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High blood pressure: which doctor to see

High blood pressure can go unnoticed for years, yet it is the main risk factor for stroke and heart attack. If your monitor consistently shows 140/90 or higher, that is a reason for a planned cardiologist visit — not for panic.

Common causes

  • Family history and age-related changes in the vessels
  • Too much salt, excess weight, low activity
  • Chronic stress and poor sleep
  • Kidney and endocrine disorders
  • Certain medicines and stimulants

When to seek urgent help

Do not wait for a scheduled visit if you have any of these signs:

  • Blood pressure of 180/120 or higher that will not come down — call 103
  • High blood pressure with chest pain or shortness of breath
  • High blood pressure with speech or vision problems, weakness in an arm or leg — call 103
  • Severe headache with nausea while the pressure is high
  • A nosebleed during high blood pressure that cannot be stopped

Ambulance: 103 (103 from a mobile) · Unified rescue service: 911

Your specialist

Cardiologist

What to bring to the visit

  • A blood pressure diary: morning and evening readings for at least 5–7 days
  • A list of medicines you already take
  • Previous test results and ECGs, if you have them
  • Information about heart and vascular disease in close relatives

Frequently asked questions

My pressure spiked once — is that hypertension?

Not necessarily: pressure rises with stress, coffee and pain. The diagnosis is based on repeated readings at rest — keep a diary and show it to your doctor.

General practitioner or cardiologist?

Both are valid. A general practitioner manages uncomplicated hypertension; a cardiologist is needed for heart problems, young age or pressure that resists treatment.

More in “Chest and heart”

All symptoms

The information on this page is for reference only and does not replace a doctor's consultation. Only a doctor can make a diagnosis in person. If your condition worsens, call 103.