Deal with refractory hypertension skills

If two-three kinds of anti-hypertension drugs in combination, to control blood pressure is still not satisfied, called "intransigence" or refractory hypertension. This hypertensive patients only a very small number ( "5%). If an intractable hypertension, patients should first of all pay attention to their doctors if they adhere to the guidance and on myself. Also should pay attention to the following points : ① as poor diet, eating too many calories, weight significantly overweight or obese, should be strictly restricted diet and exercise aerobic metabolism for effective weight loss; ② strictly limit sodium intake, NaCl daily intake of less than two grams, add potassium, calcium and magnesium-rich foods; ③ attention to the exclusion of secondary hypertension. particular attention to the exclusion of renal hypertension and adrenal diseases such as pheochromocytoma and primary aldosteronism; ④ medication in the original program to be adjusted, the replacement of some drugs or increasing drug dose, dose to the individual differences; ⑤ attention to whether their impact at the same time taking antihypertensive drug effect of other drugs, such as oral contraceptives. Adrenal cortical hormones, certain anti-inflammatory analgesic drugs, certain antidepressant drugs; ⑥ Some antihypertensive drugs may cause sodium and water retention in the body, can increase test using diuretics to promote sodium excretion of water, to the decline in blood pressure.