At Carolina Nephrology, PA, we specialize in the diagnosis, treatment, and long-term management of hypertension (high blood pressure). Because the kidneys play a central role in regulating blood pressure, our physicians are uniquely trained to manage even the most complex cases of hypertension, including those linked to kidney disease.

Our team works closely with each patient to design a personalized treatment plan. This may include carefully selected medications, lifestyle and dietary guidance, and ongoing monitoring to protect both heart and kidney health. We also consider important factors such as potential side effects, drug interactions, and treatment affordability to create the safest and most effective plan for you.

Understanding Hypertension

Blood pressure is the measure of the force of blood against the walls of the arteries.

  • Systolic blood pressure (top number) is the pressure when the heart contracts.
  • Diastolic blood pressure (bottom number) is the pressure when the heart relaxes between beats.

A normal blood pressure reading is around 120/80 mm Hg. Readings consistently above this range indicate hypertension, a chronic condition that can lead to serious health complications if untreated.

Risk Factor

High blood pressure is a major risk factor for:

  • Heart disease
  • Stroke
  • Congestive heart failure
  • Vision impairment
  • Kidney disease and kidney failure

The higher your blood pressure, the greater your risk for these conditions. Left untreated, hypertension can shorten life expectancy by 10 to 20 years.

Causes of Hypertension

Hypertension is often divided into two categories:

1. Primary (essential) hypertension – the most common type, which has no single identifiable cause but may be linked to genetics, aging, and lifestyle habits. Nearly 9 out of 10 people are at risk of developing high blood pressure after the age of 50.

2. Secondary hypertension – caused by an underlying condition, such as:

  • Chronic kidney disease
  • Hormonal disorders (adrenal, thyroid, or parathyroid gland problems)
  • Certain medications (e.g., steroids, decongestants, or long-term alcohol use)
  • Rare tumors like pheochromocytoma (which produces adrenaline-like substances)

Hypertension in Older Adults

More than 50% of people over the age of 65 live with hypertension. In many cases, only the systolic blood pressure (top number) is elevated, a condition called isolated systolic hypertension.

At Carolina Nephrology, PA, our physicians take special care when treating older adults. We follow national guidelines that recommend lowering blood pressure slowly and cautiously, starting with lower doses of medications and adjusting gradually. Effective treatment in seniors significantly reduces the risk of stroke, heart attack, and cardiovascular death.

Treatment at Carolina Nephrology, PA

Managing high blood pressure often involves a combination of:

  • Medication therapy customized to your needs
  • Dietary adjustments, such as reducing salt intake and following heart-healthy eating patterns
  • Lifestyle changes, including exercise, weight management, and stress reduction
  • Regular monitoring to track progress and make adjustments as needed

Our physicians and care team are committed to helping patients achieve and maintain healthy blood pressure levels to protect long-term heart and kidney health.