Wednesday, November 25, 2009

What is resistant high blood pressure?

What is resistant high blood pressure?

High blood pressure ( Hypertension ) is blood pressure that does not show any response to is called as resistance BP. Particularly, it is defined as blood pressure that remains elevated above treatment goals in spite of taking maximum three drugs that includes also a diuretic (Drugs for urine excretion). As it is difficult to treat few cases, and may require a combination of multiple drugs before control is established, it cannot be called resistant until this three-drug combination has been tried.

Diagnosis of Resistant high blood pressure (Hypertension)

Resistant high blood pressure (Hypertension) is diagnosed when the blood pressure continues to be elevated despite trying combination therapy with three drugs. The standard guidelines state that:

* Proper blood pressure measurement process must be used
* The size of the blood pressure cuff should be double checked for accuracy
* The blood pressure readings must be recorded on two separate occasions
* Blood pressure should be taken in sitting and lying position.

Causes of Resistant high blood pressure (Hypertension)?

There are many factors that can cause resistant high blood pressure (Hypertension), and proper medical testing is required to investigate each of these potential causes. The three most common causes of resistant high blood pressure (Hypertension) are:



* Patient is not showing compliance with treatment, i.e. not taking medicine regularly.
* Secondary high blood pressure (Hypertension) (Usually from overactive adrenal glands or pheochromocytoma)
* Fluid retention (usually expansion from kidney failure)