Podcasts about Hypertension

In this second episode of our series on hypertensive disorders of pregnancy, we move beyond the diagnosis to focus on what comes next. We break down how these conditions are managed, what they mean for timing and mode of delivery, and the implications for maternal health after pregnancy. From evidence-based treatment strategies to long-term wellness considerations, MamaDoc BabyDoc guide you through the journey—supporting informed decisions every step of the way.

Interventional cardiologist Dr. Jennifer Rodriguez breaks down the link between hypertension and stroke, sharing expert insights and prevention strategies. Visit www.cardio.com for more information or to schedule an appointment with one of our providers.Visit www.cardio.com for more information or to schedule an appointment with one of our providers.

00:00 Introduction to Hypertension 00:38 Welcome to Cardio Buzz 01:01 Understanding Primary Aldosteronism 02:27 Health Risks of Primary Aldosteronism 02:59 Screening for Primary Aldosteronism 05:00 Diagnosis and Interpretation 09:46 Adrenal Vein Sampling 14:22 Surgical and Medical Treatments 19:50 Conclusion and Final Thoughts

Dr. Jeff White, cardiologist with Willis Knighton Cardiology - South, explains the causes of hypertension, how to combat high blood pressure through lifestyle changes, and what medications help manage blood pressure. 

This podcast video is brought to you by ProLongevity, the multi-award-winning lifestyle change program that helps reverse and prevent and reverse avoidable killer diseases like Type 2 Diabetes, Strokes, and Hypertension.Founder of ProLongevity, Graham Phillips discusses the latest controversial yet scientifically proven breakthroughs in understanding how to live healthy for longer. View a range of topics that will offer a new understanding that will help improve your health. From the damage caused to public health, by Big Food and Big Pharma that costs the UK and US Billions, why you can't just simply run off extra pounds by joining the gym, the connection between the brain and gut, why certain diets don't always work and can even damage your health.In each episode, you'll meet world-renowned experts who fully support ProLongevity. After watching, feel free to reach out to Graham Phillips with any questions or for any advice by contacting him here. https://www.prolongevity.co.uk/For more great videos like this, make sure you've subscribed.Or why not join our private members Facebook Group for future events and webinars, packed with news, debates, educational resources, free health risk assessments, and much more; https://www.facebook.com/groups/278916313071738/

This Study Could Change How We Diagnose  Hypertension. Dr. Siobhan Deshauer will review several problems with measuring blood pressure in the doctor's office.Welcome to the Hypertension Resistant to Treatment Podcast! Initially, our goal was to empower individuals to effectively manage their blood pressure with the help of healthcare professionals. However, our focus has evolved to prioritize supporting healthcare providers, particularly nurse practitioners (NPs), recognizing their crucial role in patient outcomes.  We emphasize the importance of equipping healthcare providers with the necessary tools and knowledge to help patients achieve reasonable blood pressure control. Thank you for joining us on this journey toward improved hypertension management. This podcast offers a mixture of informative and inspirational content.The Hypertension Resistant to Treatment podcast is hosted by Dr. Tonya Breaux-Shropshire, PhD, DNP, MPH, FNP-C. Of note, according to the AACN, fewer than 1% of U.S. nurses hold a doctoral degree, with most having a DNP rather than a PhD. This highlights the rarity of both degrees, though DNPs are significantly more common than PhDs.Send us a text Support the showSupport the podcast by subscribing using this link: click here. We appreciate your support, thank you! Copyright Disclaimer under section 107 of the Copyright Act 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education, and research.Royalty-free music: Turn on My Swag 2 Epidemic Sound****Disclaimer: This podcast is not medical advice. Consult your healthcare provider for medical advice. All views and statements in this podcast are those of the host, guest, and speakers.The views and opinions expressed on this podcast are my own and do not represent the official position or policies of my employer or any affiliated organization. Any information shared here is intended for educational and informational purposes only, based on my personal expertise and research.

