Hypertension and cardiovascular disease prevention

About

The hypertension and cardiac disease prevention clinic at Imperial was set up 30 years ago at St Mary’s Hospital and moved to Hammersmith Hospital in 2015. Its aim is to provide a holistic approach to the assessment and management of hypertension (high blood pressure) and other cardiovascular risk factors.

A team of specialist nurses provide tailored lifestyle advice (on diet, exercise and smoking) to patients. Consultant-led clinics offer a comprehensive assessment (including screening for secondary causes of hypertension where indicated) and up-to-date evidence-based treatment strategies based on both lifestyle and drugs to treat blood pressure and other risk factors.

We are a European Society of Hypertension Centre of Excellence and a British and Irish Hypertension Society Hypertension Referral Centre with 30 years of experience of managing hypertension and cardiovascular risk factors.

We offer comprehensive assessment of the causes of hypertension (in the context of overall cardiovascular risk) and careful measurement of blood pressure.

Tailored lifestyle advice is provided by hypertension specialist nurses. We are used to dealing with difficult-to-control hypertension and patients who have difficulty tolerating medications.

We have close ties with related specialities including lipids, renal medicine, endocrinology, radiology (imaging) and all other cardiology sub-specialities.

Staff are closely involved with national and international hypertension societies and are past presidents or committee members of the British and Irish Hypertension Society and the International Society of Hypertension.

Conditions we treat

  • Hypertension (particularly resistant or difficult to treat hypertension)
  • Young patients with hypertension
  • Suspected secondary hypertension
  • Patients with suspected poor adherence with medication
  • Patients with multiple drug intolerances
  • Assessment in patients whose blood pressure is hard to measure (for example because of the size or shape of the arm or other factors)
  • Patients at high cardiovascular risk due to multiple risk factors

Treatments we offer

  • Diet and lifestyle advice to reduce blood pressure and lower cardiovascular risk
  • Medications to lower blood pressure and address other cardiovascular risk factors (such as high cholesterol)
  • Ambulatory blood pressure monitoring (ABPM) – open access service to GPs
  • Specialist blood pressure measurement expertise for patients with hard to measure blood pressure
  • Advice and training for patients on home blood pressure measurement
  • Assessment and management of patients with poor adherence with drug therapy

Additional information

Education and training

We offer hypertension and cardiovascular disease prevention elective placements – please contact the lead consultant for more information.

Research

The clinic is attached to the Peart-Rose Research Unit (PRRU), a local clinical investigation facility. Research has always been an important part of the hypertension service and academic staff are an integral part of the clinical service.

Clinic staff have been at the forefront of research in hypertension and cardiovascular risk with involvement in guideline-changing trials such as ASCOT and FOURIER.

At any one time, there are a number of on-going clinical trials that the team may discuss with you during your appointment; these may include lifestyle interventions, drugs trials and intervention studies. Please ask if you are interested in taking part in research.

Further online resources

Further information about high blood pressure is available at:

Contact

Outpatients appointments
020 3313 7367
Advice for GPs
020 3313 7382