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Hypertension is a prevalent chronic condition that can typically be managed effectively through lifestyle modifications and pharmacological interventions. However, some individuals face the challenge of uncontrolled blood pressure despite adhering to medical advice and lifestyle adjustments, a condition known as resistant hypertension.

The diagnosis of resistant hypertension is established when blood pressure remains above target levels despite the use of three or more different classes of antihypertensive medications, including diuretics, at adequate doses. For these patients, physicians may recommend further evaluations to exclude the possibility of secondary hypertension due to conditions such as kidney disease or endocrine disorders. Physicians might also consider augmenting the medication regimen by adding different drugs or adjusting dosages, or they may explore alternative treatment approaches, such as interventional procedures.

For individuals with hypertension, it is crucial to adhere to the treatment plan prescribed by their healthcare provider and to be mindful of dietary and exercise habits. Recommendations include reducing sodium intake, increasing the consumption of fruits and vegetables, maintaining regular physical activity, and avoiding excessive fatigue and stress. Regular blood pressure monitoring and keeping a record of blood pressure fluctuations are also essential, with timely communication of these changes to the healthcare provider. In terms of pharmacological treatment, strict adherence to the prescribed medication regimen is imperative, avoiding any self-adjustment of dosages or discontinuation of medication, to ensure therapeutic efficacy and effective disease management.