Treatment-resistant HTN by hafiz34

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· @hafiz34 ·
$0.63
Treatment-resistant HTN
Abdul Alim, 32 years old, a Bangladeshi chef, working in a local restaurant close to my clinic, coming to me for the past 2 weeks with multiple complaints. Besides the features of the seasonal flu or COVID-19, he was also having very high blood pressure. Two weeks earlier it was 180/110 mmHg. That time, he was not on any pressure medicines. 

He was a known patient of high blood pressure (known as hypertension) but stopped taking the medication 💊. Surprisingly, despite having such high BP, he didn't have any symptoms of it. Considering his younger age and absence of symptoms, I asked him to resume his previous BP medication which was tab Atenolol 50 mg. I told him to come after 1 week. 

In the subsequent week, I checked his BP and it was the same; 180/110 mmHg. He denied of any missing dose. I decided to change the medication and started tab Amlodipine 5mg at night and tab Losartan potassium 50 mg at morning. 

After 10 days, he came back again and when I checked, I found the same BP; 180/110 mmHg. There was no change at all. 

---

This is a case of refractory or resistant hypertension (HTN). He may have other secondary cause of HTN, notably renal stenosis or pheochromocytoma. Resistant HTN refers to a condition where more than one drugs fail to control the blood pressure. Sometimes, it may happen when a patient doesn't comply with the drugs and advice. Sometimes, when the pressure goes up due to any other underlying conditions. 
My patient most likely has some underlying conditions. <br/> _This report was published via Actifit app ([Android](https://bit.ly/actifit-app) | [iOS](https://bit.ly/actifit-ios)). Check out the original version [here on actifit.io](https://actifit.io/@hafiz34/actifit-hafiz34-20201016t184836216z)_ <br/> <br><img src="https://cdn.steemitimages.com/DQmXv9QWiAYiLCSr3sKxVzUJVrgin3ZZWM2CExEo3fd5GUS/sep3.png"><br><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmRgAoqi4vUVymaro8hXdRraNX6LHkXhMRBZxEo5vVWXDN/ACTIVITYCOUNT.png">	</tr>	<tr>		<div class="text-center"><b>16390</b></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmZ6ZT8VaEpaDzB16qZzK8omffbWUpEpe4BkJkMXmN3xrF/ACTIVITYTYPE.png">	</tr>	<tr>		<div class="text-center"><pre><b>Aerobics, Daily Activity, House Chores, Moving Around Office, Play with kids/grand kids, Treadmill</b></div></pre></div>	</tr></table><table>	<tr>		<img src="https://cdn.steemitimages.com/DQmdnh1nApZieHZ3s1fEhCALDjnzytFwo78zbAY5CLUMpoG/TRACKM.png">		<td><div class="text-center"><div class="phishy"><h6>Height</h6></div>			<h6>165 cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmfSsFiXem7AxWG1NCiYYPAjtT4Y7LR8FsXpfsZQe7XqPC/h1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Weight</h6></div>			<h6>68.9 kg</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmVqJVEWUwicFRtkEz2WYq2mDH61mQLDsrzN1yBrKLrpyZ/w1a.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Body Fat</h6></div>			<h6> %</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmPJ2Vvi3mBQXKHoy5CTG7fyLFWMG8JaAZ8y1XZFeDkRUC/bd1.png"></td>	</tr> 	<tr>		<td><div class="text-center"><div class="phishy"><h6>Waist</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmZ2Lfwg77FLaf3YpU1VPLsJvnBt1F8DG8y6t6xUAKnsYq/w1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Thighs</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbbAAFy6hwwBWqtSmcSwosTyNZi9rcd6GNeugQRY9MF1h/t1.png"></td>		<td><div class="text-center"><div class="phishy"><h6>Chest</h6></div></div>			<div class="text-center"><h6> cm</h6></div></td>		<td><img src="https://cdn.steemitimages.com/DQmbaoNBT5Unnjqh8JgP6TPj4mFKFnyKkLgP6eDYnnkiLkB/c1.png"></td>	</tr></table><div class="text-center"><img src="https://cdn.steemitimages.com/DQmY67NW9SgDEsLo2nsAw4nYcddrTjp4aHNLyogKvGuVMMH/A-9.png"><a href="https://bit.ly/actifit-app"><img src="https://cdn.steemitimages.com/DQmQqfpSmcQtfrHAtzfBtVccXwUL9vKNgZJ2j93m8WNjizw/l5.png"></a><a href="https://bit.ly/actifit-ios"><img src="https://cdn.steemitimages.com/DQmbWy8KzKT1UvCvznUTaFPw6wBUcyLtBT5XL9wdbB7Hfmn/l6.png"></a></div>
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vote details (1072)
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