HYPERTENSIOLOGY
Managing high blood pressure effectively: Your path to healthy levels
High blood pressure is the „silent killer“ - it often doesn't hurt, but gradually damages the heart, blood vessels, brain and kidneys over the years. As a specialized hypertensiologist PD Dr. med. Raphael Bruno far beyond mere symptom relief. We analyze the causes of your high pressure, assess the risk to your organs and develop a tailor-made therapy that combines medication, lifestyle and state-of-the-art diagnostics. For a long life with protected blood vessels.
HYPERTENSIOLOGY
Precision against pressure: 7 steps in your treatment
Blood pressure therapy is precision work. It is not enough to lower just one value; we have to understand the patient as a whole. PD Dr. med. Raphael Bruno uses structured diagnostics not only to measure the pressure, but also to find the cause and prevent consequential damage.
- Standardized resting measurement: Multiple, precise blood pressure measurements under clinical resting conditions for basic determination.
- 24h blood pressure profile: Gold standard for recording night-time values and morning blood pressure peaks in everyday life.
- Organ screening (echo/ultrasound): Examination of the heart and kidneys for pre-existing hypertensive damage
- Vascular analysis: Measurement of the carotid arteries and vascular stiffness to determine your vascular age.
- Special laboratory: Exclusion of secondary causes (e.g. hormonal disorders or kidney disease) through specific blood analyses.
- Individual medication strategy: Selection of compatible active ingredients, taking into account your concomitant diseases and fitness.
- Lifestyle coaching: Advice on nutrition, exercise and stress management as the main pillars of therapy.
For whom is hypertensiology relevant?
Early intervention protects your organs in the long term. We can help you if conventional approaches are not enough or if you want maximum safety.
Newly diagnosedIf you have been diagnosed with elevated values for the first time and would like a sound baseline setting.
Patients resistant to therapyIf your blood pressure does not fall into the target range despite several medications.
Young patients with high pressureFor urgent clarification of rare, curable causes (secondary hypertension).
People interested in pensionsIn case of family history or for risk assessment in case of stress at work.
What we measure - The depth of high pressure diagnostics
A single reading at the doctor's is often deceptive („white coat effect“). That's why we use methods that provide an objective picture of your blood pressure behavior throughout the day and night.
| Field of investigation | Method & medical benefits |
| Daily rhythm | 24h blood pressure measurementIdentification of „non-dippers“ (lack of nocturnal descent), which means a high risk of stroke. |
| Vascular stiffness | Pulse wave analysisMeasurement of arterial stiffness as an indicator of the true biological age of your vessels. |
| Cardiac load | EchocardiographyDetection of myocardial thickening (hypertrophy) as a reaction to chronic hypertension. |
| Kidney function | Duplex sonography & laboratoryExclusion of renal artery stenosis and check of filtration capacity (creatinine/urine). |
| Stress reaction | HRV & stress testAnalysis of the extent to which your blood pressure is derailed by mental or physical stress. |
| Hormone status | Special blood countSearch for hormonal causes such as Conn's syndrome (aldosterone) or thyroid disorders. |
HYPERTENSIOLOGY
Frequently asked questions about high blood pressure
Early clarification of symptoms or risk factors is the key to long-term heart health. Our cardiology practice in Düsseldorf offers you the right specialized care for every need.
According to current guidelines, high blood pressure (hypertension) begins at values of 140/90 mmHg in the doctor's office or 135/85 mmHg when measured at home.
Normally, blood pressure drops by 10-20% at night. If this drop does not occur, the heart and brain are under strain around the clock. This is one of the strongest risk factors for cardiovascular events.
Not necessarily. With slightly elevated values and a low overall risk, we often first try to achieve an improvement through diet, weight reduction and exercise.
Around 50% of people are salt-sensitive. For them, a reduction in salt consumption leads to a noticeable reduction in blood pressure. We can advise you on a heart-healthy diet.
Often not. Many patients even feel „well under pressure“. Symptoms such as headaches, dizziness or nosebleeds usually only occur at very high crisis levels.
No, never without consultation. Good values under medication show that the therapy is working. Unauthorized discontinuation can lead to dangerous rebound effects.
HYPERTENSIOLOGY
Individual advice at Stahlhof
Modern hypertensiology is not about blindly prescribing tablets, but about finding the right balance for your life. In the relaxed atmosphere of our practice in the New Stahlhof takes PD Dr. med. Raphael Bruno time to analyze your readings and explain the correlations to you. We follow you closely until your blood pressure is optimally adjusted - so that you can feel safe again.
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