Inclusion Criteria:  18 years or older with an established diagnosis of essential hypertension  Exclusion Criteria:  Patients on more than 2 antihypertensives at time of enrollment Clinical diagnosis of secondary hypertension, that is, hypertension due to a secondary cause, including but not limited to the following: Renal artery stenosis Primary hyperaldosteronism Cushing syndrome Coarctation of the aorta Drug-induced hypertension Pheochromocytoma Obstructive sleep apnea Hospitalization for malignant hypertension or severe hypertension (including stroke, cardiac events, acute kidney injury) in the preceding 6 months Hospitalization for unstable angina or myocardial infarction in the preceding 6 months Prior diagnosis of heart failure or cardiomyopathy Stroke or transient ischemic attack within prior 6 months Prior organ transplantation Failure to obtain informed consent Pregnant or currently trying to become pregnant Patients who are enrolled in other research studies