Georgia’s Leaders in the Management of Hypertension

High blood pressure (also known as hypertension) is important to treat. Untreated hypertension raises your risk of cardiac events and heart disease, causing injury to the kidneys which can lead to dialysis and can even damage your vision. For some patients, comorbid conditions or hormonal abnormalities may prevent their blood pressure from returning to normal despite trying several different medications. As Georgia’s leader in heart care, Georgia Heart Institute founded the Resistant Hypertension Center to offer specialized therapies for patients with medication-resistant hypertension. 


Conditions and Treatment

Who do we treat?

The Resistant Hypertension Center focuses on treating patients who are on three or more blood pressure medications but still cannot achieve ideal blood pressure (at or under 130/80mmHg).

Conditions we treat

Primary Resistant Hypertension

Primary hypertension is when a patient’s blood pressure remains high despite treatment and there’s no identifiable cause. Sometimes primary hypertension can be treated with lifestyle changes and/or medication, but other times it may not respond completely to any of these therapies. There are evolving procedures to treat patients who can’t make it to their goal on lifestyle alone these may help prevent events in the future.

Secondary Resistant Hypertension

the hormones or blood vessels in the body. Common conditions that can lead to resistant hypertension are:

  • Obstructive Sleep Apnea
  • Chronic kidney disease
  • Primary hyperaldosteronism
  • Renal artery stenosis
  • Fibromuscular dysplasia
  • Cushing’s Syndrome/Disease
  • Pheochromocytoma

If a patient has any of these conditions, our cardiologists at the Resistant Hypertension Center will coordinate care with your existing specialists or help make a referral to a specialist. We work closely with nephrologists, sleep medicine, endocrinologists, vascular surgeons, and other specialists to ensure a comprehensive approach to your care.

We can also order certain diagnostic testing to help identify underlying conditions that may be causing your blood pressure to run high.

Treatment model

Diagnostics & Testing

We may order diagnostic tests to identify your risk factors and any comorbid conditions. Some tests may help us understand your unique risk of developing heart disease or experiencing a cardiac event. In other cases, you may have another condition that is causing your blood pressure to rise, but it hasn’t been identified yet. If that is the case, we may also order diagnostic tests to evaluate for causes of your resistant hypertension.

Tests may include echocardiography, exercise testing, ankle-brachial index, or carotid doppler.

Virtual Care & Monitoring

When a patient gets started with the Resistant Hypertension Center, our specialists will meet with the patient regularly to adjust their medication and approach. We may also use virtual care or 24-hour ambulatory blood pressure monitoring to achieve the target BP range.

Care Coordination

We will work directly with your primary care physician and any specialists you may see. The goal of our program is to find the right therapies to bring your blood pressure under control while you continue to see your primary care and specialty care teams. Once your blood pressure is in the target range, you’ll have an annual check-up with the Resistant Hypertension Center to make sure everything is still on track.

Why Choose Georgia Heart Institute?

Georgia Heart Institute provides an unmatched level of heart and vascular care across the region, giving patients access to life-saving innovations and aiming to improve their quality of life. We focus on support not just for the patient, but the whole family, and deep integration into their existing care teams, treating heart disease and its risk factors while encouraging patients to keep up with preventative care and good lifestyle habits.