{"id":9874,"date":"2026-04-21T17:26:11","date_gmt":"2026-04-21T14:26:11","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=9874"},"modified":"2026-04-21T17:26:11","modified_gmt":"2026-04-21T14:26:11","slug":"hypercortisolism-resistant-hypertension-momentum-acc-26","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/hypercortisolism-resistant-hypertension-momentum-acc-26\/","title":{"rendered":"Hypercortisolism &#038; Resistant Hypertension \u2014 MOMENTUM (ACC.26)"},"content":{"rendered":"<div>Hypercortisolism &amp; Resistant Hypertension \u2014 MOMENTUM (ACC.26)<\/div>\n<div><\/div>\n<div>Source: April 13, 2026 (medical news coverage of ACC.26 Scientific Session Late-Breaking Data, March 2026)<\/div>\n<div><\/div>\n<div>Key Findings<\/div>\n<div><span> \u2022 Resistant HTN \u2248 13% of all hypertension<\/span><\/div>\n<div><span> \u2022 MOMENTUM study (&gt;1,000 patients with resistant HTN)<\/span><\/div>\n<div><span> \u2022 Hypercortisolism: 27.3% \u2192 unexpectedly high<\/span><\/div>\n<div><\/div>\n<div>How to detect<\/div>\n<div><span> \u2022 Simple test: overnight dexamethasone suppression screening test<\/span><\/div>\n<div>(used in all patients with resistant HTN in the study)<\/div>\n<div><\/div>\n<div>Additional findings (after screening)<\/div>\n<div><span> \u2022 Adrenal nodules: ~25% \u2192 potential surgical targets<\/span><\/div>\n<div><span> \u2022 Hyperaldosteronism: ~20%<\/span><\/div>\n<div><span> \u2022 Both conditions: ~6%<\/span><\/div>\n<div><\/div>\n<div>Clinical meaning<\/div>\n<div><span> \u2022 Hormonal causes are common and underdiagnosed<\/span><\/div>\n<div><span> \u2022 Supports screening for secondary hypertension<\/span><\/div>\n<div><span> \u2022 May explain variable treatment response (e.g., renal denervation)<\/span><\/div>\n<div><\/div>\n<div>Practical takeaway<\/div>\n<div>Consider broader screening in:<\/div>\n<div><span> \u2022 Resistant HTN<\/span><\/div>\n<div><span> \u2022 Poor response to therapy<\/span><\/div>\n<div><span> \u2022 Suspicious clinical context<\/span><\/div>\n<div>Not guideline-mandated yet\u2026 but increasingly hard to ignore<\/div>\n<div><\/div>\n<div><a href=\"http:\/\/www.hcplive.com\/view\/momentum-hypercortisolism-present-in-1-in-4-with-resistant-hypertension\">http:\/\/www.hcplive.com\/view\/momentum-hypercortisolism-present-in-1-in-4-with-resistant-hypertension<\/a><\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Hypercortisolism &amp; Resistant Hypertension \u2014 MOMENTUM (ACC.26) Source: April 13, 2026 (medical news coverage of ACC.26 Scientific Session Late-Breaking Data, March 2026) Key Findings \u2022 Resistant HTN \u2248 13% of all hypertension \u2022 MOMENTUM study (&gt;1,000 patients with resistant HTN) \u2022 Hypercortisolism: 27.3% \u2192 unexpectedly high How to detect \u2022 Simple test: overnight dexamethasone suppression [&hellip;]<\/p>\n","protected":false},"author":145,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9874","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9874","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/145"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=9874"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9874\/revisions"}],"predecessor-version":[{"id":9875,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/9874\/revisions\/9875"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=9874"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=9874"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=9874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}