What causes uncontrolled hypertension?
Some things to consider if you have high blood pressure and the medicines are not working: • Weight: obesity is a factor in high blood pressure and can keep blood pressure high despite medications • Smoking • Not taking medicine: Most people miss a few doses of their blood pressure medicine. So check to make sure you are taking all of your medicine. • White coat syndrome: Blood pressure which only increase at the doctor’s office. Home monitoring is the way to go. If the above measures are settled and the blood pressure is still high, consider: • Not enough medicine: Many people need three different blood pressure medicines. Each medicine’s dose can be increased with your physician’s direction until the goal is achieved. If three different medicines have been maximized then think about Secondary causes: • high thyroid hormone • clogged arteries to kidneys • problems with the aorta • sleep apnea • high aldosterone • high cortisol • high catecholamine secretion For the elderly, medicine n
