Renovial Health · Specialist nephrology across Melbourne

(03) 7037 4001

Blood pressure

Resistant hypertension

A structured review of difficult-to-control blood pressure and potential contributing causes.

Blood pressure that remains above the agreed target despite treatment may benefit from specialist assessment. Kidney disease can contribute to hypertension, while sustained high blood pressure can affect kidney health.

Illustrative upper-arm blood pressure measurement during a clinical assessment
AI-generated medical illustration · About our images

01 / Assessment

A clear understanding
of your results.

The review starts with the accuracy and pattern of blood pressure readings, the current treatment regimen and potential contributing factors. Home or ambulatory monitoring may help distinguish persistent hypertension from readings elevated mainly in the clinic.

  • Review of home or ambulatory blood pressure readings
  • Medication doses, adherence and possible interactions
  • Kidney function, electrolytes and urine testing
  • Selected investigations for secondary causes when indicated

02 / Management

A plan tailored to
your clinical needs.

Treatment is adjusted with attention to kidney function, electrolytes, other medical conditions and tolerability. A practical monitoring plan supports safe treatment changes and assessment of the response over time.

03 / Referral

When to seek review

A specialist review may assist when blood pressure remains difficult to control, medication is poorly tolerated or a secondary cause is suspected. Severe hypertension with chest pain, breathlessness or neurological symptoms requires emergency assessment.

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