With the increase in the public's attention to all aspects of brain health, neurologists need to understand their role in raising awareness, advocating for preventive strategies, and promoting brain health for all. To achieve brain health equity, neurologists must integrate culturally sensitive care approaches, develop adapted assessment tools, improve professional and public educational materials, and continually innovate interventions to meet the diverse needs of our communities. In this BONUS episode, Casey Albin, MD, speaks with Daniel José Correa, MD, MSc, FAAN and Rana R. Said, MD, FAAN, coauthors of the article “Bridging the Gap Between Brain Health Guidelines and Real-world Implementation” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Correa is the associate dean for community engagement and outreach and an associate professor of neurology at the Albert Einstein College of Medicine Division of Clinical Neurophysiology in the Saul Korey Department of Neurology at the Montefiore Medical Center, New York, New York. Dr. Said is a professor of pediatrics and neurology, the director of education, and an associate clinical chief in the division of pediatric neurology at the University of Texas Southwest Medical Center in Dallas, Texas. Additional Resources Read the article: Bridging the Gap Between Brain Health Guidelines and Real-world Implementation Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Guests: @NeuroDrCorrea, @RanaSaidMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. This exclusive Continuum Audio interview is available only to you, our subscribers. We hope you enjoy it. Thank you for listening. Dr Albin: Hi all, this is Dr Casey Albin. Today I'm interviewing Dr Daniel Correa and Dr Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, which they wrote with Dr Justin Jordan. This article appears in the June 2025 Continuum issue on disorders of CSF dynamics. Thank you both so much for joining us. I'd love to just start by having you guys introduce yourselves to our listeners. Rana, do you mind going first? Dr Said: Yeah, sure. Thanks, Casey. So, my name is Rana Said. I'm a professor of pediatrics and neurology at the University of Texas Southwestern Medical Center in Dallas. Most of my practice is pediatric epilepsy. I'm also the associate clinical chief and the director of education for our division. And in my newer role, I am the vice chair of the Brain Health Committee for the American Academy of Neurology. Dr Albin: Absolutely. So just the right person to talk about this. And Daniel, some of our listeners may know you already from the Brain and Life podcast, but please introduce yourself again. Dr Correa: Thank you so much, Casey for including us and then highlighting this article. So yes, as you said, I'm the editor and the cohost for the Brain and Life podcast. I do also work with Rana and all the great members of the Brain Health Initiative and committee within the AAN, but in my day-to-day at my institution, I'm an associate professor of neurology at the Albert Einstein College of Medicine in the Montefiore Health System. I do a mix of general neurology and epilepsy and with a portion of my time, I also work as an associate Dean at the Albert Einstein College of Medicine, supporting students and trainees with community engagement and outreach activities. Dr Albin: Excellent. Thank you guys both so much for taking the time to be here. You know, brain health has really become this core mission of the AAN. Many listeners probably know that it's actually even part of the AAN's mission statement, which is to enhance member career fulfillment and promote brain health for all. And I think a lot of us have this kind of, like, vague idea about what brain health is, but I'd love to just start by having a shared mental model. So, Rana, can you tell us what do you mean when you talk about brain health? Dr Said: Yeah, thanks for asking that question. And, you know, even as a group, we really took quite a while to solidify, like, what does that even mean? Really, the concept is that we're shifting from a disease-focused model, which we see whatever disorder comes in our doors, to a preventative approach, recognizing that there's a tremendous interconnectedness between our physical health, our mental health, cognitive and social health, you know, maintaining our optimal brain function. And another very important part of this is that it's across the entire lifespan. So hopefully that sort of solidifies how we are thinking about brain health. Dr Albin: Right. Daniel, anything else to add to that? Dr Correa: One thing I've really liked about this, you know, the evolution of the 2023 definition from the AAN is its highlight on it being a continuous state. We're not only just talking about prevention of injury and a neurologic condition, but then really optimizing our own health and our ability to engage in our communities afterwards, and that there's always an opportunity for improvement of our brain health. Dr Albin: I love that. And I really felt like in this article, you walked us through some tangible pillars that support the development and maintenance of this lifelong process of maintaining and developing brain health. And so, Daniel, I was wondering, you know, we could take probably the entire time just to talk about the five pillars that support brain health. But can you give us a pretty brief overview of what those are that you outlined in this article? Dr Correa: I mean, this was one of the biggest challenges and really bundling all the possibilities and the evidence that's out there and just getting a sense of practical movement forward. So, there are many organizations and groups out there that have formed pillars, whether we're calling them seven or eight, you know, the exact number can vary, but just to have something to stand on and move forward. We've bundled one of them as physical and sleep health. So really encouraging towards levels of activity and not taking it as, oh, that there's a set- you know, there are recommendations out there for amount of activity, but really looking at, can we challenge people to just start growing and moving forward at their current ability? Can we challenge people to look at their sleep health, see if there's an aspect to improve, and then reassess with time? We particularly highlight the importance of mental health, whether it's before a neurologic condition or a brain injury occurs or addressing the mental health comorbidities that may come along with neurologic conditions. Then there's of course the thing that everyone thinks about, I think, with brain health in terms of is cognitive health. And you know, I think that's the first place that really enters either our own minds or as we are observers of our elder individuals in our family. And more and more there has been the highlight on the need for social interconnectedness, community purpose. And this is what we include as a pillar of social health. And then across all types of neurologic potential injuries is really focusing on the area of brain injury. And so, I think the area that we've often been focused as neurologists, but also thinking of both the prevention along with the management of the condition or the injury after it occurs. Dr Albin: Rana, anything else to add to that? That's a fantastic overview. Dr Said: Daniel, thank you for- I mean, you just set it up so beautifully. I think the other thing that maybe would be important for people to understand is that as we're talking through a lot of these, these are individual. These sound like very individual-basis factors. But as part of the full conversation, we also have to understand that there are some factors that are not based on the individual, and then that leads to some of the other initiatives that we'll be talking about at the community and policy levels. So, for example, if an individual is living in an area with high air pollution. Yes, we want them to be healthy and exercise and sleep, but how do we modify those factors? What about lead leaching from our aging pipes or even infectious diseases? So, I think that outside of our pillars, this is sort of the next step is to understand what is also at large in our communities. Dr Albin: That's a really awesome point. I love that the article really does shine through and that there are these individual factors, and then there there's social factors, there's policy factors. I want to start just with that individual because I think so many of our patients probably know, like, stress management, exercise, sleep, all of that stuff is really important. But when I was reading your article, what was not so obvious to me was, what's the role that we as neurologists should play in advocating? And really more importantly, like, how should we do that? And again, it struck me that there are these kind of two issues at play. And one is that what Daniel was saying that, you know, a lot of our patients are coming because they have a problem, right? We are used to operating in this disease-based care, and there's just limited time, competing clinical demands. If they're not coming to talk about prevention, how do we bring that in? And so Rana, maybe I'll start with you just for that question, you know, for the patients who are seeing us with a disease complaint or they're coming for the management of a problem, how are you organizing this at the bedside to kind of factor in a little bit about that preventative brain health? Dr Said: You know, I think the most important thing at the bedside is, one, really identifying the modifiable risk factors. These have been well studied, we understand them. Hypertension, diabetes, smoking, weight management. And we know that these definitely are correlative. So is it our role just to talk about stroke, or should we talk about, how are you managing your blood pressure? Health education, if there was one major cornerstone, is elevating health literacy for everyone and understanding that patients value clear and concise information about brain health, about modifiable risk factors. And the corollary to that, of course, are what are the resources and services? I completely understand---I'm a practicing clinician---the constraints that we have at the bedside, be it in the hospital or in our clinics. And so being the source of information, how are we referring our families and individuals to social workers, community health worker support, and really partnering with them, food banks, injury prevention programs, patient advocacy organizations? I think those are really ways that we can meet the impacts that we're looking at the bedside that can feel very tangible and practical. Dr Albin: That's really excellent advice. And so, I'd like to ask a follow-up question. With your knowledge of this, trying to get more multidisciplinary buy-in from your clinic so that you really have the support to get these services that are so critically important. And how do you do that? Dr Said: Yeah, I think it's, one, being a champion. So, what does a champion mean? It means that somebody has to decide this is really important. And I think we all realize that we're not the only ones in the room who care about this. We're all in this, and we all care about it. But how do we champion it and carry it through? And so that's the first. Second you find your partnerships: your social workers, your case managers, your other colleagues. And then what is the first-level entry thing that you can do? So for example, I'm a pediatric epileptologist. One of the things we know is that in pediatric