Hypertension Management

Does the doctor do a screening for hypertension in the office?

Yes, every patient gets screened for hypertension through a physical examination, blood work, urinalysis, and ECG. In some instances, we do in office ultrasound of the kidneys, aorta, renal arteries and heart to estimate the acuity of the conditions and degree of end-organ damages.

What is the most common cause of hypertension?

Essential hypertension likely caused by stress is responsible for 90% of cases of hypertension. Another 10% include tumors in the adrenal glands, renal artery stenosis, morbid obesity etc.

Is hypertension the same in different races?

It is a much more aggressive disease in African-Americans and causes more accelerated end-organ damage especially kidneys.

Does the doctor treat all the patients with hypertension or refer them out?

Every patient gets treated by the doctor in the office. Cases requiring treatment via interventional procedures or dialysis get referrals to specialists.

Is it possible to control hypertension without taking medications?

Yes, aerobic workout, weight reduction, blood sugar control and stress management play great roles in prevention and non-pharmacological treatment of hypertension.     

On average, how many blood pressure medications does it take to get hypertension under control?

Usually, the use of three different classes of medications are necessary to bring blood pressure under solid control .

What are the most common side effects of antihypertensive medications?

Most of the modern antihypertensive medications do not have any side effects. Occasionally patients experience electrolyte imbalance, chronic cough, low blood pressure, and fatigue.

Do blood pressure lowering medications cause erectile dysfunction?

On the contrary good blood pressure control delays erectile problems in male patients

What are the most common complications of poorly controlled blood pressure?

Untreated hypertension is the number one cause of kidney failure requiring dialysis, followed by heart attacks, strokes, and blindness.

How often do I need to see the doctor and do the bloodwork and other tests in case of well-controlled hypertension?

Well-controlled hypertension without complications and side effects from the medications usually requires once every 2-3 months of office visits and 2-3 times a year laboratory tests. About once a year we do an eye exam, ECG and ultrasounds.

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