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Medically Refractory Hypertension?



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Anyone know what exactly this is?

This is one of the comordities that my insurance will approve on. I have already been denied and lost my appeals. But quite interestingly my bp has been going up the last few months and is now REALLY high! Kind of scary but I see the dr tomorrow.

So I am wondering if this unfortunate twist could end up being the problem I need to reapply and get approved.

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I believe that it refers to high blood pressure that is resistant to meds (I could easily be wrong, though).

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I just looked it up and this is what I found - hope it helps

refractory hypertension

A condition characterized by BP ≥140/90, or ≥160/90 if > 60 and absent features of 2º HTN, maximal dose of 2+ antihypertensives is being administered, and adequate time has passed to allow the usual antihypertensives to be effective DiffDx Spurious–pseudoHTN, 'white coat' HTN, noncompliance with therapy, presence of exogenous substances that ↑ BP–alcohol, anabolic steroids, caffeine, chlorpromazine, cyclosporine, erythropoietin, MAOIs, nicotine, sympathomimetics, tricyclic antidepressants, cocaine, corticosteroids, NSAIDs, salt; obesity should be controlled

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