Refractory hypertension--assessment and management

The assessment of refractory hypertension consists of excluding causes such as invalid blood pressure measurement excessive salt intake, poor compliance with drugs, inadequate treatment, adverse drug effects and interactions, target organ damage (kidney) and secondary form of hypertension. The management plan includes control of salt and calories, adjusting the diuretic, re-evaluating the drug regimen, management of secondary hypertension and frequent evaluation and a good rapport with the patient.