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[Sticky] Hypertension – High Blood Pressure


Michael Gray MD JD
Posts: 107
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Yes — hypertension (high blood pressure) follow-ups are commonly and appropriately managed through telemedicine in many situations.

Telehealth can be a good fit when:

  • Blood pressure is generally stable or mildly elevated

  • You have a home BP cuff and can share readings

  • The visit is for medication review, refills, or lifestyle counseling

  • You need routine monitoring or trend review

  • You’re following up after a recent medication change (if symptoms are mild)

What telemedicine providers can typically do for hypertension follow-ups

  • Review home BP logs and averages

  • Adjust or refill medications when appropriate

  • Order labs (electrolytes, kidney function, lipids)

  • Discuss side effects, adherence, and timing of meds

  • Provide lifestyle guidance (diet, sodium, exercise, weight, alcohol)

  • Coordinate care with your primary care provider

  • Schedule ongoing monitoring intervals

Many clinics ask patients to submit:

  • 3–7 days of home BP readings

  • Taken twice daily, seated, with arm cuff

When an in-person visit is recommended instead

Seek in-person or urgent care if you have:

  • Very high readings (often ≥180/120)

  • New or worsening symptoms:

    • chest pain, shortness of breath

    • vision changes, severe headache

    • weakness, confusion, fainting

    • swelling, rapid weight gain

  • No reliable home BP monitor

  • Possible hypertensive emergency

  • Complications such as kidney disease or pregnancy-related hypertension, where closer monitoring may be needed

Helpful tips to get the most from a telehealth BP visit

  • Use a validated upper-arm cuff

  • Bring:

    • BP log + dates/times

    • Medication list + doses

    • Recent lab results (if available)

  • Take a reading right before the appointment


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