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The review examines the prevalence of resistant arterial hypertension in low-renin forms of hyperaldosteronism. Possible reasons for existing differences in data on the prevalence of a heterogeneous group of primary hyperaldosteronism in the resistant course of hypertension are analyzed. Categories of patients at high risk of primary hyperaldosteronism depending on the severity of hypertension are considered. Based on the results of research, including our own data, it is shown that in most cases, tumor and hyperplastic forms of primary hyperaldosteronism are associated with severe and resistant hypertension, and the importance of diagnostic screening in this category of patients is justified.

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