Is there a way of Treating Blood Pressure when Tablets don’t work?


Is there a way of Treating Blood Pressure when Tablets don’t work?

Millions of people have hypertension, often known as high blood pressure, which is a serious risk factor for many cardiovascular diseases. While medications and lifestyle changes are frequently given to effectively manage hypertension, some people may develop resistant hypertension, in which their blood pressure stays high despite taking various drugs. Investigating alternate treatment options becomes essential when conventional tablets are unable to provide the appropriate control. In this blog post, we'll examine various treatments for resistant hypertension when tried-and-true drugs fail to control it.

Exploring Alternative Treatment Options:

Dietary Approaches

Some dietary strategies have demonstrated promise in the treatment of resistant hypertension. Blood pressure reduction has been linked to the Dietary Approaches to Stop Hypertension (DASH) diet, which is high in fruits, vegetables, whole grains, lean meats, and low-fat dairy products. Additionally, consuming less sodium and consuming more foods high in potassium can help to regulate blood pressure. For customized nutritional suggestions, it is necessary to speak with a medical expert or a licensed dietitian.

Renal Denervation

Renal denervation is a minimally invasive technique that includes severing the nerves that control blood pressure in the renal arteries. By lowering nerve activity and preventing the production of chemicals that tighten blood vessels, this technique tries to reduce blood pressure. Renal denervation is frequently carried out utilizing catheter-based procedures, and in some people with resistant hypertension, the outcomes have been encouraging. However, more investigation is required to determine its long-term efficacy and security.

Baroreceptor Activation Therapy

Baroreceptors are specialized sensors that control blood pressure and are found in the aortic arch and carotid arteries. Implanting a device that electrically activates these baroreceptors results in decreased sympathetic activity and blood pressure-lowering benefits, and is known as baroreceptor activation therapy. This treatment has shown effectiveness in some cases of resistant hypertension, especially in people who don't tolerate or respond to drugs. A meticulous patient selection process and continuing monitoring are necessary because it is an intrusive surgery.

Identifying and Managing Secondary Causes

Sometimes underlying medical issues including kidney illness, hormone imbalances, or obstructive sleep apnea can lead to resistant hypertension. Effective blood pressure control depends on recognizing and treating these underlying issues. Improved blood pressure management may result from treating the underlying problem. To find any underlying medical disorders causing their high blood pressure, those with resistant hypertension should get a complete evaluation. Once these precise causes have been determined, tailored actions or therapies can be put in place to address them and possibly enhance blood pressure control.

Device-Based Therapies

For the treatment of resistant hypertension, alternative device-based therapies are being investigated in addition to renal denervation and baroreceptor activation therapy. These include tools like carotid body modulation, which includes focusing on the carotid body, a tiny structure involved in controlling blood pressure, and arterial stiffness modifiers, which work to increase the suppleness of blood arteries. These novel strategies are still being researched and could one day provide new solutions for people with resistant hypertension.


A word from the doctor

The best blood pressure regulation is significantly hampered by resistant hypertension. For those who do not respond well to conventional antihypertensive drugs, it is crucial to keep in mind that there are a number of alternative therapy options. The strategies that can be investigated include lifestyle improvements, dietary approaches, renal denervation, baroreceptor activation treatment, pharmaceutical changes, diagnosis and management of underlying causes, and device-based therapies. To come up with the best and most individualized treatment plan, people with resistant hypertension must collaborate closely with their medical practitioners, especially hypertension specialists.

Schedule a consultation with Dr. Sanul Corrielus right away if you have questions about your heart health!







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