Final answer:
The last resort for treating mild to moderate hypertension after other treatments fail may involve optimizing medication therapy and considering surgical options if necessary.
Step-by-step explanation:
After other treatment options for mild to moderate hypertension have failed to produce improvement, the last resort may involve a combination of medication adjustments and possibly surgical interventions, if necessary. When lifestyle changes and the first-line antihypertensive medications like thiazide diuretics, calcium channel blockers, ACE inhibitors, and ARBs do not control blood pressure effectively, additional drug classes may be added, and dosages may be adjusted. In some cases, if medication therapy fails and the hypertension leads to complications like blocked arteries, surgical options such as angioplasty or bypass surgery might be considered.
It is essential to follow a stepped care approach to hypertension treatment, where initial treatments are evaluated for effectiveness and additional therapies are introduced systematically as needed. The choice of treatment depends on the individual patient's condition and the judgment of the healthcare provider.