Services & Specialties

Hypertension
High blood pressure, or hypertension, is a condition in which blood pressure levels are measured above the normal ranges. Generally, hypertension can be controlled with medications. However, millions of Americans remain at risk for cardiovascular disease, stroke, heart attack, peripheral arterial disease or heart failure due to uncontrolled blood pressure.
Detecting the stages of hypertension is as easy as taking a blood pressure measurement.
The stages of high blood pressure are:
  • Pre-hypertension: 120/80 to 139/89-139
  • Stage 1 hypertension: 140/90 to 159/99
  • Stage 2 hypertension: 160/100 to 180/110
What is resistant hypertension?
Hypertension is considered resistant if it falls into either of these categories:
  • Blood pressure uncontrolled, greater than 140/90 despite taking three or more antihypertensive medications. (For diabetes or renal disease sufferers : blood pressure greater than 130/80 despite taking three or more medications)or
  • Blood pressure controlled, less than 140/90 (or less than 130/80 for those with diabetes or renal disease), on four or more antihypertensive medications in order to keep blood pressure at goal.

Our Team
Our multi-disciplinary team strives to appropriately identify, educate and control blood pressure in individuals with resistant hypertension. This is accomplished through a holistic, comprehensive, and multi-faceted approach designed to improve each patient’s quality of life.

We are the only Comprehensive Hypertension Center, designated by the American Society of Hypertension, in our region and one of few in the country.

Our Clinic
The Resistant Hypertension Clinic uses the most advanced and up-to-date technology and
treatment approaches for patients with severe or difficult-to-treat hypertension. Resistant hypertension sufferers should be evaluated for secondary causes such as obstructive sleep apnea, renal artery stenosis, hyperaldosteronism, chronic kidney disease, and less commonly pheochromocytoma, Cushing’s disease, coarctation of the aorta, and hyperparathyroidism. Our clinic consists of a multi-disciplinary team of providers and resources, specialized in evaluating and managing the causes of resistant hypertension. We offer in depth assessment and comprehensive treatment options, including:
  • Consultation and examination with a cardiologist specialized in hypertension.
  • If necessary, referral to a nephrologist
  • Specialized diagnostic testing customized to each patient’s specific condition
    • Cardiovascular evaluation
      • Echocardiography
      • Exercise testing
      • Ankle brachial index
      • Carotid Doppler
    • Diagnostic evaluation
      • 24hour ambulatory blood pressure monitoring
      • Biochemistries
      • Renal angiography
      • Renal vein renin sampling
      • Doppler renal ultrasound
      • CT angiography
      • MR angiography
      • Adrenal vein aldosterone sampling
    • Interventions
      • Renal angioplasty with and without stenting
      • Laparoscopic adrenalectomy
  • Evaluation for research trials and other innovative treatments through clinical research at The Carl and Edyth Lindner Center for Research and Education at The Christ Hospital
  • Personalized instruction and education on appropriate self blood pressure monitoring, life style modifications including low sodium diet, smoking cessation, implementing a regular exercise regimen, weight loss, and stress management.
  • Small group diet and exercise education sessions provided by registered dieticians and exercise therapists
  • Your results and progress will be communicated to your primary care physician to ensure a continuity of care.
For more information on Wellness Programs available through The Christ Hospital Health Network, Click Here.

Talk with your doctor if you have resistant hypertension. The Christ Hospital Physicians – Ohio Heart & Vascular Resistant Hypertension Clinic could be a lifesaving option for you. To find out if you may benefit from additional treatment options, call the Advanced Hypertension Clinic at: 1.866.242.5358.
The clinic is led by John Szawaluk, MD, Hypertension Specialist and one of the only cardiologist in the region designated as a Specialist in Clinical Hypertension by the American Society of Hypertension (ASH). Clinic team member, Shaoming Huang, MD, is one of few nephrologists in our region with the same ASH designation. Resistant Hypertension Clinic Team:

Nephrology
Shaoming Huang, MD

Mt. Auburn
The Christ Hospital Medical Office Building
2123 Auburn Avenue | Suite 139
Cincinnati, OH 45219

Montgomery
10506 Montgomery Ave, Suite 504
Cincinnati, OH 45242

Phone: 1.866.242.5358 or 513-792-7800 ext 117
Fax: 513-792-7807

Click Here to access the Resistant Hypertension Clinic Referral Form.