I'm pretty sure your print screen is from the Solarwinds Orion platform and not the from Solarwinds Database Performance Analyzer (DPA). If it is from DPA I'm wondering where I can find this.
Can we configure to send alert emails every 4 hours until the alert is acknowledged ?
From my knowledge it is not possible to configure an alert in DPA that has a small execution intervall but only sends alert every 4 hours.
In theory you could set the execution intervall to 4 hours. But I guess this is not what you want.
Another idea is the use of a procedure in a custom alert and build up your own logic.
The procedure could also perform an insert into a custom table. The table contains information such as the last time when the alert was triggered, the status, etc.. Based on this the out parameter of the alert can be different. Depending from the output parameter and the alert level notification an alert will be sent or not.
Just and idea ;)
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