Hypertension clinic
Diagnosis and long-term care of high blood pressure in Nagpur: tests for causes and organ damage, lifestyle and medicines, ECG on site.
Medically reviewed by Dr. Ajay V. Kaduskar · Last reviewed 24 October 2026
High blood pressure is often called a silent condition because most people feel nothing until it causes damage. The ICMR-INDIAB study estimated that more than a third of Indian adults have high blood pressure, and many do not know it. Over years, uncontrolled blood pressure strains the heart, kidneys, eyes and brain and raises the risk of heart attack and stroke.
When is blood pressure "high"?
In Indian and international guidelines, a clinic reading of 140/90 mmHg or higher on repeated occasions is usually diagnosed as hypertension. At home, the threshold is lower: an average of 135/85 mmHg or higher. Readings between 120/80 and 139/89 are above the ideal range and deserve attention, especially with diabetes.
What the hypertension clinic includes
- Accurate measurement in the clinic, and guidance on home blood pressure monitoring
- Tests to look for causes in younger patients or difficult cases: kidney function, electrolytes, thyroid, urine tests, and others as indicated
- Checks for organ effects: ECG, 2D Echo when indicated, kidney tests, retinal photograph
- Assessment of overall heart risk: cholesterol, sugar, smoking, weight and family history
- A treatment plan: salt and diet changes with our nutritionist, activity, weight, sleep and stress, and medicines when needed
- Regular follow-up until blood pressure is at target, then periodic review
How to check blood pressure at home
- Use an automatic upper-arm monitor, not a wrist monitor
- Sit quietly for 5 minutes, back supported, feet flat, arm resting at heart level
- No tea, coffee, smoking or exercise for 30 minutes before
- Take two readings one minute apart, morning and evening, for 7 days before your visit, and bring the record
When to see a doctor
In an emergency
Very high readings with symptoms such as severe headache, chest pain, breathlessness, blurred vision or weakness on one side need emergency care: call 108 or 112. Otherwise, see a doctor if your home readings stay above 140/90 mmHg, or if you are under 30 with high blood pressure.
Frequently asked questions
Normal readings on treatment usually mean the treatment is working. Stopping suddenly can make pressure rise again. Discuss any change with your doctor.
High blood pressure damages blood vessels whether or not you feel symptoms. Treatment lowers the risk of stroke, heart attack and kidney disease.
They help many people reduce sodium, but they contain potassium, which can be unsafe if you have kidney disease or take certain blood pressure medicines. Ask before switching.
It is above the ideal range. With diabetes, kidney disease or high heart risk, your doctor may aim for lower targets.
Sources and further reading
From our Health Library
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Ready to talk to a specialist?
Call 0712 2422214 or +91 84591 41584, message us on WhatsApp, or use the appointment form. Please bring your previous reports and a list of the medicines you take.