Monitoring and treatment of aiming at causes in refractory hypertension Liao Yuhua Insititute of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Chian
Refractory hypertension is a progressive process from mild hypertension to moderate, severe hypertension due to absence or inadequate treatment in patients with hypertension. The large and small artery remodeling accelerated the progression of hypertension and complication. The causes of refractory hypertension were summed up. It is necessary that the blood pressure, the vasoactive substance and vessel remodeling were detected in patients with hypertension. Careful, systematic evaluation of patients with refractory hypertension should identify condition and mechanisms of hypertension to targeted therapy. If a depressor plan of aiming at the causes of refractory hypertension was adopted, the treatment condition of refractory hypertension should be changed.