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To the Editor:We read with interest the well-written article by de la Sierra et al1 aiming to estimate the prevalence of resistant hypertension (RH) in a large cohort of treated hypertensive patients, most of them in the primary care setting, from the Spanish Ambulatory Blood Pressure Monitoring Registry. The authors have elegantly shown that RH was present in ≈12% of patients, but among these patients, only two thirds had true RH. The remaining one third of the patients demonstrated normal ambulatory blood pressure, which suggests a white-coat RH phenotype.Although both the study protocol and the retrospective analysis …

Unmasking True Resistant Hypertension: Is the Real-World Resistance Just Revealed?