Help with high blood pressure
I am a 29 year old female. I have had high blood pressure my whole life but started meds when I was 14. I have resistant hypertension. I am on spironolactone, amlodipine, carvedilol, valsartan, clonidine patch, minoxidil, chlorthalidone, aspirin, magnesium, and b12.
I was recently hospitalized because I had really bad confusion and concentration issues, I had facial numbness on the right side of my face and numbness and tingling down my right arm. They found I had a vertebral artery occlusion/ stenosis. They also found the velocity to my kidneys was really high so they thought that it was renal artery stenosis. Me and my cardiologist were very hopeful that it was FMD so that I could widen the artery in my blood pressure would be fixed. I went in for my procedure yesterday only to find out that there's no renal artery stenosis whatsoever. I'm becoming less and less responsive to medication. I believe this has to be secondary to something but it's been a 15-year search only to find nothing each time.
My only option now is to rely on medication management but my blood pressure is still insane. Today was 181/109 despite all my medications.
Someone please give me points of where to look next. I feel that I'm back at square One.
I think it should also be noted that my blood pressure has been as high as 280 as a systolic and 200s as my diastolic. At that point I had high troponin levels. And an anterial infarct- I have stiffening of my heart at the lower portion and I have diastolic disorder. Both times this has happened to me they've told me they're not certain I've had a heart attack but indicators were there. Me not being a doctor I don't know how to take that.
I feel like my days are numbered and I just need help finding out what this could be so I could fix it and live a long life with my babies who need me.