Ito ang dahilan kung bakit hindi tumutugon ang iyong mataas na presyon ng dugo sa gamot

Ang mga ito ay ang pinaka-karaniwang mga culprits ng gamot na lumalaban hypertension, sinabi ng mga doktor.


Having high blood pressure, or hypertension, puts you at an elevated risk of sakit sa puso and stroke—two of the leading causes of death in the United States. The Centers for Disease Control and Prevention (CDC) estimates that nearly half of American adults, or roughly 116 million people, are living with the condition, and only one in four of them has it under control. A change in lifestyle habits is often the first line of defense against high blood pressure, but if that doesn't do the trick, medication is usually the next step. Unfortunately, some people who have been diagnosed with hypertension find that nothing seems to bring those numbers down, and an estimated 20 to 30 percent of high blood pressure patients develop what doctors term "resistant hypertension."

The experts at Johns Hopkins Medicine define resistant hypertension as blood pressure that exceeds safe levels even when patients are taking the maximum recommended dose of three different blood pressure medications simultaneously. They say people with resistant hypertension are significantly more likely to suffer from heart attacks, strokes, and kidney failure. What causes this dangerous condition, and what can you do if your blood pressure isn't responding to medication? Read on to find out what researchers say are the most common culprits behind resistant hypertension—and what to do if you're dealing with it.

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Older age and obesity increase your odds of resistant hypertension.

Doctor checking patient's blood pressure
Shutterstock.

Unfortunately, one of the major factors that increases the risk of resistant hypertension is out of your control: your age. A scientific statement from the American Heart Association (AHA) says that although there are many different causes behind resistant hypertension, older age is "one of the strongest risk factors" for the condition. Obesity, too, is a common culprit, and the statement goes on to say that "the incidence of resistant hypertension will likely increase as the population becomes more elderly and heavier."

People with chronic kidney disease, diabetes, sleep apnea, and Black people are also at an elevated risk for resistant hypertension, according the the Cleveland Clinic.

Lifestyle factors that can contribute to the development of high blood pressure—and blood pressure that doesn't respond to treatment in particular—include eating a high-sodium diet, lack of exercise, and "heavy alcohol intake."

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Some cases of hypertension are what doctors call "pseudo-resistant."

Woman at the Doctor Getting Her Blood Pressure Checked Lower Blood Pressure Naturally
Shutterstock.

If your blood pressure readings aren't coming down to acceptable levels even with medication, it's worth considering whether you may have "pseudo-resistant hypertension," which, as the name implies, means your blood pressure numbers aren't what they appear to be. This can happen for a number of reasons, including what's known as "the white coat effect."AE0FCC31AE342FD3A1346EBB1F342FCB.

Whether the healthcare worker who puts a cuff on your arm actually wears a white coat or not, the Mayo Clinic explains that this happens when people's blood pressure measures higher in a doctor's office than it otherwise would.

If white coat syndrome is suspected, your doctor may ask you to take your blood pressure at home, or wear a portable monitor to track your blood pressure for up to 24 hours as you go about your normal routine. Pseudo-resistance can also be caused by improper measuring technique, stiff arteries that prevent the blood pressure cuff from doing its job, taking medication incorrectly, or taking supplements or other medications that interfere with your blood pressure medicine, says Johns Hopkins Medicine.

High blood pressure may not have any symptoms—until it's too late.

Man with high blood pressure experiencing chest pain while sitting at home during the day.
iStock

High blood pressure is nothing to mess around with. Because it often has no symptoms at all, the Cleveland Clinic explains, it's called the "silent killer." Many people don't realize they have high blood pressure until they have a heart attack or stroke. Headaches, a pounding chest, dizziness, and kinakapos na paghinga are all signals of a possible hypertensive crisis that calls for immediate medical attention.

If you're in the habit of monitoring your blood pressure at home, take a look at the AHA's guidelines for healthy blood pressure. If you get a systolic reading (that's the upper number) higher than 180, or a diastolic number (the lower number) higher than 120, contact your doctor right away.

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Ang mga pagbabago sa pamumuhay ay maaaring gumawa ng pagkakaiba.

A senior woman walking across a bridge for exercise
istock.

Kung ang iyong mataas na presyon ng dugo ay tumutugon sa gamot o hindi, may ilang mga bagay na maaari mong gawin upang makatulong na mapanatiling malusog ang iyong puso-at ang iyong presyon ng dugo sa ilalim ng kontrol. Sinabi ng Mayo Clinic na ipinakita ng mga pag-aaral iyonang dash diet. (na kumakatawan sa pandiyeta diskarte upang ihinto hypertension) ay maaaring mas mababa ang presyon ng dugo sa kasing dami ng dalawang linggo. Ito ay isang mababang-sosa diyeta na kasama ang maraming mga gulay, prutas, at buong butil, at limitado puspos taba tulad ng full-taba dairy at ilang mga karne.

Ang ehersisyo, masyadong, ay kapaki-pakinabang sa pagkontrol ng presyon ng dugo-at hindi ito maaaring tumagal hangga't sa tingin mo. 30 minuto lamang ang isang araw ng katamtaman na aerobic na aktibidad limang araw sa isang linggo, ang halaga na inirerekomenda ng AHA, ay maaaringsapat na upang gawin ang trick..

Kung ikaw ay stressed-at sino ang hindi mga araw na ito? -Try mindfulness-based na pagsasanay tulad ng yoga at pagmumuni-muni. Isang 2019 na pag-aaral na inilathala sa journalPlos one. natagpuan na ang ehersisyo sa pag-iisipmaaaring maging epektibo Sa pagpapabuti ng presyon ng dugo, at ang pinakamahusay na mga resulta ay nakikita sa mga taong may mas advanced at hindi nakokontrol na hypertension.

Kaugnay:Ang pagkain ng 4 na beses sa isang linggo ay nagbabawas ng panganib sa kamatayan ng puso, sabi ng pag-aaral.


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