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Is Resistant Hypertension Putting Your Heart at Risk?
Published: Apr 17, 2024
Resistant hypertension is a stubborn form of high blood pressure that doesn't respond to typical treatments. Understanding this condition is crucial because it significantly raises the risk of heart disease.
What Is Resistant Hypertension?
Resistant hypertension is when blood pressure remains high despite using three different types of medications, one of which should be a diuretic. True resistant hypertension means that other factors like white coat syndrome or not taking medications properly have been ruled out. It's a serious condition that requires specialized treatment to prevent heart-related problems.
Common Causes Behind Resistant Hypertension
Secondary causes are often behind resistant hypertension, with sleep apnea, primary aldosteronism, and renal artery stenosis being the most common culprits. These conditions can sometimes be reversed, which helps in managing blood pressure. Identifying these causes is crucial because they require different treatment approaches compared to regular hypertension.
Lifestyle Changes Can Make a Difference
Adopting a healthier lifestyle can significantly lower blood pressure in those with resistant hypertension. This includes losing weight, exercising, eating a balanced diet like the DASH diet, and reducing salt intake. These changes not only help control blood pressure but also have multiple other health benefits.
Why Medication Adherence Is Vital
Nonadherence to prescribed medication is a major hurdle in treating resistant hypertension. Simplifying medication regimens and using long-acting drugs can improve adherence. Addressing side effects and cost issues also plays a key role in ensuring patients stick to their treatment plans.
Frequently Asked Questions
It's high blood pressure that doesn't improve with typical treatments.
It significantly increases the risk of heart disease and other complications.
Yes, weight loss, exercise, and diet can all help lower blood pressure.
Common causes include sleep apnea and certain hormonal disorders.
Sticking to medication schedules is crucial for controlling resistant hypertension.
Key Takeaways
Resistant hypertension is a serious condition that requires a comprehensive approach to manage effectively.
References
- Carey RM, Calhoun DA, Bakris GL, et al. Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association. Hypertension 2018; 72:e53.
- Williams B, Mancia G, Spiering W, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J 2018; 39:3021.
- Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension 2018; 71:e13.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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