Parameshvara V
J Indian Med Assoc. 1999 Mar;97(3):102-5.
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.
难治性高血压的评估包括排除诸如血压测量无效、盐摄入过多、药物依从性差、治疗不充分、药物不良反应及相互作用、靶器官损害（肾脏）以及继发性高血压等病因。管理计划包括控制盐和热量摄入、调整利尿剂、重新评估药物治疗方案、处理继发性高血压、频繁评估以及与患者建立良好的关系。
