Resistant Hypertension and Its Correlated Disease

Abstract: Resistant hypertension is defined as blood pressure above the patient’s goal despite the use of 3 or more antihypertensive agents from different classes at optimal doses, one of which should ideally be a diuretic .Evaluating patients with resistive hypertension should first confirm that they have genuine resistant hypertension through elimination or correction of pseude resistence factors such as white coat hypertension, suboptimal blood pressure measurement technique, poor medication compliance, inappropriate antihypertensive dosage or combinaison, and white coat effects and clinical inertia.Resistant hypertension therapy includes improved compliance with the use of drugs, secondary hypertension detection and treatment, use of lifestyle measures and treatment of obesity, and other comorbidities. switching to a long-acting diuretic type of thiazide like chlorthalidone could improve the BP from the patients taking hydrochlorothiazide. However, clinical trials of OSAHS have heterogeneous outcomes, surrogate outcomes, subjective outcomes, composite outcomes, and a lack of endpoints or patient perspectives. The diagnosis is confirmed by a sleep study. The main treatment for OSAS is the use of continuous positive airway pressure (CPAP) at night via a nasal or oronasal mask, which usually results in rapid improvement of symptoms. Patients who cannot tolerate CPAP therapy can be successfully treated with a mandibular advancement device. Supportive measures include regular and sufficiently long sleep periods, refraining from smoking and alcohol consumption in the evening, and weight reduction in overweight patients. Keywords: hypertension, resistant hypertension . obstructive sleep apnea. Title: Resistant Hypertension and Its Correlated Disease Author: Abass M. Ahmed, Abdirizak s Daror International Journal of Recent Research in Life Sciences (IJRRLS) ISSN 2349-7823 Vol. 9, Issue 3, July 2022 - September 2022 Page No: 14-18 Paper Publications Website: www.paperpublications.org Published Date: 16-August-2022 DOI: https://doi.org/10.5281/zenodo.6997949 Paper Download Link (Source) https://www.paperpublications.org/upload/book/Resistant%20Hypertension-16082022-4.pdfInternational Journal of Recent Research in Life Sciences (IJRRLS), ISSN 2349-7823, Paper Publications, Website: www.paperpublications.or