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Hypertension Specialty Clinic
Refractory hypertension is defined as sustained systolic BP of 160 mm Hg or more or/and diastolic BP of 110 mmHg or more despite 3 antihypertensive medications including 1 diuretic. The prevalence of refractory hypertension has been reported between 15-44% in North America. Inadequately treated hypertension has been the single most important risk factor for adverse cardiovascular outcomes including stroke, myocardial infarction and congestive heart failure.
Peter Brian Ramirez, M.D.
Position: Clinical Director
Location:TDC - North
- Difficult to treat Hypertension
- Resistant Hypertension
- Secondary Hypertension
- Electrolyte disorders associated with Hypertension
We have 9 hypertension specialists that have been certified by the American Society of Hypertension and we have comprehensive approach to diagnose and treat uncontrolled hypertension. Management of blood pressure includes lifestyle and dietary modifications in addition to appropriately chosen medications. We are also capable of performing diagnostic procedures at our vascular lab to identify the causation of secondary hypertension. We pay close attention to the current recommendations from the Joint National Committee and KDIGO recommendations for Hypertension diagnosis and treatment.