","title_en":"Resistant Hypertension Is Not Essential: It Is Primarily Aldosteronism","category":"hypertensie","category_label":"Hypertensie","professions":["cardioloog","huisarts","internist"],"tags":["aldosteronsynthaseremmers","aprocitentan","baxdrostat","lorundrostat","renale-denervatie","resistente-hypertensie","resistente-hypertensie-aldosteronremmers"],"journal":"Hypertension","doi":"https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.26401","source_url":"https://doi.org/https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.125.26401","authors":[],"significance":7,"published":"2026-02-10","source_date":"2026-02-10","image":"","kennis":["https://hartvaat.nl/kennis/hypertensie/resistente-hypertensie/","https://hartvaat.nl/kennis/hypertensie/hypertensie-en-ckd/"],"congress":"","summary_en":"This opinion piece argued that most cases of resistant hypertension are primarily driven by aldosteronism, challenging the conventional paradigm and advocating for systematic aldosterone assessment before labeling hypertension as treatment-resistant.","created":"2026-07-03T10:25:49Z","updated":"2026-07-03T18:38:19Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Dit opiniestuk in Hypertension stelt het gangbare paradigma ter discussie: de meeste gevallen van therapieresistente hypertensie zijn in werkelijkheid primair aldosteronisme. Gerichte screening en behandeling met mineralocorticoïdreceptorantagonisten kunnen de bloeddrukcontrole aanzienlijk verbeteren bij deze patiënten.","abstract_original":"Hypertension, Volume 83, Issue 5, Page e26401, May 1, 2026."}