epilepsy, depression and anxiety are very strong comorbidities. So, before we get to the point where a child is in distress, every single one of our epilepsy patients who walks in the door over the age of twelve has an age-appropriate screener that is given to them in both English and Spanish. And we assess it and we determine stratifying risk. And then we have our social workers on the back end and we decide, is this a child who needs resources? Is this a child who needs to be walked to the emergency room, escorted? And anything in between. And I think that that was a just a very tangible example of, every single person can do this and ask about it. And through the development of dot phrases and clear protocols, it works really well. Dr Albin: I love that, the way that you're just being mindful. At every step of the way, we can help people towards this lifelong brain health. And Daniel, you work with an adult population. So I wonder, what are your tips for bringing this to a different patient population? Dr Correa: Well, I think---adult or child---one thing that we often are aware of with so many of the other things that we're doing in bedside or clinic room counseling, but we don't necessarily think of in this context of brain health, is, remember all the people in the room. So, at the bedside, whether it's in the ICU, discharge counseling, the initial admission, the whole family is often involved and really concerned about the active issue. But you can look for opportunities- we often try to counsel and support families about the importance of their own sleep and rest and highlighting it not just as being there for their family member, but highlighting it to them as a measure of their own improvement of their brain health. So, looking at ways where, one, I try to find, is there something I can do to support and educate the whole family about their brain health? And then- and with an epilepsy, or in many other situations, I try to look for one comorbidity that might be a pillar of brain health to address that maybe I wasn't already thinking. And then I consider, is there an additional thing that they wouldn't naturally connect to their epilepsy or their headaches that I can bring in for them to work on? You know, we can't often give people twelve different things to work on, and they'd just feel like, okay like, you have no realistic understanding of my life. But if we can just highlight on one, and remind them that there can be many more ways to improve their health and to follow up either with us as their neurologist or their future primary care doctors to address those additional needs. Again, I would really highlight the importance of a multidisciplinary approach and looking for opportunities. We've too often, I feel, relied on primary care as being the first line for addressing unmet social health needs. We know that so many people, once they have a neurologic condition or the potential, even, of a neurologic condition, they're concerned about dementia or something, they may view us, as their neurologist, as their most important provider. And if they don't have the resource of time and money to show up at other doctors, we may be the first one they're coming to. And so, tapping into your institution's resources and finding out, are there things that are available to the primary care services that for some reason we're not able to get on the inpatient side or the outpatient side? Referring to social workers and care workers and showing that our patients have an independent need, that they're not somehow getting captured by the primary care doctors. Dr Albin: I really love that. I think that we- just being more invested and just being ready to step into that role is really important. I was noticing in this article, you really call that being a brain health ambassador, being really mindful, and I will direct all of our listeners to Figure 3, which really captures what practitioners can do both at the bedside, within their local community, and even at the professional society level, to really advocate for policies that promote brain wellness. Rana, at the very beginning of this conversation, you noted, you know, this is not just an individual problem. This really is something that is a component of our policy and the structure of our local communities. I really loved in the article, there's a humility that this cannot be just a person-by-person bedside approach, that this is a little bit determined by the social determinants of health. And so, Rana, can you walk us through a little bit of what are the social determinants of health, and why are these so crucially important when we think about brain health for all? Dr Said: Yeah, social determinants of health are a really key factor that it looks at, what are the health factors that are environmental; for example, that are not directly like what your blood pressure is, what, you know, what your BMI is, that definitely impact our health outcomes. So, these include environmental things like where people are born, where they live, where they learn, work, play, worship, and age. It encompasses factors like your socioeconomic status, your education, the neighborhoods where you are living, definitely healthcare access. And then all of this is in a social and community context. We know that the impact of social determinants of health on brain health are profound for the entire lifespan and that- so, for example, if someone is from a disadvantaged background or that leads to chronic stress, they can have limited access to healthcare. They can have greater risk of exposure to, let's say, environmental toxins, and all of that will shape how their brain health is. Violence, for example. And so, as we think about how we're going to target and enhance brain health, we really have to understand that these are vulnerable populations, special high-risk populations, that often have a disproportionate burden of neurologic disorders. And by identifying them and then developing targeted interventions, it promotes health equity. And it really has to be done in looking at culturally- ethnocultural-sensitive healthcare education resources, thinking about culturally sensitive or adaptive assessment tools that work for different populations so that these guidelines that we have, that we've already identified as being so valuable, can be equitably applied, which is one crucial component of reducing brain health risk factors. And lastly, at the neighborhood level, this is where we really rely on our partnerships with community partners who really understand their constituents and they understand how to have the special conversations, how to enhance brain health through resource utilization. And so, this is another plug for policy and resources. Dr Albin: I love that. And thinking about the neighborhood and the policy levels and all the things that we have to do. Daniel, I'd like to ask you, is there anything else you would add? Dr Correa: Yeah, you know, so I really wanted to come back to this thing is that often and unfortunately, in the beginning understanding of social determinants of health, they're thought of as a positive or a negative factor, and often really negative. These are just facts. They're aspects about our community, our society, and some of them may be at the individual level. They're not at fault of any individual or community, or even our society. They're just the realities. And when someone has a factor that may predict a health disparity or an unmet social need---I wanted to come back to that concept and that term---one or two positive factors that are social determinants of health for that individual are unmet social needs. It's a point of promise. It's a potential to be addressed. And seeking ways to connect them with community services, social work, caregivers, these are ways where- that we can remove a barrier to, so that the possibility of the recommendations that we're used to doing, giving recommendations about medications and management, can be fully appreciated for that person. And the other aspect is, like brain health, this is a continuous state. The social determinants of health may be different for the child, the parent, and the elderly family member in the household, and there might be some that are shared across them. And when one of those individuals has a new medical illness or a new condition, a stroke, and now has a mobility limitation, that may change a social determinant of health for that person or for anyone else in the family, the other people now becoming caregivers. We're used to this. And for someone after a stroke or traumatic brain injury, now they have mobility changes. And so, we work on addressing those. But thinking on how those things now become a barrier for engaging with community and accessing things, something as simple as their pharmacy. Dr Albin: I hear a lot of “this is a fluid situation,” but there's hope here because these are places that we can intervene and that we can really champion brain health throughout this fluid situation. Which kind of brings me to what we're going to close out with, which is, I'm going to have you do a little thought exercise, which is that you find a magic lamp and a genie comes out. And we'll call this the brain health genie. The genie says that they are going to grant you one wish for the betterment of brain health. Daniel, I'll start with you. What is the one thing that you think could really move the needle on promoting and maintaining brain health? Dr Correa: I will jump on nutrition and food access. If we could somehow get rid of food insecurity and have access to whole and fresh foods for everyone, and people could go back to looking at opportunities from their ancestral and cultural experiences to cook and make whole-food recipes from their own cultures. Using something like the Mediterranean diet and the mind diet as a framework, but not looking at those as cultural barriers that we somehow all have to eat a certain way. So, I think that would really be the place I would go to first that would improve all of our brain health. Dr Albin: I love that. So, wholesome eating. Rana, how about you? One magic wish. Dr Said: I think traumatic brain injury prevention. I think it's so- it feels so within our reach, and it just always is so heart-hurting when you think that wearing helmets, using seatbelts, practicing safety in sports, gun safety---because we know unfortunately that in pediatric patients, firearm injury is the leading cause of traumatic brain injury. In our older patients, fall reduction. If we could figure out how to really disseminate the need for preventative measures, get everyone really on board, I think this is- the genie wouldn't have to work too hard to make that one come true. Dr Albin: I love that. As a neurointensivist, I definitely feel that TBI prevention. We could talk about this all day long. I really wish we had a longer bit of time, but I really would direct all of our listeners to this fantastic article where you give really practical advice. And so again, today I've been interviewing Drs Daniel Correa and Rana Said about their article on bridging the gap between brain health guidelines and real-world implementation, written with Dr Justin Jordan. This article appears in the most recent issue of Continuum on the disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues. And thank you so much for our listeners for joining us today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. We hope you've enjoyed this subscriber-exclusive interview. Thank you for listening.

