criteria for resistant hypertension

Refractory hypertension typically refers to a situation where blood pressure remains elevated above target levels despite adherence to a healthy lifestyle and treatment with at least three different classes of antihypertensive medications, including diuretics. This condition not only raises the risk of cardiovascular events but can also lead to kidney dysfunction.

When examining refractory hypertension, initial considerations should include lifestyle elements such as diet, exercise, and stress management. A diet high in salt, lack of physical activity, and chronic mental stress can contribute to elevated blood pressure. Additionally, the selection and adherence to medication regimens are crucial. Patients may not adhere to treatment plans due to medication side effects, forgetfulness, or misunderstandings about their prescribed drugs. Furthermore, certain non-antihypertensive medications, like nonsteroidal anti-inflammatory drugs and oral contraceptives, can impact blood pressure control. Lastly, specific medical conditions such as sleep apnea, endocrine disorders, or kidney diseases may necessitate specialized treatment approaches.

For individuals with refractory hypertension, it is advised to maintain a healthy lifestyle and to monitor blood pressure regularly. Regarding pharmacological treatment, strict adherence to medical instructions is essential; self-adjustment of dosages or discontinuation of medication is not recommended. Should blood pressure remain poorly controlled, timely medical consultation is advised to seek professional evaluation and potential adjustments to the treatment plan.