For most people, hypertension — the clinical name for high blood pressure — can be controlled with medication and lifestyle changes. However, blood pressure is more difficult to control in about 10-15 percent of people with hypertension.

Patients whose blood pressure requires four or more medications to control are considered to have resistant hypertension, and may receive a referral to a clinical hypertension specialist.

The Renown Institute for Heart & Vascular Health's Resistant Hypertension Program is led by an American Society of Hypertension Certified Hypertension Specialist nationally recognized as an expert in resistant hypertension.

Resistant Hypertension Program

Uncontrolled high blood pressure is a risk factor for stroke, heart failure, heart attack and kidney disease. If your blood pressure is not controlled despite lifestyle changes and initial medications, ask your primary care provider for a referral to Renown's Resistant Hypertension Program, which includes:

  • Initial consultation with a American Society of Hypertension Certified Hypertension Specialist
  • Visits with a clinical pharmacist to manage medications and prevent potential adverse drug interactions
  • 24/7 blood pressure monitoring (if indicated)
  • Evaluation for secondary cause of high blood pressure
  • Support for lifestyle changes, with an emphasis on decreasing medication
  • Possible enrollment in clinical trials
  • Access to extensive library of patient education materials

For more information or to set up a consultation, call 775-982-6450.


Family Lipid Program

Renown's Family Lipid Program helps families and individuals with cholesterol and/or triglyceride disorders reduce their risk of heart disease and stroke by providing diagnostic treatment and services as well as support and guidance.

Our team includes an American Board of Lipidology Certified Lipid Specialist, experienced clinical pharmacists and nurse practitioners who work together to design a customized plan of care to help each patient manage the condition.

Services include:

  • Initial review of medical and family history to help identify possible causes of high cholesterol and determine goals
  • A personalized plan of care for the family, including genetic testing if indicated
  • Medications and supplements as needed
  • Counseling and education about lifestyle changes
  • Regular progress reports to your family doctor to review your plan of care

Familial Hypercholesterolemia

Familial hypercholesterolemia (FH) is a disorder that causes LDL ("bad") cholesterol levels to be very high. The condition is passed down through families, begins at birth and can cause heart attacks at an early age. FH is most commonly and most effectively treated with LDL-lowering drugs called statins, and other cholesterol-lowering drugs may be recommended.

For more information or to set up a consultation, call 775-982-2084.


Advanced Therapy and Treatment

Some patients don’t respond well enough to commonly prescribed medications, or they experience side effects they find intolerable. Others have cholesterol and/or triglyceride disorders that are not caused by high LDL and statins are ineffective.

New cholesterol-lowering medications are available, such as PCSK9 inhibitors, that have shown to be effective in treating more advanced and resistant cases of high cholesterol. Our multidisciplinary team can help determine if these medications are right for you.