icd 10 resistant hypertension

Refractory hypertension, known as Resistant Hypertension in the ICD-10 classification, is characterized by blood pressure that remains uncontrolled despite the use of three or more different classes of antihypertensive medications.

The etiology of refractory hypertension is multifaceted, encompassing lifestyle habits and genetic predispositions. Unhealthy lifestyle choices, such as a diet high in sodium, sedentary behavior, and excessive alcohol consumption, are common contributors to elevated blood pressure. Chronic conditions like diabetes, kidney disease, and sleep apnea can also precipitate refractory hypertension. Genetic factors are significant as well, with individuals having a family history of hypertension being at a higher risk. Additionally, certain specialized forms of hypertension, including endocrine and renal vascular hypertension, are challenging to treat effectively with standard therapies due to their unique pathophysiology.

In managing refractory hypertension, lifestyle modifications are as crucial as pharmacological interventions. Patients are advised to adopt a healthy diet that limits sodium intake and increases the consumption of fruits and vegetables. Engaging in regular physical activities like brisk walking, swimming, or cycling is recommended. It is also important to avoid excessive alcohol and tobacco use. Regular blood pressure monitoring and adherence to medical advice for treatment adjustments are essential; self-discontinuation of medication or alteration of dosages is discouraged. Persistent discomfort or inadequate blood pressure control warrants timely medical consultation and professional guidance.