Resistant hypertension is becoming a significant health concern in India and globally, as untreated high blood pressure (BP) greatly increases the risk of heart attack, stroke, and organ damage. According to the WHO, hypertension contributes to around 7.5 million deaths annually, roughly 12% of global mortality. Dr. Praveen Chandra from Medanta explains that resistant hypertension refers to cases where BP remains elevated despite taking multiple medications or high doses. If BP stays above 130/80 or 140/90 even with treatment, it indicates resistance. He emphasizes regular monitoring, as many patients take medication without checking if it’s effective.
Preventive measures include a low-salt diet, reduced alcohol intake, managing stress, and regular physical activity. Dr. Chandra warns that uncontrolled BP can silently harm the heart, brain, and kidneys, but with proper treatment and maintaining BP below 130/80, risks can be minimized. In India, nearly one in four people have hypertension, mainly due to poor lifestyle habits.
A promising new solution is renal denervation, a one-time treatment for patients unresponsive to medication. According to Dr. Chandra, this can help 50% of patients control BP, reduce medication in 30%, and eliminate it entirely in 20%.
