Heart care

High Blood Pressure Evaluation and Treatment

High blood pressure often causes no symptoms, yet it raises the risk of heart attack, stroke, heart failure and kidney disease. We confirm readings, look for contributing causes, review medicines, and set a plan and target that fit you.

Overview

Why blood pressure needs a plan

Blood pressure is the force of blood against artery walls, written as two numbers: systolic (when the heart beats) over diastolic (between beats). When it stays high, it strains the heart and damages blood vessels over time. Nearly half of U.S. adults have high blood pressure, and many do not know it.

Because a single office reading can be misleading, the 2025 American Heart Association and American College of Cardiology guideline recommends home monitoring with a validated device to help confirm the diagnosis and track treatment.

Who may benefit

When a cardiology visit can help

  • Readings that stay high despite medicine, or that are hard to control
  • High blood pressure together with heart disease, diabetes, kidney disease or a past stroke
  • Readings that differ a lot between home and the office
  • High blood pressure at a young age, or a sudden change in control
  • Side effects from blood pressure medicines that you want to discuss

Many people manage blood pressure with their primary care doctor. A cardiologist can help when control is difficult or when heart disease is also present.

Your visit

What your appointment involves

  1. Accurate office readingsMeasured seated after rest, with the right cuff size.
  2. Your home readingsWe review your log or device memory to see your usual pressure across days and times.
  3. Medicine reviewEvery prescription, over-the-counter medicine and supplement, because some, such as certain pain relievers and decongestants, can raise blood pressure.
  4. Contributing factorsSalt intake, alcohol, weight, activity, sleep, and conditions such as sleep apnea, kidney disease or hormone problems.
  5. A personal target and planYour target depends on your age, health conditions and overall risk. We agree on lifestyle steps, medicines if needed, and when to check in again.

Home readings

Getting reliable home readings

  • Use an upper-arm cuff that has been clinically validated. Cuffless devices such as smartwatches and rings are not recommended for clinical blood pressure assessment.
  • Rest quietly for about five minutes first, sit with your back supported and feet flat, and rest your arm at heart level.
  • Take two readings about a minute apart and write both down, or keep them in the device memory.
  • Bring the device to a visit so its accuracy can be checked against the office measurement.

Your care team may give you a specific schedule. Follow their instructions if they differ from these general tips.

Testing

Tests your clinician may consider

Tests that can help guide blood pressure care
TestWhy it may be used
Blood and urine testsKidney function, potassium, blood sugar and cholesterol. The 2025 guideline recommends a urine albumin-to-creatinine test for people with high blood pressure.
ECGLooks for signs of strain on the heart or rhythm problems.
EchocardiogramChecks for thickening of the heart muscle and how well the heart pumps.
Renal vascular ultrasoundSometimes used when narrowing of the kidney arteries is suspected as a cause.

Treatment

Treatment and management discussions

Lifestyle steps

Lower sodium intake, an eating pattern such as DASH, regular physical activity, limiting alcohol, reaching a healthier weight and good sleep all lower blood pressure for many people. They also make medicines work better.

Medicines

Several classes of blood pressure medicine are available, and many people need more than one. The right choice depends on your other conditions, side effects and how your readings respond. Take medicines as prescribed and talk with your clinician before stopping or changing a dose.

Sleep apnea and other causes

Untreated sleep apnea can make blood pressure hard to control. If it is suspected, we coordinate testing with your primary care doctor or a sleep specialist. Other causes, such as kidney artery narrowing or hormone conditions, are considered when the pattern suggests them.

Follow-up

Visits are usually more frequent while treatment is being adjusted and less frequent once readings are steady.

Your cardiologist

Who you will see

Headshot of Dr. M. Usman Khan, Houston cardiologist

Dr. M. Usman Khan, MD

Dr. Khan evaluates difficult-to-control blood pressure and the heart conditions linked to it, and works with your primary care doctor on a shared plan.

Read Dr. Khan’s full profile

Where care happens

Our offices

Blood pressure visits take place at all three offices.

Northwest Houston

17070 Red Oak Dr #405
Houston, TX 77090

Call (832) 432-1951
Office details and directions

Tomball

155 School St Suite 220
Tomball, TX 77375

Call (832) 304-2070
Office details and directions

Sugar Land / Greatwood

6534 Greatwood Parkway Unit A
Sugar Land, TX 77479
Also serves Richmond-area patients

Call (832) 645-8992
Office details and directions

Before you come

Preparing for your visit

  • Your home blood pressure log and your home monitor
  • All medicines and supplements, with doses
  • Recent lab results and records from other doctors
  • Your insurance card and photo ID; send any required referral before the visit

See new patient information and the insurance plans we work with. Coverage depends on your specific plan, so please confirm with your insurer.

Questions

Common questions

Why is my blood pressure higher at the doctor’s office?

Some people have higher readings in a medical setting, sometimes called white-coat hypertension. Others have the opposite pattern. Home readings help sort this out, which is why we ask you to bring them.

What should my blood pressure be?

Current guidelines encourage most adults with high blood pressure to aim below 130/80 mm Hg, but your own target depends on your health, age and how you tolerate treatment. Your clinician will set it with you.

Can I stop my medicine once my numbers are normal?

Normal readings on medicine usually mean the medicine is working. Talk with your clinician before making any change.

Next step

Request a blood pressure appointment

Submitting the form sends a request. Our team will call you to confirm a time, the office and your insurance.

Care is led by Dr. M. Usman Khan, MD, FACC, an interventional and general cardiologist. New patients can review patient information and the insurance plans we accept.

Heart & Vascular Care Close to Home

Book a visit with our board-certified cardiologist at any of our three offices. Our team will call you to confirm your time and insurance.

Houston (NW / Red Oak)
17070 Red Oak Dr #405, Houston, TX 77090
832-432-1951

Tomball
155 School St Ste 220, Tomball, TX 77375
832-304-2070

Sugar Land (Greatwood)
6534 Greatwood Pkwy Unit A, Sugar Land, TX 77479
832-645-8992

For a medical emergency, call 911.

Schedule an Appointment

Fill out the form and our team will contact you to confirm your visit.