Hypertension can be a killer on its own or as a complication of another condition. It’s also a disorder that isn’t treated in a single visit. Dr. Mirela Mircea and Dr. Vivian Lugo-Eschenwald of Family Medicine Associates of Alexandria in Alexandria, Virginia are your partners in diagnosis, treatment, and management of high blood pressure and its complications.
Hypertension, or high blood pressure, is a condition in which the pressure of blood in the body is high enough that it'll eventually damage arteries and the heart. Blood pressure is a measurement of the amount of blood pumped compared with the resistance to flow through the blood vessels. When the heart pumps more blood into arteries that are more narrow, high blood pressure results.
There may be none, and it could be that way for a long time. Even if there are no symptoms, though, damage may still occur. Arteries can weaken and clog, and the heart muscle can thicken, all in response to hypertension with no outward signs until something in the system fails. When symptoms do happen, these could include, headaches, shortness of breath and bleeding from the nose, but there aren’t specific connections, and hypertension may be at critical levels before these signs appear. This is one reason why blood pressure screening is a regular part of doctor’s appointments. The test is simple, quick, and has no risk. Many drug stores and pharmacies offer blood pressure machines for their customers’ use. These can provide useful information, but due to the “one cuff fits all” nature of the machines, they may not be accurate for everyone. The appropriate cuff size is important for proper readings.
Medication can help lower your blood pressure. Diuretics help the body eliminate salt and water, which in turn lowers the blood volume. Beta blockers approach the disorder by causing the heart to beat more slowly and with less force. ACE inhibitors and calcium channel blockers relax blood vessels as do a class of drug called ARBs.
Even if medication helps, most effective hypertension treatment includes lifestyle changes including increased physical activity and a modified diet.
We accept most major insurances. Please see the full list of plans that we accept. If you do not see yours, please call our office to see how we can help. We will file out of network insurances but visit must be paid at checkout in full.
"Fantastic doctors & staff; they take the time to truly understand patients and put them at ease. The doctors do a great job giving you their rationale..."
"She has a phenomenal, empathetic bedside manner; I never feel rushed, she asks lots of questions, and makes me an active participant in decisions about my care."
"Had my first visit there a month or so ago. It went exactly as I wanted. I waited only a few minutes, the staff was professional. They answered all of my questions."
"...FMAA has been a loyal and consistent part of my family staying healthy while overcoming a myriad of different issues."
"I'm usually really uncomfortable with doctors offices, but the staff here is all very friendly...Billing was really easy- they have online payment..."
"I have been trying to find a good doctor for many years. My first visit here was excellent. Professional and courteous..."
"Dr. Vivian Lugo is a very professional - ethics, knowledge and experience. She has been my primary physician for 11 years...She is the best!"
"Dr. Vivian Lugo is a very caring and professional MD. The feeling of being listened to and care for is achieved when seeing Dr Lugo. She is thorough and clear..."
"I've been going to Family Medicine for three years. Usually can get an appointment with Dr. Mircea within a week..."