Why does this program use a 7-day home log instead of one reading?
A single reading — especially in a clinic — can be misleadingly high ("white-coat" effect) or miss the real picture. Averaging two morning and two evening readings over a week, after throwing out the first day, gives a far more accurate number. A home average of 135/85 or higher is what defines treatable high blood pressure in this program, and it is the same standard used to guide treatment in cardiology practice.
What does 'designed and reviewed by a cardiology-fellowship-trained physician' mean?
This program was built by, and every visit is reviewed by, a physician who completed additional fellowship training in cardiology on top of standard medical training. That means the choice of medication is matched to your profile using the same guideline logic a cardiologist uses — for example, a calcium channel blocker or water pill first for some patients, or a kidney-protective medication for those with diabetes or kidney disease.
Which medication will I be started on?
One first-line medication is chosen for you: amlodipine, lisinopril, losartan, hydrochlorothiazide, or chlorthalidone. The choice depends on your age, background, and health conditions — for instance, a calcium channel blocker or water pill is often preferred first-line for Black patients without kidney disease, while an ACE-inhibitor or ARB is preferred when there is diabetes with protein in the urine or chronic kidney disease. Water pills are avoided if you have a history of gout, and ACE-inhibitors and ARBs are never used in pregnancy or after angioedema.
Why do you need my kidney labs?
An ACE-inhibitor (lisinopril), an ARB (losartan), or a water pill (hydrochlorothiazide or chlorthalidone) can affect your kidney function and potassium, so a creatinine and potassium result from within the last 6 months is required before starting or continuing any of them. If you don't have labs yet, we may still be able to start amlodipine, which doesn't require them — but you'll need labs before your next step or refill.