The term Resistant Hypertension is used for defining a condition where the blood pressure of the patient doesn’t seem to go down in spite of giving them medicines for blood pressure. This is a problem that is multifactorial in etiology and along with signs of high BP, such patients also tend to suffer from urinary problems, kidney and lung diseases and also complicated cardiovascular diseases.
HOW IS RESISTANT HYPERTENSION DIAGNOSED?
Diagnosis of resistant hypertension is based on symptoms and evaluation of medical and family history. The general physician may measure your blood pressure using an inflatable cuff. A blood test is ordered to measure the sodium, potassium, cholesterol, blood glucose and creatinine levels. Urinalysis and ultrasound of kidneys is performed to rule out damage to kidneys. An electrocardiogram may be taken if doctor suspects that resistant hypertension is related to heart problems
HOW IS RESISTANT HYPERTENSION TREATED?
Treatment is predicated on identification and reversal of lifestyle factors contributing to treatment resistance, accurate diagnosis and appropriate treatment of secondary causes of hypertension, and use of effective multidrug regimens (Figure). Lifestyle changes, including weight loss, regular exercise, ingestion of a high-fiber, low-fat, low-salt diet, and moderation of alcohol intake should be encouraged where appropriate.
DID YOU KNOW?
Damage to the arteries is the most common complication of Resistant Hypertension