Good morning, @llecrup. I'm probably one of your companions in this situation. Let's see. Do you agree with these "definitions?"

Resistant hypertension is blood pressure that remains above goal despite concurrent use of three antihypertensive agents of different classes, one of which should be a diuretic.

The goal blood pressure is less than 140/90 mmHg in average-risk hypertensive patients. There is evidence supporting a lower goal blood pressure (ie, 130/80 mmHg) in patients with atherosclerotic cardiovascular disease and in patients with proteinuric chronic kidney disease.

I'm taking three hypertension medications, which haven't succeeded yet in lowering my BP to 140/90, but I'm making progress. My medical team is led by a nephrologist and includes an endocrinologist looking for causes and a cardiologist keeping an eye out for circulatory problems.

Could you share with us some information on your current condition and the status of your treatments?

The very SPRINT study lowered the systolic target to 120 but it has not been established as the de facto standard of care yet.

Hello. I have never had high blood pressure, I am a healthy active person who one day, felt super light headed, arms were tingling, head tingling, forgetting things so I went and had my blood pressure checked at Walgreens and it was 220/111. I have since been seen by doctors, and checked out. My blood pressure does not run high, but then I will have these random spikes up into the 170's with several other symptoms: dizzy, tingling in my head, numbness in my face and arms, stuttering my words, cannot concentrate to put together a sentance, crying spells, bascally mentally block out. These can last a few minutes or a few hours. Sometimes medicine will bring it down, other times it just keeps going up and symptoms magnify, end up at ER at 207/106 to get something to bring it down because it just keeps going up. I have been tested extensively by neurologitst, endocronologists, cardiologists ... had my nerves tested, my sleep tested, 72hr EEG, blood sugar tested...nobody seems to be able to figure out what is bringing on these episodes. My doctors believe that something in either my endo or nuero area are haywire. It happens when I am over stimulated, like a massage (weird), or pressure in my head, landing in a plane. But regular things that would cause high BP, mine is normal. I was in a car accident recently and my BP was 140/84....nothing! Does anyone else have anything like this????? I was given an autonomic test, the "results" were normal, but when I had to do the blowing section, it triggered an episode. My symptoms and bp were strong enough that the technician had to get a doctor to make sure it was ok to conitnue, but the "test results" were normal. Any thoughts? Anyone have this and have an answer on how to help? The blood pressure medications do not work.

Hello @kgrealish, and welcome to Connect,

I can imagine how worried you must be! I'd like to connect you with a few members who've written about the Valsalva maneuver, which is the 'blowing section' of the autonomic test. https://en.wikipedia.org/wiki/Valsalva_maneuver.
Please meet @caddo21 @jimana @maysa; fellow member @dash99999 has also talked about very similar symptoms, and normal test results in this discussion:
– https://connect.mayoclinic.org/discussion/male-23-possible-autoimmune-issues-difficult-to-diagnose/