Nearly half of adults in the U.S., or about 108 million, have hypertension, or high blood pressure. An even more concerning fact: Only about 1 in 4 adults (24 percent) with hypertension have their condition under control.

About a year ago, as the COVID-19 pandemic was underway, Miami Cardiac & Vascular Institute launched its Resistant Hypertension Program, and it’s thriving, according to its director, Ian Del Conde, M.D., associate chief of Cardiology and medical director of Vascular Medicine at Miami Cardiac & Vascular Institute.

Ian Del Conde, M.D., associate
chief of Cardiology and
medical director of Vascular
Medicine at Miami Cardiac
& Vascular Institute.

“Resistant hypertension basically means that you have elevated blood pressures despite using multiple appropriate medications,” explains Dr. Del Conde. “Resistant hypertension is common, and when we see a patient with it, we consider a number of factors that could be driving the patient’s high blood pressure. It’s not just a matter of increasing the doses or increasing the number of blood pressure medications.”

How the Program Works

The goal of the Institute’s Resistant Hypertension Program is to get a patient’s high blood pressure under control within two or three months of starting treatment. Initially, each patient undergoes a comprehensive evaluation to determine the potential factors that could be driving the resistant hypertension.

Gene Harlamov, an advanced practice practitioner with additional certification in hypertension, helps run the Hypertension Clinic, and ensures that patients are being followed frequently, reporting their blood pressure logs, and making any necessary adjustments to medications.

The Hypertension Clinic also provides advanced patient remote monitoring, a technology-driven method of managing patients’ chronic conditions, including hypertension, around the clock. If sleep health is a factor contributing to resistant hypertension, the patient may be referred to the Institute’s Sleep Medicine and Continuous Improvement program.

“We systematically assess patients for associated conditions that could the reason behind the elevated blood pressures,” says Dr. Del Conde. “Notable examples include sleep apnea, dietary factors, or use of other medications or supplements that could by themselves increase a person’s blood pressure.”

High blood pressure on its own — defined as a systolic reading of greater than 130 mm Hg (the top number) and a diastolic reading of greater than 80 mm Hg (the bottom number) — is a major risk factor for heart disease and stroke – the two leading causes of death in the world. Left uncontrolled, high blood pressure can cause serious problems for your heart, including coronary artery disease, causing the narrowing of arteries. And it can also lead to heart failure over time, which causes the heart muscle to weaken and work less efficiently. 

Program is ‘Growing Very Fast’

Many healthcare systems are “not conducive to good blood pressure management,” explains Dr. Del Conde. Sometimes that means seeing your doctor every few months at the most. 

“That’s not going to work,” continues Dr. Del Conde. “Having a hypertension clinic allows patients to be seen quickly, either in person or virtually, for rapid and frequent assessment of their blood pressure and adjustments as needed of medications based on those blood pressure readings.

More and more primary care physicians and cardiologists are referring patients to the Institute’s Resistant Hypertension Program/

“The program has been growing very fast,” said Dr. Del Conde. “We do many of our visits virtually. We want the program to be not only effective for the patient, but also convenient.”

 

For appointments, physician referrals, or second opinions please call us at 786-755-1409. International patients, please call 786-596-2373.

Related Stories

What to Expect at an Appointment With a Cardiologist

If you’ve been experiencing worrisome symptoms, have a family or personal history of heart or vascular disease, or simply want to learn how to lower your risk factors or prevent cardiovascular disease make an appointment with a cardiologist.

Don’t Delay Heart Care During the Pandemic: Know Your Screening Options, Symptoms and More

Since the beginning of the coronavirus pandemic, the way we receive medical care has changed drastically and remains somewhat fluid.

You’ve Been Vaccinated? Great! Now What?

As the number of Americans who’ve received the COVID-19 vaccine grows by the day, so too does the shared sense of relief that comes with being “liberated” from a deadly and highly transmissible virus.

Women’s Health: When to Seek Care – and Where

Because women have unique health concerns depending on their stage of life, it is important to seek care no matter how big or small something may seem, doctors advise.

Heart Arrhythmias: AFib and Atrial Flutter on the Rise in U.S.

A recently published study in The American Journal of Cardiology shows that the incidence of atrial fibrillation (AFib) and atrial flutter (AFL), two common heart arrhythmias, increased in the United States between 1990 and 2017.

Alcohol: When Does Social Drinking Become Too Much?

In our culture, alcohol is everywhere. We may have a drink or two at a family dinner or social occasion without even thinking about it. But studies have linked drinking with cancer, even when done in moderation.

Sudden Retirement of NBA Star Puts Spotlight on ‘Irregular Heartbeat’

In a sudden announcement, Brooklyn Nets all-star center LaMarcus Aldridge, 35, announced on social media that he is retiring from the NBA after experiencing an irregular heartbeat during his final appearance with the team and calling it “one of the scariest things I’ve experienced.”