DOI: 10.36347/sasjm.2022.v08i07.017

Pages: 519-521

Resistant hypertension represents about 5 to 10% of all hypertension. It should systematically lead to a search for a secondary cause. Its association with obesity should raise the possibility of obstructive sleep apnea syndrome (OSAS). This clinical case allows to put the point on the importance of the diagnosis of the OSA as etiology of the resistant HTA still under diagnosed. It allows to remind practitioners and interns in general medicine, cardiology and pneumology the importance of screening. We report the case of a young overweight patient with resistant hypertension admitted to the cardiology department for headaches and ringing in the ears. He underwent all complementary examinations in search of an etiology secondary to his hypertension, but they came back negative. The patient underwent several therapeutic adjustments without clear results on his blood pressure. After questioning the patient's family and friends (nocturnal snoring), we were able to determine that he had OSA, and from there he was able to achieve blood pressure control by regular physical activity and a low-calorie diet. OSA is easy to diagnose, the hardest thing is to know how to think about it in front of a resistant hypertension in overweight subjects. The treatment can be simple hygienic and dietary measures, without resorting to continuous positive pressure ventilation.