Free community health clinic every Saturday – available by pre-booked consultation only | Book Now

Hypertension (Hormonal / Secondary) – Specialist Online Consultation

Specialist Consultation: €99

Consultant Endocrinologist: Dr. Aamir Shehzad

Pricing Structure

  • Consultation fee: €99
  • Follow-up consultation (same condition): €60
  • Referral letter fee: €20 (applies if a referral is needed for blood tests, scans, ED referral, or another specialist; this is in addition to the consultation fee)

Hypertension Online Consultation

Our Hormonal / Secondary Hypertension service offers specialist online assessment for adults experiencing difficult-to-control, sudden, or unexplained high blood pressure. As a leading secondary hypertension specialist in Ireland, Consultant Endocrinologist Dr. Aamir Shahzad (IMC: 409423) evaluates whether a hormonal or endocrine disorder is contributing to elevated blood pressure.

Through a secure video consultation, Dr. Shahzad assesses adrenal, thyroid, pituitary, and metabolic causes of hypertension to help identify the exact root cause, optimise treatment, and protect long-term heart, kidney, and brain health.

Who This Service Is For

This specialist service is ideal for adults with:

  • Hypertension not improving despite medication
  • Sudden-onset or rapidly worsening high blood pressure
  • Hypertension at a young age
  • Symptoms suggesting hormonal imbalance
  • A family history of adrenal or endocrine conditions
  • Concerns about conditions such as Conn’s syndrome or adrenal tumours

If your GP suspects a hormonal cause or your blood pressure remains poorly controlled, this service provides expert endocrine evaluation.

Possible Hormonal Causes Assessed

As a recognised hormonal hypertension doctor in Ireland, Dr. Shahzad evaluates key endocrine-related causes including:

  • Primary hyperaldosteronism (Conn’s syndrome) – specialist assessment and management
  • Thyroid disorders (hyperthyroidism and hypothyroidism)
  • Adrenal disorders (pheochromocytoma, cortisol excess, adrenal tumours)
  • Pituitary hormone abnormalities
  • Renin–aldosterone ratio imbalance
  • Hypertension associated with metabolic syndrome

Identifying whether hypertension is hormonal ensures the correct and targeted treatment plan.

What to Expect During Your Consultation

Your specialist video consultation includes:

  • Detailed medical history and symptom review
  • Assessment of blood pressure patterns and response to medication
  • Discussion of palpitations, headaches, sweating, anxiety, fatigue, or weight changes
  • Review of prior investigations (blood tests, ECG, imaging)
  • Consideration of endocrine causes such as aldosterone excess or cortisol imbalance

You will receive a clear explanation, structured diagnostic plan, and personalised management recommendations.

Investigations & Further Testing

If clinically appropriate, Dr. Shahzad may advise:

  • Aldosterone–renin ratio test (ARR) – key for detecting Conn’s syndrome
  • Cortisol and adrenal hormone testing
  • Thyroid profile
  • Kidney function and electrolytes
  • Metabolic blood tests
  • 24-hour urinary catecholamines or cortisol
  • Referral for adrenal or renal ultrasound/CT through your GP

Private testing, including aldosterone tests in Ireland, can be arranged via your GP or local diagnostic centres.

Treatment & Specialist Recommendations

Based on your results, management may include:

  • Adjustment of blood pressure treatment
  • Treatment of underlying endocrine disorders
  • Targeted therapy for conditions such as Conn’s syndrome
  • Guidance for thyroid, adrenal, or pituitary-related hypertension
  • Lifestyle and metabolic health recommendations
  • Clear follow-up plan and referral guidance when needed

Prescriptions can be issued electronically to your preferred pharmacy in Ireland.

Red-Flag Symptoms – When Urgent Care Is Needed

During assessment, if you report symptoms suggesting severe or dangerous hypertension, you may be advised to attend your GP, a hypertension/cardiology clinic, or the Emergency Department.

Urgent red-flag symptoms include:

  • Severe headache with vision changes
  • Chest pain or shortness of breath
  • Sudden weakness, difficulty speaking, or facial droop
  • Severe palpitations or episodes of collapsing
  • Blood pressure consistently above 180/120 mmHg

Your safety is always the highest priority.

Why Choose This Service?

  • Consultant endocrinologist with expertise in Conn’s syndrome, adrenal disorders, and hormonal hypertension
  • Specialist interpretation of renin–aldosterone ratio and adrenal hormones
  • Convenient online access anywhere in Ireland
  • Clear guidance, investigation pathways, and treatment plans
  • Ideal for patients with complex, resistant, or medically unexplained hypertension

Please Note:

Please Note: To ensure a safe and effective procedure, you must review our Exclusion Criteria to ensure this service is appropriate for you.

Helping you understand healthcare

Here to make your experience as seamless as possible—explore answers to common questions about our services, policies, and patient care.

We provide prompt medical assessment and treatment for minor illnesses, minor injuries, prescriptions, blood tests, medical advice, referrals and specialist consultations if needed.

We are open Monday to Saturday, 09:30 am – 06:00 pm.

Dr. Clinic is a private clinic. We do not accept Medical Cards, EU Health Cards, or the Under 6’s Scheme.

 

Yes. While payment is made at the clinic, you may request a headed receipt and submit it to your insurance provider for reimbursement.