Hypertension includes any state of persistent high blood pressure, whether primary or a side effect of another disease. Of particular concern, however, are patients with resistant hypertension characterized by blood pressure that remains elevated despite the use of anti-hypertensive medications.
Patients with resistant hypertension may be especially difficult to treat — and this difficulty may persist regardless of adherence. Consider these three groups of hypertensive patients:
Those who are adherent are taking multiple anti-hypertensive medications as directed — and yet not seeing the desired results.
Those who are non-adherent can’t tolerate the daily pill burden, the side effects of their medication, or a combination of both.
Those who are extremely motivated to try all treatments may be driven by personal experience with the impact of hypertension on daily life, strong medical understanding of the risks of hypertension, or having a clear blood pressure goal.