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What is Resistant Hypertension?

Resistant hypertension is a condition characterized by high blood pressure that remains above target levels despite the use of three or more antihypertensive medications, including a diuretic. It is defined as having a systolic blood pressure (SBP) of 140 mmHg or higher, or a diastolic blood pressure (DBP) of 90 mmHg or higher, while actively taking medications.

Causes

The causes of resistant hypertension can vary significantly. Common factors include poor medication adherence, inadequate dosing, the presence of secondary hypertension conditions (like sleep apnea, kidney disease, or endocrine disorders), and lifestyle factors such as obesity, excessive salt intake, and lack of physical activity.

Symptoms

Often, resistant hypertension may not present noticeable symptoms. However, chronic high blood pressure can lead to serious complications such as heart disease, stroke, kidney failure, and impaired vision over time.

Management

Effective management includes an evaluation of medication regimens, lifestyle modifications, and possibly the use of advanced therapeutic options. Patients are encouraged to adopt a heart-healthy diet, exercise regularly, reduce sodium intake, and manage stress to help control their blood pressure levels.

Conclusion

For men experiencing resistant hypertension, it is crucial to work closely with healthcare providers to tailor a comprehensive treatment plan that addresses both lifestyle and medical needs.

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