Indianapolis is one of the hotbeds of Histoplasmosis, which is often misdiagnosed and can lead to other health issues throughout the body.  In this episode, you'll learn:—What Histoplasmosis is and the symptoms of it, which "seems like the flu when you get it".  And how "a lot of doctors aren't even aware of it".—The story of how Dr. Prather's own father suffered from COPD as a result of an underlying Histoplasmosis infection he contracted as a kid by being in charge of the chicken coop.—The difficulty in accurately testing for Histoplasmosis, which can be misdiagnosed as Tuberculosis, Lyme Disease, Sarcoidosis, or Macular Degeneration.  And how Histoplasmosis is "the number one cause of blindness in Indiana".—How Antibiotics and Steroids that are often prescribed by doctors will actually make the Histoplasmosis "take off" and become "systemic".—Why Indianapolis is such a center for Histoplasmosis outbreaks.  And why Dr. Prather says that everyone who has lived in the area for 5 years has Histoplasmosis.—The natural products Dr. Prather has found to be even more effective for Histoplasmosis than prescription drugs because they actually rebuild the body's immune system.  And why Dr. Prather says "the strongest anti-fungal medicine known to man" is Oregano Oil.—The importance of Homeopathy, which Dr. Prather says has made a big difference in "the real serious cases" of Histoplasmosis.  And why Dr. Prather says "you are going to have problems" if your Vitamin D and Vitamin A are low. —How a weakened immune system, nutritional deficiency, or stress are usually the reasons that a Histoplasmosis infection takes off in the first place.  And how you probably have a secondary Histoplasmosis infection that needs to be addressed if you live in Indianapolis and have Long COVID.—Why Chiropractic, Acupuncture, and Diathermy are helpful for Histoplasmosis.  And the Spleen-21 Acupuncture point that causes people to feel immediately better when they are sick.—How Dr. Prather has had patients suffering from Kidney failure and patients dealing with Hypertension whose real underlying issue was Histoplasmosis.http://www.TheVoiceOfHealthRadio.com

