Hypertension
                
        Hypertension or high blood pressure is the most common chronic medical condition affecting 1 in 4 subjects in the UK. It is sometimes termed the “Silent Killer” as the condition does not cause any symptoms and can only be detected by measuring blood pressure in clinic or by 24hour ambulatory monitoring.
Importance of hypertension
Hypertension is an important risk factor for strokes, heart attacks, angina, heart failure, renal failure, aortic disease, arterial disease, atrial fibrillation, and dementia.  Proper treatment and control of hypertension can prevent all these complications.
Causes of Hypertension
The majority of patients with high blood pressure have primary hypertension where no cause can be found. However, in a significant number of patients a secondary cause can be found with proper investigations. Secondary hypertension is potentially curable relieving the need for life-long treatment with tablets.
                                                                                                
              
    
        
          
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MBChB (Hons) MSc MD FESC FRCP                      
                     
                   
                  
                    
                      Clinical Interests
                      
Essential hypertension
Secondary hypertension
Resistant hypertension
Malignant hypertension
Pregnancy-associated hypertensive...                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MBChB (Hons) MSc MD FESC FRCP                              
                           
                         
                        
                          
                            Clinical Interests
                            
Essential hypertension
Secondary hypertension
Resistant hypertension
Malignant hypertension
Pregnancy-associated hypertensive...                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MD(Lond) FRCP                       
                     
                   
                  
                    
                      Clinical Interests
                      High blood pressure including underlying causes, urinary tract infection [UTI] and its treatment as well as chronic...                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MD(Lond) FRCP                               
                           
                         
                        
                          
                            Clinical Interests
                            High blood pressure including underlying causes, urinary tract infection [UTI] and its treatment as well as chronic...                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MA MSc PhD FRCP                      
                     
                   
                  
                    
                      Clinical Interests
                      
Chronic Kidney Disease (CKD)
Hypertension in kidney disease
Cardiovascular risk reduction in CKD
Proteinuria
Microscopic...                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MA MSc PhD FRCP                              
                           
                         
                        
                          
                            Clinical Interests
                            
Chronic Kidney Disease (CKD)
Hypertension in kidney disease
Cardiovascular risk reduction in CKD
Proteinuria
Microscopic...                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MBBS MD FRCP                      
                     
                   
                  
                    
                      Clinical Interests
                      
General medicine
General diabetes
Annual diabetic reviews
Obesity management
Hypertension
General endocrinology
Thyroid...                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MBBS MD FRCP                              
                           
                         
                        
                          
                            Clinical Interests
                            
General medicine
General diabetes
Annual diabetic reviews
Obesity management
Hypertension
General endocrinology
Thyroid...                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        BSc MB FRCP                       
                     
                   
                  
                    
                      Clinical Interests
                      
All thyroid, parathyroid, adrenal & pituitary disorders
Thyroid nodules, goitre and cancer
Thyroid ultrasound and...                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                BSc MB FRCP                               
                           
                         
                        
                          
                            Clinical Interests
                            
All thyroid, parathyroid, adrenal & pituitary disorders
Thyroid nodules, goitre and cancer
Thyroid ultrasound and...                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MB BS BSc(Hons) MRCP (UK) MD                      
                     
                   
                  
                    
                      Clinical Interests
                      
Coronary artery disease
Heart failure
Valvular heart disease
Cardiomyopathy
Hypertension and arrhythmia
Chest pains
Breathlessness
Palpitations
Blackouts.
                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MB BS BSc(Hons) MRCP (UK) MD                              
                           
                         
                        
                          
                            Clinical Interests
                            
Coronary artery disease
Heart failure
Valvular heart disease
Cardiomyopathy
Hypertension and arrhythmia
Chest pains
Breathlessness
Palpitations
Blackouts.
                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                  
                    
                      Clinical Interests
                      
Thyroid disorders
Diabetes
Calcium and vitamin D disorders
Hypertension
Chronic fatigue
                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                        
                          
                            Clinical Interests
                            
Thyroid disorders
Diabetes
Calcium and vitamin D disorders
Hypertension
Chronic fatigue
                          
                         
                       
                       
                   
                    
                 
              
                
             
          
          
                                                                                                                                                            
            
               
                  
              
                
                  
                                        
                                        
                    
                      
                      
                        Qualifications
                        MA BMBCh FRCP FESC                      
                     
                   
                  
                    
                      Clinical Interests
                      
Ischaemic heart disease
Hypertension
Arrhythmias
Palpitations
Echocardiography
                    
                   
                 
               
             
            
                        
                
              
              
                
                  
                    
                      
                        
                          
                          
                            
                              
                                Qualifications
                                MA BMBCh FRCP FESC                              
                           
                         
                        
                          
                            Clinical Interests
                            
Ischaemic heart disease
Hypertension
Arrhythmias
Palpitations
Echocardiography