Hypertension is the leading driver of heart attack and stroke — and one of the most controllable. Our bilingual primary care team provides ongoing monitoring, lifestyle coaching, and personalized medication plans to keep your blood pressure in a healthy range.
Schedule Your VisitNearly half of American adults have high blood pressure (hypertension), yet only about 1 in 4 has it well controlled. Uncontrolled hypertension silently damages arteries and organs for years before causing a heart attack, stroke, kidney failure, or vision loss.
According to the CDC, controlling blood pressure is one of the most effective ways to extend healthy life expectancy. The good news: with the right combination of lifestyle changes and (when needed) medication, the vast majority of patients reach goal BP within 3–6 months of starting treatment.
Our primary care providers in Westchester, Miami provide bilingual long-term hypertension care: regular check-ins, home BP monitoring guidance, and medication adjustments tailored to you.
🎬 Video Coming Soon: Dr. Teresa Moreno explains practical hypertension control.
Less than 120/80 mmHg. Maintain with healthy lifestyle and annual screening at your annual physical.
120–129 / less than 80. Lifestyle interventions can prevent progression to true hypertension.
130–139 / 80–89. Lifestyle changes are first-line. Medication added based on cardiovascular risk.
140+ / 90+. Lifestyle and medication required for nearly all patients.
180+ / 120+. Seek urgent or emergency care immediately, especially with chest pain, vision changes, or severe headache.
High in clinic, normal at home. We use home monitoring or 24-hour ambulatory BP to confirm.
We start with a thorough exam, lab work (basic metabolic panel, lipids, kidney function, A1c), and an EKG to evaluate baseline cardiovascular health and rule out secondary causes of hypertension.
The DASH diet (rich in fruits, vegetables, whole grains, lean protein), reduced sodium (under 1,500 mg/day), regular aerobic exercise (150 minutes/week), weight loss when needed, and stress management can lower systolic BP by 10–20 mmHg.
If BP remains high after lifestyle changes, we choose from evidence-based first-line classes: ACE inhibitors, ARBs, calcium channel blockers, or thiazide diuretics. Choice is tailored to your other health conditions, ethnicity, and side-effect tolerance.
We teach proper home BP technique — same time daily, seated 5 minutes, no caffeine for 30 minutes — and ask you to log readings between visits to guide treatment.
Through our chronic care management program, we monitor BP, kidney function, and cardiovascular risk over time and adjust treatment as needed.
Stage 1: 130–139/80–89. Stage 2: 140+/90+. A reading of 180/120+ is a hypertensive crisis — seek urgent care immediately.
Some Stage 1 patients normalize with diet, exercise, and weight loss alone. Most Stage 2 patients require both lifestyle changes and medication.
1–2 times daily for new diagnoses or recent medication changes. 2–3 times weekly for stable patients.
Most often none — that's why it's called the silent killer. Symptoms appear only at dangerously high readings.
Often yes, but doses can sometimes be reduced with sustained weight loss and lifestyle changes.
Book a primary care visit for personalized hypertension management.
Call (305) 676-8217