Dr. Grossman explores practical, natural strategies to help you reduce high blood pressure in addition to taking prescribed medication. Discover how simple changes in your diet, nutrition, and lifestyle can help hypertension. Learn about the best foods to eat, the impact of regular exercise, how to reduce alcohol intake, and effective ways to manage stress. Plus, get insights on herbs and spices that support heart health. Whether you're looking to prevent high blood pressure or manage it more effectively, this episode offers clear, actionable tips to help you live a healthier, more balanced life—naturally.Empower yourself with knowledge and take proactive steps to safeguard your vision. For more information and resources, visit NaturalEyeCare.com and DrGrossman2020.com. Subscribe to our podcast for ongoing insights into holistic eye care.

Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf. Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak's Chief of Nephrology, Dr. Joef Topf @kidney_boy.  Claim CME for this episode at curbsiders.vcuhealth.org! Heart of Care If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts. Quince Go to Quince.com/curb for free shipping on your order and three hundred and sixty-five -day returns.

As nurse practitioners, we often see a condition that flies under the radar but has important implications for diagnosis and treatment: secondary hypertension. While high blood pressure is common, readings that don't fit the typical profile should make us pause.   In today's episode, I'll walk you through the red flags that signal secondary hypertension and use real clinical scenarios to address practical workup strategies. Tune in to discover when to suspect secondary hypertension, and learn how early recognition and timely diagnosis of underlying causes can lead to better patient outcomes and more effective hypertension management.   Get full show notes, transcript, and more information here: https://blog.npreviews.com/secondary-hypertension-demystified-nurse-practitioners/

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Low-Dose Combinations With 3 or 4 Blood Pressure–Lowering Medications for the Treatment of Hypertension.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Exercise-Induced Hypertension Is Associated With Gestational Hypertension Occurrence in Patients With Repaired Aortic Coarctation.

