AboutDomenic Sica 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.
Question Hi .I,m 50 years old with HBP . All the meds we try wont keep it stable . Sometimes its 180/98 when its low and as high as 210/120 and higher in some cases . Renal scan was fine and so was another test that I cant recall the name of it . Any ways after somemore tests the doc says the wall of my left ventrical is alot thicker then normal and that is cuasing my problem . If thats so then why are they keeping me on the HBP meds ? I dont see how the meds "Lotrel" "Toprol" and others would help the thicker left ventrical wall . Dont the HPB meds just open or releaxe the blood vessels ? What would you do if you had a patiant with my problem . Thanks . Bob
Answer I would be looking carefully as to what medications I am on such that the right combination is in use. Also, the medications being used shrink the size of the ventricular wall as well as dilate blood vessels. It sounds like you need a good hypertension specialist if you are not already seeing one. What part of the country are you in ?
