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 Hello Dr,
This may be an overly rudimentary question but I thought I'd ask. If a patient is taking meds for hypertension and most of their bp readings are in normal ranges except for the occasional reading that ranges higher, would they still consider their hypertension "controlled?"
My bp avgs 125/70 with medication, diet, and exercise. It has averaged this for a few months. Today my readings ran between 135/72 - 155/85.
I generally check bp once a week. Today I checked multiple times due to the higher readings. If this kindof reading happens occasionally (every month or two), can it be ignored?
At what point would the bp be considered "uncontrolled?"
thanks for your advice.
Answer Yes, you would be considered controlled. Blood pressure might be considered uncontrolled if you are above 140/90 consistently for several hours a day over a several day stretch. Blood pressure will occasionally go up in any patient as a response to environmental circumstances.
