Turk Kardiyol Dern Ars. 2025; 53(6): 433-440 | DOI: 10.5543/tkda.2025.74304
New Drugs for Resistant Hypertension: Pending Issue?
Francesco Fici1, Nicolas Roberto Robles2, Istemihan Tengiz3, Guido Grassi41Department of Cardiovascular Risk, Salamanca University, Salamanca, Spain;Milano-Bicocca University, Milan, Italy
2Badajoz University Hospital, Badajoz, Spain
3Department of Cardiology and Hypertension, Medicana International Hospital, Izmir University, Izmir, Türkiye
4Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
Antihypertensive pharmacological treatment, based on currently available drugs, has been shown to reduce the cardiovascular risk profile of treated hypertensive patients by lowering elevated blood pressure. However, the cardiovascular risk in treated hypertensive patients remains elevated. This highlights the need to develop new antihypertensive drugs capable of normalizing the risk associated with high blood pressure. This paper aims to review new antihypertensive drugs for the treatment of drug-resistant hypertension. In particular, it focuses on the results obtained with non-steroidal mineralocorticoid receptor antagonists, aldosterone synthase inhibitors, brain renin-angiotensin blockers, hepatic angiotensinogen inhibitors, atrial natriuretic peptides, and endothelin-1 receptors antagonists.
Keywords: Antihypertensive treatment, new antihypertensive drugs, resistant hypertension
Corresponding Author: Nicolas Roberto Robles
Manuscript Language: English