Center for Blood Pressure Disorders

The Center for Blood Pressure Disorders combines clinical care with research to offer patients with hypertension the latest advances in diagnosis and treatment. Consultative and treatment services are available for patients of all ages with any of the following needs:

Hypertension evaluation

Thorough clinical diagnostic services are offered for patients with the following conditions:

• Essential hypertension
• Hypertension associated with renal disease (e.g., diabetic, polycystic kidney disease, glomerulonephritis, and interstitial renal diseases)
• Renal arterial disease, including renovascular hypertension, ischemic nephropathy, and nephrosclerosis
• With metabolic disorders such as diabetes mellitus, obesity, and dyslipidemia
• Resistant hypertension in association with drug intolerance, drug resistance, or drug interactions
• Autonomic insufficiency, vasomotor lability, and postural hypertension syndromes
• Hyperdynamic circulatory states including anxiety, tension states, and affective or behavioral disorders
• Endocrine forms of hypertension including primary aldosteronism, Cushing’s syndrome, pheochromocytoma, adrenocorticolenzymatic deficiency, and hyperthyroidism
• Hypertension complicated by cerebrovascular disease, coronary heart disease, and cardiac hypertrophy

Telephone Consultations

Staff members of the Center for Blood Pressure Disorders are available to discuss difficult diagnoses and/or management problems with outside physicians. Staff physicians may be contacted directly as noted:

Ambulatory Blood Pressure Monitoring

Ambulatory blood pressure monitoring (ABPM) is available for use in Cleveland Clinic patients and for referral requests. ABPM can be most appropriate when used selectively in diagnostic evaluation and during therapy of the hypertensive patient.

Renal Function Laboratory

Extensive renal function testing and metabolic evaluations are available to assist in the diagnosis and continuing care of patients with difficult to manage hypertension or hypotension.

Hypertension Education

Dietary counseling together with education regarding lifestyle modification including cigarette smoking cessation, increased physical activity, weight reduction and salt restriction are available.

Referrals

Patients referred to the Center for Clinical Hypertension are seen within one week. The referring physician receives a comprehensive report within two weeks of the patient’s appointment. To refer a patient, call 216.444.6771. To fax records for patients, dial 216.444.9378.