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About Domenic Sica
(Top Expert on this page)

Expertise
All aspects of hypertension as well as any consideration in drug therapy for the management of hypertension.

Experience
Heavily published in the area of drug therapy in hypertension and renal disease. Primary management physician for a large multi-state referral practice for diagnosis and management of complex hypertension

Organizations
Multiple including the American Society of Hypertension, International Society of Hypertension, American Society of Nephrology, American Heart Association, American College of Clinical Pharmacology amongst others.

Publications
Over 250 publications (see PubMed)

Education/Credentials
Board certified in internal medicine, nephrology, clinical pharmacology, and hypertension

Awards and Honors
Multiple awards as clinical and/or teacher of the year.

Past/Present Clients
Not pertinent

   

You are here:  Experts > Health/Fitness > Diabetes > Hypertension

SubjectDate AskedExpert

Pilates and hypertension11/14/2009Domenic Sica
  Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ...
  A: Based on the information you just provided I would suggest the following approached (1) see if your ...
Pilates and hypertension11/14/2009Domenic Sica
  Q: My blood pressure varies alot throughout the day. I am currently taking atenolol 25 mg. daily. My ...
  A: You might already know this but that is not a huge variation in blood pressure as you describe it. ...
fluctuating hypertension11/13/2009Domenic Sica
  Q: I am an african american female age 40, 150 lbs. I have never been over weight and I have no family ...
  A: Blood pressure will vary based on environmental factors such as pain, intercurrent illness, sleep ...
Pre hypertension11/9/2009Domenic Sica
  Q: I am a 60 year old male with pre hypertension for several years and I have been doing life style to ...
  A: You look to be in excellent shape. I can answer this question better if you give me your blood ...
Elevated BP,Very high HR in young pregnant woman11/6/2009Domenic Sica
  Q: I'm 29, 36wks pregnant with 4th child, hx of MVP with Regurgitation and decreased efraction rate. I ...
  A: Country practices vary as to how to approach this issue. What country are you in ? Is there any way ...
Blood press medicine11/6/2009Domenic Sica
  Q: My wife is 49 and currently taking hydrochlorothiazide 25 mg (i belive), but is not very effective. ...
  A: She is already on a diuretic so that is removed from the hierarchial order. If she has previously ...
hypertension medication11/6/2009Dr. Shabbir Baldiwala
  Q: Baldiwala, My wife is currently taking hydrochlorothiazide 25 mg (i belive), but is not very ...
  A: All the antihypertensives have their advantages and disadvantages. Selection of the group is of ...
hypertension11/3/2009Domenic Sica
  Q: I am a 26yr old female and have had renal problems(mainly recurring uti's and reflux) since i was ...
  A: You have what is called reflux nephropathy, which is associated with hypertension and recurrent ...
High Blood pressure?10/29/2009Domenic Sica
  Q: I have a blood pressure of around 155 over 85, i am told i may have hypertension-is this true? Is ...
  A: If you are in this range consistently then you do have hypertension and this probably should be ...
Switching from Lisinopril to Cozaar10/24/2009Domenic Sica
  Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
  A: The studies he is speaking to relate to the use of losartan in a mouse model of a genetic disease ...
Switching from Lisinopril to Cozaar10/23/2009Domenic Sica
  Q: Hey there, I'm a 34 yr old male with hbp. Don't know why I have it. I've been on meds for 15 years. ...
  A: No, Cozaar is not a better drug and it would not reduce your blood pressure any better than ...
spikes in blood pressure10/23/2009Domenic Sica
  Q: I am a 37 year old female, overweight but blood pressure is within normal range 116/78- 125/85. ...
  A: As you might have guessed this is an atypical pattern. The differential list is lengthy but at the ...
Hypertension and high altitude10/19/2009Domenic Sica
  Q: My father suffers from chronic hypertension and had a minor heart attack last year. Would it be safe ...
  A: Generally yes. However, not knowing all of his illnesses means this should be a qualified yes. ...
High blood pressure10/12/2009Domenic Sica
  Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ...
  A: The medicines you mention also "remodel" the heart separately; thus, a possible reason why you are ...
High blood pressure10/10/2009Domenic Sica
  Q: I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its ...
  A: I would be looking carefully as to what medications I am on such that the right combination is in ...
weightloss and running10/10/2009Domenic Sica
  Q: so if not just let me know, but I am an overweight adult (5"8 and 200 lbs) and I am trying to lose ...
  A: You should start off walking and from there begin a slow pace of running over several days within ...
med question10/9/2009Domenic Sica
  Q: After a bout with hypertension and a 4 day stay in the hospital, all tests came back fine, minoxidil ...
  A: The minoxidil is likely to be kicking in. Ypu should be able to reduce the dose of the minoxidil by ...
Spikes in bp while on meds10/5/2009Domenic Sica
  Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
  A: Benicar is a good drug for general hypertension but does not have any specific attributes that make ...
Spikes in bp while on meds10/4/2009Domenic Sica
