Care for People with Hypertension
The Complex Hypertension Clinic provides testing, evaluation, and personalized treatments for patients with uncontrolled hypertension.
Uncontrolled hypertension, or high blood pressure, is a leading cause of heart and vascular disease. In collaboration with the Hypertension Center at Health Care Associates, the Complex Hypertension Clinic is specially designed to support patients who, despite treatment with multiple medications, have been unable to keep blood pressure under control. This can leave them at risk for stroke, heart attack, and congestive heart failure.
Our multidisciplinary team includes physicians from the Divisions of Cardiology, Endocrinology, Diabetes and Metabolism, and Nephrology and General Medicine. The team has close clinical ties to other specialties such as Obstetrics and Gynecology/Maternal-Fetal Medicine, Sleep Medicine, Interventional Radiology, Endocrine Surgery and more.
Evaluations often include 24-hour ambulatory blood pressure monitoring and remote home monitoring to measure blood pressure readings over time. These, along with other tests, help determine the source of the problem. For example, an undiagnosed medical condition such as sleep apnea or a hormonal disorder may be contributing to the rise in blood pressure.
Our clinicians offer a range of tailored treatments to lower blood pressure, including medication management and diet and exercise plans. The Complex Hypertension Clinic also evaluates patients who may benefit from renal artery stenting, a specialized procedure to open blocked renal arteries and restore blood flow.
New Treatment Option
The Complex Hypertension Clinic offers a minimally invasive procedure called renal denervation that calms excessively active nerves connected to the kidneys that may contribute to high blood pressure. Patients can be referred for treatment for resistant hypertension or intolerance to medications.
Dr. Eric Secemsky has been a leader in investigating this procedure through the SPYRAL AFFIRM Clinical Study. The FDA recently approved the procedure as safe and effective in helping select patients control their blood pressure. We are continuing to examine the long-term impact of renal denervation over time. Some patients may have the opportunity to participate in the post-market approval clinical study.
For appointments, referrals or more information about the Complex Hypertension Clinic or the High Blood Pressure Clinical Study, call 617-667-2830 or email the Complex Hypertension Clinic. Our staff works together with primary care clinicians throughout the Beth Israel Lahey Health network.
Meet the Team
Jennifer L. Cluett, MD
Clinical Director, Hypertension Center; Internal Medicine; Primary Care
Brett Carroll, MD
Director, Vascular Medicine; Cardiovascular Disease
Benjamin C. James, MD, MS
Section Chief, Endocrine Surgery
Anna Krawisz, MD
Vascular Medicine, General Cardiology
Murray A. Mittleman, MD
Marwan Moussa, MD
Eric A. Secemsky, MD
Director, Vascular Intervention; Interventional Cardiology
Andrew A. Wagner, MD
Jeffrey William, MD
Nephrology; Internal Medicine
Laura H. Zemany, MD
Endocrinology, Diabetes & Metabolism