Hypertension & Heart Health

Hypertension & Heart Health — Expert Care with Dr. Pallav Mishra

High blood pressure (hypertension) quietly affects millions and is one of the leading, yet most preventable, contributors to heart disease, stroke, and kidney problems. At the heart of our practice, Dr. Pallav Mishra combines evidence-based medicine, practical lifestyle guidance, and personalised care plans to help you take control of your blood pressure and protect your long-term heart health.

 

Who this service is for

Whether you’ve just been told your blood pressure is slightly elevated, you’ve been managing hypertension for years, or you’re recovering from a cardiac event, our Hypertension & Heart Health service is designed for adults of all ages who want:

• Accurate diagnosis and staging of blood pressure
• A clear, realistic plan to reduce cardiovascular risk
• Support with medication decisions and side-effect management
• Lifestyle coaching tailored to your life and culture
• Ongoing monitoring and rapid access when changes are needed
   

Our approach — science, simplicity, compassion

Managing hypertension shouldn’t feel overwhelming. Dr. Pallav Mishra’s approach blends the latest clinical guidelines with practical, achievable steps that fit into your daily life.

1. Comprehensive assessment
    We start with a detailed history, physical exam, and review of past investigations. This includes evaluating family history, sleep, stress, diet, activity levels, and other conditions (diabetes, kidney disease, thyroid disorders) that influence blood pressure.
2. Accurate measurement & monitoring
    Proper diagnosis matters. We teach and facilitate accurate home blood pressure monitoring and, when needed, ambulatory 24-hour monitoring to capture real-world readings and avoid misdiagnosis from single clinic measurements.
3. Individualised treatment plan
    Every care plan is personalised. For some, lifestyle modification may be sufficient; others will need medication. We prioritise shared decision-making: we explain options, risks, and benefits in straightforward language so you can choose what fits your goals.
4. Lifestyle-first mindset
    Medications are powerful, but sustainable lifestyle changes amplify their effect. We focus on salt reduction, balanced nutrition, weight management, regular physical activity, good sleep, and stress reduction strategies that are culturally appropriate and realistic.
5. Ongoing support & risk reduction
    Hypertension is a chronic condition that responds best to continuous care. We provide regular follow-up, medication optimisation, and coordination with specialists when needed — all with the aim of lowering your cardiovascular risk, not just your numbers.

 

Services offered

• Initial hypertension consultation — thorough evaluation, target setting, and baseline investigations.
• Home BP setup & education — guidance on choosing a validated device, correct measurement technique, and logging readings.
• Ambulatory blood pressure monitoring (ABPM) — when white-coat or masked hypertension is suspected.
• Medication management — initiation, titration, side-effect management, and stepwise combination therapy when required.
• Cardiovascular risk assessment — an integrated view that includes cholesterol, diabetes risk, family history and lifestyle.
• Lifestyle counselling & behavioural coaching — personalised nutrition advice (including sodium management), safe exercise plans, weight loss strategies, and sleep hygiene.
• Stress and sleep interventions — practical tools for managing stress, anxiety, and sleep apnea screening referrals when indicated.
• Chronic disease coordination — collaborative care for people with diabetes, kidney disease, or heart failure to ensure treatments are synergistic.
• Rapid access for urgent BP changes — timely review if readings spike or symptoms develop.

 

Common conditions we treat

• Primary (essential) hypertension
• Secondary causes of hypertension (e.g., kidney disease, endocrine causes) — with appropriate testing and referral
• Resistant hypertension (blood pressure uncontrolled on three or more medications)
• Hypertension in pregnancy (in collaboration with obstetrics)
• Hypertension with coexisting cardiovascular disease (coronary artery disease, heart failure, arrhythmias)

 

What you can expect at your first visit

You’ll receive a focused, unhurried consultation. Dr. Pallav Mishra will:

• Listen to your concerns and goals
• Review or order the necessary tests (blood tests, ECG, urine tests)
• Explain your diagnosis in clear terms
• Co-create a stepwise, achievable plan — lifestyle plus medication if needed
• Provide practical takeaways and a simple monitoring plan

 

Expect empathy and clarity: complex treatments will be explained without jargon, and every recommendation will be tied to how it improves your daily life and long-term outcomes.

Practical lifestyle steps that make a big difference

• Reduce daily sodium (salt) intake — even modest reductions lower blood pressure.
• Move more — brisk walking 30 minutes most days improves numbers and heart fitness.
• Eat a balanced, heart-healthy diet — prioritise vegetables, fruits, whole grains, lean protein, and use healthy fats.
• Manage weight — losing even 5–10% of body weight often produces meaningful BP reductions.
• Limit alcohol and stop tobacco — both raise cardiovascular risk.
• Improve sleep and manage stress — sleep apnea and chronic stress can undermine treatment.

 

Why choose Dr. Pallav Mishra

Dr. Mishra brings a patient-centered, practical style to cardiovascular care. His strengths include clear communication, coordinated multidisciplinary care, and skill in tailoring medical and lifestyle therapies to real lives. Patients appreciate his emphasis on prevention, measurable goals, and stepwise plans that are easy to follow.

 

When to seek care urgently

Immediate review is recommended if you experience chest pain, sudden breathlessness, sudden severe headache, visual changes, fainting, or very high home readings with symptoms. These can be signs of complications that need rapid evaluation.

 

Ready for better heart health?

High blood pressure doesn’t have to control your life. With thoughtful assessment, targeted treatment, and supportive follow-up, most people can significantly lower their risk of heart attack, stroke, and other complications. Dr. Pallav Mishra and his team are here to guide you — one step at a time — toward stronger, healthier heart outcomes.

Safer. Healthier. Better Care.