  Q: I'm male, 63 years old. Runner-40 miles a week. Resting hr of 44bpm, high hdl, low LDL. Dr says Am ...
  A: Yes, I agree that the spikes themselves are not necessarily dangerous. It is likely that the spikes ...
Blood Pressure10/1/2009Domenic Sica
  Q: I had a blood pressure question, though it is having to do with low blood pressure instead of ...
  A: This is a very low blood pressure for a person your size; however, it can be in a normal range for ...
Dietary Fat9/29/2009Domenic Sica
  Q: I am currently being treated for hypertension. The only recomendation my doctor made was to reduce ...
  A: Dietary fat reduction would help from a coronary artery disease viewpoint over the long-term. As to ...
Sauna & Hypertension9/29/2009Domenic Sica
  Q: I'm confused on the different opinions about HTN and saunas. Some say to avoid them if you are ...
  A: Heat typically lowers blood pressure. Those who are saying to avoid it if you are hypertensive say ...
Blood pressure9/28/2009Domenic Sica
  Q: I am 28 years old, and I am not feeling well. Its difficult to define my condition, but I dont have ...
  A: If you have not had your doctor check you out yet you might consider this as a first step. Your ...
tia9/21/2009Domenic Sica
  Q: My husband is 42 yrs old with hypertension. Hes always been active and healthy with the exception of ...
  A: This is a confusing picture that is difficult to make sense of in this type forum. My best advice is ...
high blood pressure9/21/2009Domenic Sica
  Q: Has there ever been medical research that has proved a cause-effect relationship between high blood ...
  A: There are vast amounts of literature that speak to long-standing blood pressure being associated ...
medication?9/19/2009Domenic Sica
  Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
  A: Your question is a complex one and not easily answered by the Internet but I will try. Currently ...
medication?9/19/2009Domenic Sica
  Q: I'm a 58 yr. old male, not over weight and don't smoke. I do take medication to lower cholesterol. I ...
  A: I am not aware of any guidelines that state that morning blood pressure should be less than 120/80 ...
Impedance cardiography (ICG)9/17/2009Domenic Sica
  Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
  A: Your thoughts on impedance cardiography are reasonable. As to your blood pressure I wish I could ...
Hypertension specialist in San Diego, CA9/17/2009Domenic Sica
  Q: Sica, I have resistent hypertension and have been prescribed various medications which haven't ...
  A: Both of these individuals are personal acquaintances and excellent with complicated hypertension. If ...
New HBP treatment9/15/2009Domenic Sica
  Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
  A: 1. If a drug is unproven then it may not have much use for someone with terminal cancer. The ...
New HBP treatment9/13/2009Domenic Sica
  Q: In the August issue of Hypertension, it was reported that the Klotho gene which is known to extend ...
  A: Unfortunately, this has not been studied in man in such a way to state what the effect of such a ...
Impedance cardiography (ICG)9/12/2009Domenic Sica
  Q: I have had Hypertension since my early 20's. I am now 64. The first 30 years, I would go to the ...
  A: Impedance cardiography has yet to take hold in the treatment of hypertension. Interpreting the ...
high blood pressure9/11/2009Domenic Sica
  Q: I am 20 years old and have been consistently getting high blood pressure readings for the past 2 ...
  A: This does not sound like white-coat hypertension. You probably should have this formally evaluated ...
Management of Hypertension in Patients with Type 2 DM9/6/2009Domenic Sica
  Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
  A: The addition of a beta-blocker to lisinopril typically would not offer that much incremental benefit ...
calcium channel blockers9/2/2009Domenic Sica
  Q: I am an obese, 66 year old female with high blood pressure, and atrial fibulation. I am on 240mg. ...
  A: Calcium channel blockers do not cause heart disease. Instead they are extremely effective therapies ...
Can I go off or reduce my medication?9/2/2009Domenic Sica
  Q: Several months ago my doctor put me on Avalide to reduce my B.P. Along with this I made some ...
  A: It would be quite reasonable to halve the dose and see what your blood pressure does. At that time ...
AHA diets9/2/2009Domenic Sica
  Q: I am trying to learn more about AHA diets. What is the difference between low salt and low sodium ...
  A: A 1-gram sodium diet equates with a 2.5-gm salt diet; otherwise, there is no difference between low ...
Management of Hypertension in Patients with Type 2 DM8/31/2009Domenic Sica
  Q: Sir, As everybody knows presence of Type 2 DM and Hypertension both increases risk complications. My ...
  A: Amlodipine can cause peripheral edema but not by a mechanism that involves fluid retention; thus, ...
Lopressor8/30/2009Domenic Sica
  Q: I am a 27 yo female. I am scheduled to undergo a coronary cat scan this comming Thursday morning. ...
  A: You might ask the cardiologist to either allow you to take 50-mg at bedtime or if your heart rate ...
Hypertension8/29/2009Domenic Sica
  Q: I am 39 year old male. Wgt. 80 kgs, ht. - 5'9", waist - 37". Indian vegetarian. Suffering from high ...
  A: These would be unlikely to be symptoms related to your medications or your level of blood pressure. ...

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Questions by
Active Experts:
Domenic SicaDr. Shabbir BaldiwalaWilliam B. Jeffries, Ph.D.
Newell R. Falkinburg, M.D. FACP  

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