When to refer to a Hypertension Specialist

When your patient has blood pressure values greater then 95th percentile for gender, age, and height on three different occasions.
When your patient has blood pressure values greater than the 90th percentile for gender, age, and height on three different occasions and has one or more risk factors of cardiovascular disease (e.g. obesity, diabetes mellitus, high blood lipids and / or family history of stroke, coronary heart disease or its risk factors).
When your patient’s blood pressure values in the clinic are inconsistent with blood pressure measurements in other settings.
When a patient with a confirmed diagnosis of hypertension has failed non-pharmacological management.
When documentation of blood pressure control by anti-hypertensive medication is required.
When comprehensive management with the latest anti-hypertensives, exercise, weight loss, and dietary support is indicated.

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