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Resistant Hypertension

Resistant hypertension is high blood pressure that doesn’t respond to treatment or is very hard to treat. Specifically, resistant hypertension means that your blood pressure is 140/90 or higher even when you are taking three blood pressure medications, one of which is a diuretic (removes salt and excess fluid from the blood).

Pseudo-resistant hypertension is high blood pressure that doesn’t appear to respond to treatment for outside reasons, such as incorrect measurement techniques, too much salt in the diet, or medicines and supplements that raise blood pressure.

Resistant Hypertension: What You Need to Know

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  • Many people skip their daily blood pressure medication because their high blood pressure causes no symptoms. Other people may not tolerate their medications.
  • Even without symptoms, resistant hypertension is a serious risk factor for heart attack and stroke.
  • Medical conditions that can raise blood pressure are called secondary causes of hypertension. Some examples of these are renal artery stenosis, primary aldosteronism, pheochromocytoma, sleep apnea and thyroid problems.
  • Pseudo-resistant hypertension is just as serious, and it also needs to be properly diagnosed and treated.
  • Your doctor’s goals of treatment will be to discover any underlying conditions and achieve healthy blood pressure levels through medication and lifestyle changes.

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Why choose Johns Hopkins Heart and Vascular Institute for treatment of resistant hypertension?

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Our Specialty Centers

The Center for Resistant Hypertension provides a thorough diagnosis, which includes accurate measurements and discovery of underlying conditions, then develops a successful treatment plan you can take back to your regular physician.

Learn more about the Center for Resistant Hypertension.