Re: Should I be seeing a Cardiologist about my High BLood Pressure?
You are a 32 year old woman with high blood pressure? If your family doctor is treating your high blood pressure with medications only and has done no other investigations then yes, you need to be seen by either a cardiologist, or more appropriately a general internist.
High blood pressure or Hypertension is in the majority of people from having stiff blood vessels which happens with age. This is known as essential hypertension and makes up 90% of all hypertension; HOWEVER, there are certain other conditions which can cause hypertension as a result of the disease process or anatomic abnormality. These types of things MUST be ruled out--especially in people in whom you don't generally expect to see hypertension (like in a young woman like you) or in someone where they don't seem to be responding to the antihypertensive pills.
In your case, being a young woman, you DEFINITELY need a work up to rule out secondary causes of high blood pressure. These include:
Fibromuscular dysplasia (a "common" cause of secondary hypertension seen in young women)
Renal artery stenosis (which may or may not be related to the first cause I listed)
Coarctation of the aorta.
Hypercalcemia (high calcium in the blood)
Hyperparathyroidism (which can cause the high calcium)
Conn's Disease (adrenals secreting too much aldosterone)
Cushing's Disease or syndrome (too much cortisol secretion)
Any renal disease can result in high blood pressure
Hypertrophic cardiomyopathy (early stages)
High output cardiac failure (Paget's disease, large arteriovenous malformations)
These types of things need to be ruled out by someone who has experience in dealing with rarer causes of high blood pressure and a family physician is NOT that type of doctor. You need specialist help.