Countries with high burden blood pressure It is no longer an option to silently affect nearly one in three adults and highlight the important needs of a regular blood pressure check. It’s about saving lives. Hypertension It is often silent, but never harmless. Early detection is important, but also continues with interpretation, diagnosis, and sustained treatment.
What happens if all the right steps are taken and your blood pressure is still high? In an interview with HT Lifestyle, Delhi’s Vice President and Vice President and Chief of Cathlab (Panmax) – Dr. Mind Science, Delhi said, “It’s called. Resistant hypertension. Despite the optimal dose, this advanced form of hypertension persists medicine And consistency Lifestyle change. ”
He said, “What’s as simple as checking your blood pressure can lead to life-saving interventions, but for many patients, especially those who have already been diagnosed, the measurement doesn’t end the journey, and it starts there.
Dr. Viveka Kumar said, “Resistant hypertension is not a failure in effort, it is a sign that we need to dig deeper. It can show secondary causes such as renal artery stenosis and hormonal imbalances.
1. Resistant hypertension is often overlooked or misunderstood
Dr. Viveka Kumar said, “Most people assume that if blood pressure is high despite medication, it is just a stress or the wrong dose of the drug, but resistant hypertension is a certain clinical condition. That means that blood pressure is above the target despite three or more drug therapies, including diuretics.
risk? Dr. Viveka Kumar stated, “Repeated dose changes without revealing the true cause. It affects an estimated 10% of hypertension and is often unrecognized or inadequate treatment or incorrectly requested for inappropriate treatment – in reality, more complex or secondary causes may require more complicated outcomes that require special evaluation. Control of your health.”
2. Skipping medications is more common than you think and often looks like “resistance”.
According to a study in the Mayo Clinic Proceedings Journal, 50-80% of people with hypertension do not take the medication as prescribed. Whether it is due to cost, confusion or side effects; Non-adherence is one of the main causes of uncontrolled BP It can mimic resistant hypertension.
Before escalating treatment, Dr. Viveka Kumar suggested that it is important to confirm.
- Have you taken the medication consistently?
- Is the dose adjusted appropriately?
- Are patients supported with appropriate information and follow-up?
It’s time to control it.
3. It not only plays a role in medicine but other factors too
Many assume that resistant hypertension means not taking the medication as prescribed, but the reality is often more complicated. Dr. Viveka Kumar said, “Sometimes it’s about not just about treatment, but what’s going on in the body. The hyperactive sympathetic nervous system can remain in a constant state where the body is “high vigilance” and narrows blood vessels and increases blood pressure despite treatment.
He said, “Other factors such as kidney disorders, hormonal imbalances (such as aldosterone and thyroid problems), or sleep apnea can also contribute to difficult-to-control hypertension.
4. Beyond tablets, there are newer interventional solutions
If medication is not sufficient and secondary causes are excluded, interventional treatment has emerged as a viable option. Dr. Viveka Kumar explained in detail. Renal denervation (RDN)minimally invasive treatment targeting hyperactive nerves around the kidneys. By deactivating these nerves, RDN helps lower blood pressure and provides hope for patients whose hypertension remains controlled despite medical therapy. This procedure has attracted attention for patients suffering from hypertension at advanced heart centres in India, especially despite their thorough efforts to change drugs and lifestyles. ”
5. India’s hypertension crisis makes resistant hypertension difficult to catch, making it even more dangerous to miss
India is facing a hypertension epidemic. With over 220 million adults living with high blood pressure, only 12% control it. These astounding figures from the NFHS-5 and the National Health Program highlight the troubling gap. Not only in recognition, but in the ongoing management of the condition. In this context, resistant hypertension is often unaware.
Dr. Viveka Kumar said, “Many patients have not been screened thoroughly and thoroughly, secondary causes have been overlooked, and interventional treatment remains limited to several advanced centers in urban areas.
Reader Note: This article is for informational purposes only and is not a substitute for professional medical advice. Always seek advice from a doctor if you have any questions about your condition.
