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Grand Rounds 11/04/15 @ BID-Needham: Dr. Gerald W. Smetana  

Hypertension Update 2015: "Recent Evidence that will Change Your Practice"
Last Updated: Aug 2, 2016 URL: http://bidmc.libguides.com/Smetana/2015 Print Guide RSS Updates

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Speaker: Date: Topic

Gerald W. Smetana, MD

Nov 4, 2015

Hypertension Update 2015: "Recent Evidence that will Change Your Practice"

      

    Objectives of the Presentation

    Participants should be able to:

    • Realize that all drugs that lower blood pressure do not equally reduce cardiovascular risk.
    • Explain which drugs maximally reduce cardiovascular risk.
    • Demonstrate JNC-8 recommendations and understand controversies.
    • Develop an approach to resistant hypertension.
        

      Responsibility for Content

      The PowerPoint presentation, Take-Away points, Objectives, and Article links were sent by Medical Library Services and the CME Committee.

      Diane E. Young, Information Specialist

      dyoung3@bidmc.harvard.edu

          

        Take-Away Points of the Presentation

        1. Consider both systolic and diastolic bp when diagnosing HTN and choosing target bp.

        2. Target bp 150/90 if > or = 60 y.o.

        3. Lower target of 140/90 if < 60 y.o.

        4. Raise target bp for diabetes to 140/90.

        5. Use ACEi or ARB as first line Rx if CKD.

        6. Don't use beta blockers or alpha blockers.

        7. Don't use ACEi and ARB together.

        8. Confirm all elevated office bp values with home measurement before Dx.

        9. Lifestyle modification for all patients.

        10. ARBs may be inferior.

        11. Don't use aliskiren.

        12. Consider white coat HTN if resistant bp.

        13. Spironolactone and labetalol for resistant hypertension.

        14. Consider goal bp<140/90 if 60-80 y.o. and in good general health.

        15. All drugs that lower blood pressure do not equally reduce cardiovascular risk.

            
           

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