In the headlines: The Ministry of Agriculture applauds the historic signing of the FISHAdapt Agreement; and the Ministry of Health hosts a Hypertension workshop in Dennery. For details on these stories and more, visit www.govt.lc

New indication for Kerendia; investigational therapy shows promise for hypertension; Novolog interchangeable biosimilar gets approval; trial results for hormone-free contraceptive; Shingrix now supplied in a prefilled syringe.

In this interview, Dr.SHIVA Ayyadurai, MIT PhD, Inventor of Email, Scientist, Engineer and Candidate for President, Talks about Lemongrass on Hypertension: A Whole Systems Approach

Fewer than 10 percent of people with hypertension had their blood sugar under control & fewer than 66 percent of diabetics had metabolic disorder under control in 2019-21.  

Hypertension is a "silent killer", impacting 37% of all adults and over 50% of Senior Citizens—often presenting no symptoms while causing damage to the body.  In this episode, you'll find out:—The 5 levels of Hypertension and why Diastolic is "the most important number" in your blood pressure measurement.  And how Dr. Prather finds that 70% of all high blood pressure is caused by the Kidneys.—The reason that Black Americans are more prone to High Blood Pressure, affecting over 70% of all Black Senior Citizens.  And how Dr. Prather has found that Arginine gets "really good results" and "great changes" for Black patients.—Why Dr. Prather says you will "never get hypertension under control" if there is a Heavy Metal toxicity in the body.  And the Hair Analysis Dr. Prather uses to diagnose a patient's level of heavy metals. —The effectiveness of Vitamin C in reducing blood pressure.  And why anti-Cholesterol Statin Drugs can actually cause or contribute to Hypertension.—How most prescription heart medications LOWER your CoQ10, which is actually one of the most important things for the healing of the heart.  And the kind of salt you should be eating that will actually heal your Kidneys.—Why Acupuncture is helpful for Hypertension, both temporarily and over the long-term.  And why Chiropractic adjustments help high blood pressure by making "a strong change in the nervous system".—The effectiveness of Herbals in bringing blood pressure down.  And how Holistic Integration uses Electrodermal Screening (EDS) to determine which supplement will work best on a patient instead of just guessing.—How Dr. Prather "always sees a difference" in reducing the amount of medication a hypertension patient needs and can actually eliminate their need for prescription drugs "most of the time".—The DASH Diet that helps High Blood Pressure by increasing Fiber and taking stress off of the kidneys.  And the External CounterPulsation (ECP) Therapy that provides 5-years of marathon training for the heart in just 7 weeks.—The details of our next free Holistic Heart seminar with Dr. Prather on Wednesday, July 30th at 6:30 p.m.  And how those who attend will receive our Autonomic Nervous System Test that measures your heart function, nervous system, and circulatory system for just $49–normally a $195 value.http://www.TheVoiceOfHealthRadio.com

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How can we better understand the developmental nature of cardiovascular disease across the life course and improve the health of people who experience chronic early life stress? In this episode Dr. Nathaniel Jenkins (University of Iowa) interviews lead author Dr. Annemarie Wentzel (North-West University, South African Medical Research Council Unit for Hypertension and Cardiovascular Disease) and expert Dr. Romain Harmancey (The University of Texas Health Science Center at Houston) about the study by Wentzel et al. which found that stress, expressed as a cumulative allostatic load score, impacted the microvasculature, macrovasculature, and central cardiac structure and function on a preclinical level in otherwise healthy emerging adults. The authors also found that the composite allostatic load score was particularly accurate in predicting masked hypertension and pre-diabetes in their study population. The composite allostatic load score incorporates multiple physiological biomarker systems and can offer clinicians an additional tool to use in addressing root causes of chronic stress. Is your hardware for managing stress where it should be developmentally? Listen now and learn more.   A. Wentzel, W. Smith, E. Jansen van Vuren, R. Kruger, Y. Breet, E. Wonkam-Tingang, N. A. Hanchard, and S. T. Chung Allostatic load and cardiometabolic health in a young adult South African population: the African-PREDICT study Am J Physiol Heart Circ Physiol, published February 24, 2025. DOI: 10.1152/ajpheart.00845.2024

Dr. Trace Julsen, a family medicine and maternity care physician with Providence Medical Group in Spokane, Washington, joins host Jennifer Semenza to discuss hypertension, also known as high blood pressure. Often referred to as the silent killer, high blood pressure is a common condition, and Dr. Julsen offers ways we can control and even lower our blood pressure. Do you want to know more?Check out the Providence blog for more information on this and other health related topics. ·       Take control of your blood pressure — and your health·       Hypertension: Why it's known as a silent killer·       Lowering hypertension in Black and Latinx communitiesTo learn more about our mission programs and services, go to Providence.org.Follow us on social media to get continued information on other important health care topics. You can  connect with us on LinkedIn, Facebook, TikTok, Instagram and X.For all your healthcare information on the go, download the Providence app. Whether you're tracking symptoms, scheduling appointments, or connecting with your healthcare providers, the Providence app has your back.To learn more about the app, check out the Wellness Brief podcast episode. Wellness Brief: Simplifying Care-There's an App for That.We'd love to hear from you. You can contact us at FutureOfHealthPodcasts@providence.org 

