Hypertension managed properly — new diagnoses, home BP interpretation, medication rationalisation, resistant BP work-up, and integration with diabetes, cholesterol and kidney care. Dr. Sanjay Sachdev (MBBS, MNAMS), Friends Colony East and Maharani Bagh, Monday to Saturday.
Confirmation with a 5–7 day home BP log, then baseline assessment: ECG, kidney function with urine albumin-creatinine ratio, HbA1c, lipids, electrolytes and thyroid, plus a target-organ check. Younger or severe presentations get a secondary-cause screen instead of an automatic prescription.
Home BP readings interpreted, not dismissed
Home averages predict outcomes better than clinic readings. Bring the log — morning and evening for 5–7 days — and it drives the drug choice, the dose and the timing (including whether a tablet is better taken at night).
Resistant hypertension work-up
BP still above target on three drugs including a diuretic gets a structured review: adherence, salt load, NSAIDs and steroids, alcohol, obstructive sleep apnoea, renal artery disease, primary aldosteronism and thyroid disease — before adding a fourth tablet.
Fewer tablets, not more
Regimens are simplified where possible — single-pill combinations, dosing that fits your day, and side-effect review (ankle swelling, cough, cramps, dizziness on standing). Where weight loss and lifestyle change have worked, a supervised dose taper is offered.
BP never treated alone
Hypertension travels with diabetes, cholesterol, fatty liver, sleep apnoea and kidney disease. One physician reviewing all of them together avoids clashing medicines and duplicated tests — the core of Dr. Sachdev's internal medicine practice.
Frequently asked
6 answers
Which doctor should I see for high blood pressure?+
For almost all hypertension, a consulting physician (MD Internal Medicine) is the right doctor — they manage BP alongside the sugar, cholesterol, kidney function and weight that drive it. Cardiology referral is reserved for established heart disease, and nephrology for significant kidney involvement. Dr. Sanjay Sachdev (MBBS, MNAMS) has managed hypertension in South Delhi for 35+ years.
What BP level is considered high?+
Broadly: below 120/80 is normal, 120–139 / 80–89 is raised, 140/90 or above on repeated readings is hypertension, and 180/110 or above needs urgent review. A single high clinic reading is not a diagnosis — a 5–7 day home log matters more.
What tests are needed when BP is first found high?+
ECG, kidney function (urea, creatinine, urine routine and albumin-creatinine ratio), fasting glucose or HbA1c, lipid profile, electrolytes and thyroid. Younger patients or resistant BP get a focused secondary-cause screen.
Do I have to take BP tablets for life?+
Not always. With 7–10% weight loss, salt reduction, alcohol moderation and consistent exercise, doses can often be reduced and sometimes stopped under supervision. Never stop on your own — rebound spikes are the common harm.
Why is my BP still high on medication?+
Usual reasons: dose too low, wrong drug class for your profile, high salt intake, painkillers (NSAIDs) or steroids, untreated sleep apnoea, alcohol, or an undiagnosed secondary cause. Resistant hypertension deserves a proper review rather than another tablet.
How do I measure BP at home correctly?+
Seated, back supported, feet flat, arm at heart level, after 5 minutes of quiet rest. Two readings a minute apart, morning and evening, for 5–7 days. Bring the log to your visit — it changes the plan more than any single clinic reading.