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what kind of doctor ?
mmj1619 posted:
what would be the best kind of doctor to go to for high blood pressure? my husband goes to his regular doctor and takes four kinds of medicine, but it doesnt seem to do any good.
billh99 responded:
That is a good question. In most cases high BP is idiopathic. That is no know cause.

But in some cases it can be caused by hormone problems, kidney problems, and other causes.

So a number of different type of doctors treat high BP.

Cardiologist, internal medicine, endocrinologist, and nephrologist.

Here is a director of members of the hypertension society.

You might also contact a local medical school or teaching hospital and ask if they have a hypertension clinic or some one that specializes in Resistant Hypertension.

What is resistant hypertension?Resistant hypertension means blood pressure that stays high despite treatment with three different types of blood pressure medications. It's thought that about 30% of people with high blood pressure have resistant hypertension.

According to the American Heart Association, old age and obesity are two risk factors for resistant hypertension. Other studies suggest that people with resistant hypertension have associated risks factors such as diabetes, obstructive sleep apnea, enlargement of the heart chambers, and or chronic kidney disease.

In making a diagnosis, doctors have to decide if the person has true resistant hypertension or if they may not be taking their medications correctly or not adhering to treatment. These scenarios are not synonymous.
Sometimes "white coat" hypertension is mistaken for resistant hypertension. With "white coat" hypertension, the patient may have a rise in blood pressure at the doctor's office but not at home.

The doctor may recommend 24-hour blood pressure monitoring to exclude "white coat" hypertension.

Patients with resistant hypertension often have many health problems. These conditions may include diabetes, sleep apnea , kidney disease, and atherosclerotic disease. These problems often make treatment difficult.

Along with using combination treatment, people with resistant hypertension may need treatment for secondary causes of hypertension such as obstructive sleep apnea . Also, stopping alcohol may help lower resistant hypertension.
JClark24P responded:
I wouldn't be so worried about the "kind" as the knowledge! Find one who knows about "Hyperaldosteronism" (Conn's Syndrome). It was once thought to be very rare but is currently the cause in ~10% of people with HTN. (Most doctors still think it is rare and don't consider it but if it is the cause, it is cureable!) BTW conventional BP meds won't work because they work on renin and if you have it your renin will likely be low!

It is recommended that anyone with resistant HTN on 3 or more BP meds be tested for this. For more information there is a Yahoo Support Group, check it out at:
girlscout responded:
me too. I am scared. My husband is an older Latino man, and his high blood pressure is going crazy. He has been going to a spanish doctor for a long time, and he has about 5 or 6 meds,and his bp is going crazy still. I don't know what to do.
billh99 replied to girlscout's response:
Mayo Clinic has reported that 80% of the people with resistant hypertension suffers from Obstructive Sleep Apnea.

Get him tested.

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