Program notes:0:40 A novel way to help aphasia after a stroke1:40 C7 nerve ligation2:42 Somatosensory function versus speech processing3:36 Substandard anticancer medications4:40 Tested many using HPLC5:40 Alarming that one in six is impacted6:40 Paying out of pocket7:38 New type of medicine for treatment resistant hypertension8:38 Need to follow electrolytes9:00 ED boarding for elderly10:00 Length of stay increased11:00 Elderly more likely to suffer complications12:00 CMS program for all inclusive care for elderly12:49 End

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from June 28-July 3, 2025.

During this episode, our host Emily Lee interviews our other host, Jennifer Mabry! In Honor of the previous National High Blood Pressure Education/ Hypertension Awareness Month—Dr. Mabry will be spotlighting these issues. Listen To The Local Matters Podcast Today! News Talk 94.1

KYW Newsradio's Rasa Kaye continues her conversation about hypertension with Deborah Heart and Lung Center Interventional Cardiologist Dr. Richard Kovach, MD in part 2 of this episode. They discuss hypertension's threat and how to keep it at bay, as well as treating and managing it after diagnosis.

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.    Finerenone with Empagliflozin in Chronic Kidney Disease and Type 2 Diabetes 2.    Lorundrostat Efficacy and Safety in Patients with Uncontrolled Hypertension Meta-Analysis 3.    The Diabetes Prevention Program and Its Outcomes Study: NIDDK's Journey Into the Prevention of Type 2 Diabetes and Its Public Health Impact 4.    Comparative effectiveness of alternative second‐line oral glucose‐lowering therapies for type 2 diabetes: a precision medicine approach applied to routine data 5.    Phase 3 Trial of Semaglutide in Metabolic Dysfunction– Associated Steatohepatitis   For more information about each of ADA's science and medical journals, please visit Diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Chair-Department of Family Medicine, Abington Jefferson Health

Send us a textOn this episode of the CMAJ Podcast, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”The discussion reflects a shared urgency: despite past successes, Canada's hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to  ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidence.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions

Dans ce nouvel épisode de "Symptômes", le médecin généraliste Érik Bernard nous raconte l'histoire d'une jeune femme de 28 ans, venue consulter pour une hypertension artérielle assez banale. En bonne santé apparente et sans symptômes alarmants, la patiente ne s'attendait pas à ce que sa visite de routine révèle une situation bien plus complexe...Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

INÉDIT - Dans ce nouvel épisode de "Symptômes", le médecin généraliste Érik Bernard nous raconte l'histoire d'une jeune femme de 28 ans, venue consulter pour une hypertension artérielle assez banale. En bonne santé apparente et sans symptômes alarmants, la patiente ne s'attendait pas à ce que sa visite de routine révèle une situation bien plus complexe... Retrouvez chaque mois, un nouvel épisode inédit de "Symptômes", ainsi qu'un bonus la semaine suivante.Distribué par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Contributor: Taylor Lynch, MD Educational Pearls: How do we risk-stratify chest-pain patients? One option is the HEART score This score predicts a patient's 6-week risk of a major adverse cardiac event. Ex. Cath procedure, CABG, PCI, death H stands for History Ask 1) Was the patient diaphoretic? 2) Did they have nausea and/or vomiting? 3) Did the pain radiate down the right or left arm? 4) Was it exertional? Yes to one = one point. Two or more = two points. E stands for EKG One point for left ventricular hypertrophy, t-wave inversions, new bundle-branch blocks. No points for first degree AV block, benign early repolarization, or QT-prolongation Two points for ST-depression A stands for Age >65 gets two points 45-64 gets one point R stands for Risk factors Hypertension, hyperlipidemia, diabetes, obesity, family history, smoking, previous MI, previous CABG, stroke, peripheral arterial disease 1-2 risk factors get 1 point More than two risk factors gets two points T stands for Troponin 1-3x upper limit of normal gets one point >3x upper limit of normal gets two points This gives you a score between zero and ten 0-3 points, patients have a ~2% chance of an adverse event These patients likely go home 4-6 points, patients have a ~20% chance of an adverse event These patients get admitted or expedited outpatient stress test/echo 7-10 points, patients have a ~60% chance of an adverse event Admit and call cardiology. These patients likely get catheterized References Backus BE, Six AJ, Kelder JC, Bosschaert MA, Mast EG, Mosterd A, Veldkamp RF, Wardeh AJ, Tio R, Braam R, Monnink SH, van Tooren R, Mast TP, van den Akker F, Cramer MJ, Poldervaart JM, Hoes AW, Doevendans PA. A prospective validation of the HEART score for chest pain patients at the emergency department. Int J Cardiol. 2013 Oct 3;168(3):2153-8. doi: 10.1016/j.ijcard.2013.01.255. Epub 2013 Mar 7. PMID: 23465250. Laureano-Phillips J, Robinson RD, Aryal S, Blair S, Wilson D, Boyd K, Schrader CD, Zenarosa NR, Wang H. HEART Score Risk Stratification of Low-Risk Chest Pain Patients in the Emergency Department: A Systematic Review and Meta-Analysis. Ann Emerg Med. 2019 Aug;74(2):187-203. doi: 10.1016/j.annemergmed.2018.12.010. Epub 2019 Feb 2. PMID: 30718010. https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-events Summarized by Jeffrey Olson, MS4 | Edited by Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/

