Hypertension (High Blood Pressure)
Hypertension, also called high blood pressure, is when the force of blood pumping through the arteries is too strong. Arteries are blood vessels that carry blood away from the heart. Hypertension forces the heart to work harder to pump blood and may cause arteries to become narrow or stiff. Having uncontrolled or untreated hypertension can lead to heart attacks, strokes, kidney disease and other health problems.
How to Control Hypertension
Hypertension is often called “The Silent Killer.” It rarely causes symptoms until it is extremely high or has done damage to other organs in the body. For this reason, you should have your blood pressure checked regularly by your physician. We will check your blood pressure every time you see a provider at one of our offices.
There are many factors that contribute to hypertension. Some of these are things that you cannot change, like your sex, family history, race or age. There are, however, plenty of things you can change that will improve your health and help decrease your need for medications.
Remember, most people will eventually need medication to help keep their blood pressure under control, but by changing the things you can, you may be able to put off needing medications for several years or needing multiple medications. For those on medication, it is important to take medications at the same time every day and exactly as prescribed.
Advanced Hypertension Clinic
At the Cone Health Advanced Hypertension Clinic, we offer care for patients who have hard-to-control hypertension. We are here to help get to the root of patients’ high blood pressure issues and to get their blood pressure under control. Our holistic team of physicians, nurse practitioners, pharmacists, social workers and health coaches work together to come up with personalized care plans for each patient, including medication adjustments (when appropriate) as well as lifestyle changes. If patients have a primary care physician, we stay in close communication with them so they can seamlessly resume their patients’ hypertension care after their time with us.
What to Expect
Your first visit with us will be an in-person appointment with our cardiologist or nurse practitioner, and subsequent appointments will be held in person or virtually to make them easier to fit into your schedule. You’ll leave your first visit with information about how to record your blood pressure and, if it’s right for your particular treatment plan, we’ll walk you through how to use an app so we can monitor you remotely.
After your first visit, you’ll meet with one of our pharmacists as well as other team members (like a social worker or health coach) to help us come up with a customized treatment, diet and exercise plan for you. Though treatment time can vary greatly based on a variety of factors, on average our patients can expect to spend about four months with our clinic.
What to Bring to Your First Appointment
- Medications: Please bring all your current medications (blood pressure and otherwise) to help our team avoid adverse drug interactions in case we adjust your medication recommendations during your time with us.
- Blood Pressure Record: Plan to bring at least a week’s worth of blood pressure monitoring to your first appointment. You can use this form if you don’t have one you currently use.
- If you’re a patient and would like to make an appointment with the Advanced Hypertension Clinic, contact us at (336) 938-0800.
- If you’re a physician and would like to refer a patient to the Advanced Hypertension Clinic, contact us at (336) 938-0800 or follow the below steps:
- Choose the Cone Health Medical Group Cardiovascular Division at Northline Ave. practice
- Choose Tiffany Randolph, MD as physician
- Note the reason for the referral is “Advanced HTN”
- Tiffany Randolph, MD, FACC
- Kristin Alvstad, PharmD
- Melissa Maccia, PharmD
- Raquel Rodriguez-Guzman, PharmD
- Megan Supple, PharmD
- Jesse Cleaver, NP
- Melinda Pratt, LPN
- Michelle Broome, LPN
- Tiwan Goodner, MA
- Jackie Brennan, LCSW, CCSW-MCS
- Amy Lee