Resistant hypertension is a type of high blood pressure (hypertension) that does not respond well to standard treatments. It is defined as hypertension that remains uncontrolled despite the use of at least three different anti-hypertensive medications at optimal doses, including a diuretic.
Diagnosis of resistant hypertension is made through a careful evaluation of the patient’s blood pressure readings and medical history. The healthcare provider will typically check the patient’s blood pressure multiple times over the course of several visits to confirm a diagnosis of hypertension and to rule out “white coat hypertension” (blood pressure that is elevated in a clinical setting but normal outside of it).
Once hypertension is confirmed, the healthcare provider will typically begin treatment with lifestyle changes, such as diet and exercise, and the use of one or more medications. If the patient’s blood pressure remains uncontrolled despite the use of at least three different medications at optimal doses, including a diuretic, the diagnosis of resistant hypertension is made.
Additional tests may be done to help identify the cause of resistant hypertension and to guide treatment. These may include:
Once the diagnosis of resistant hypertension is made, the healthcare provider will work with the patient to develop an individualised treatment plan, which may include additional medications, specialised treatment such as renal denervation, or referral to a hypertension specialist.
It’s important to note that resistant hypertension is a serious condition and requires close monitoring and management by a healthcare professional. If you have symptoms of hypertension or have been diagnosed with hypertension and your blood pressure is not well controlled, it’s important to consult with our healthcare professional for appropriate diagnosis and treatment.
