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Once viewed as a rare entity, EHC is now understood as a spectrum of cortisol excess associated with adverse cardiometabolic outcomes and target\u2010organ damage. Recent large\u2010scale studies demonstrate a much higher prevalence of EHC among patients with resistant hypertension and difficult\u2010to\u2010control diabetes, often in the absence of classic Cushingoid features. This review synthesises recent large\u2010scale epidemiological data pertaining to EHC in hypertension, and discusses the various diagnostic modalities, highlighting the need for systematic screening, which may improve outcomes in resistant hypertension.<\/jats:p>","DOI":"10.1111\/dom.71029","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T08:54:02Z","timestamp":1784105642000},"page":"25-33","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Common Is Hypercortisolism in Patients With Hypertension? 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