Food manufacturers cave to RFK Jr. agenda to eliminate artificial dyes; Diet, exercise ameliorate tinnitus symptoms in overweight seniors; Long work hours may foster deleterious brain changes; Blood in urine—why is it such a big deal? Suggestions for a dog with panic attacks ahead of weather fronts; Diets high in fruits and vegetables counter disordered sleep.

To receive my free and daily newsletter, go to: www.SmartDigestion.com Would you like to schedule a consultation? Call 586-685-2222 To try Dr. Christine's Smart Carb-45 for go to: www.TrySmartCarb.com

Carolyn McMakin, MA, DC - contact @ frequencyspecific.com Kim Pittis, LCSP, (PHYS), MT - info @ fsmsports365.com 00:24 Kim's Business Insight 02:42 Patient Case Study: Kidney Transplant and PTSD 05:41 Vestibular Injury Diagnosis and Treatment 09:34 Managing Chronic Conditions and Patient Care 15:07 Vestibular Symptoms and Treatment Protocols 20:36 Addressing Dizziness and Balance Issues 24:09 Core Training and Course Adjustments 26:14 Addressing Wegener's Granulomatosis 29:26 Class Materials and Preparation 30:46 Conference Presentation Highlights 35:19 Treating Jaw Pain and TMJ Issues 44:21 Scleroderma Paper and Teaching Insights 45:42 Managing Stagnant Blood Flow and Hypertension 51:28 Upcoming Courses and Practicum Weekends Leveraging Energy in Medical Decisions Every medical decision, much like a business choice, should either enhance or deplete your energy. Practitioners often find rejuvenation in exploring new techniques or revisiting familiar practices in a new light. Utilizing FSM, medical practitioners have noted a renewed sense of purpose, especially when faced with chaotic and stressful situations. Clinical Observations and Case Studies Understanding Vestibular Injuries Vestibular injuries, often undiagnosed by conventional means, can profoundly impact patients' lives. A notable case highlighted the importance of a thorough history and vestibular screening for patients with anxiety and reading comprehension issues. Uncovering such connections can dramatically shift a patient's trajectory, improving their self-esteem and functional capabilities. Practical Steps: - Utilize a tuning fork for auditory assessments. - Perform comprehensive examinations to identify vestibular injuries. - Consider peripheral issues, such as reading comprehension and head trauma, that might suggest vestibular involvement. Integration into Treatment Protocols FSM's strengths lie in its adaptability across various conditions and symptoms. Common issues such as dizziness and balance problems, often resulting from exposure to substances or injuries, can be mitigated by targeting specific frequencies. Adjusting these for midbrain and cerebellum support can aid in patient recovery. Key Frequencies: - Use 40 and 44 Hz to relax neck muscles and alleviate anxiety. - Apply concussion protocols in combination with vestibular injury screens. Managing Chronic Conditions Some chronic conditions, like Raynaud's phenomenon and granulomatous diseases, may pose treatment challenges. FSM can aid by addressing both sympathetic and parasympathetic nervous system imbalances, targeting arterial function, and reducing inflammation. Strategies for Practitioners: - For Raynaud's phenomenon, focus on enhancing arterial vitality while minimizing sympathetic stimulation. - Address the complexities of conditions like Wegener's granulomatosis by understanding the interplay between vascular inflammation and organ systems. Enhancing Practitioner Skills To optimize the benefits of FSM, practitioners are encouraged to deepen their understanding through continuous education. Hands-on workshops and patient practicums can significantly enhance skills, allowing medical professionals to implement advanced protocols confidently. Integrating FSM into medical practice not only expands treatment possibilities but also transforms patient outcomes. By embracing new methodologies and maintaining a patient-centric approach, practitioners can offer hope and healing where traditional methods have fallen short. Stay informed, remain curious, and continue to explore the transformative power of frequency-specific microcurrent in patient care.

Selon l'OMS, 1,28 milliard de personnes dans le monde âgées de 30 à 79 ans sont atteintes d'hypertension. Les deux tiers d'entre elles vivent dans des pays à revenu faible ou intermédiaire. Cette pathologie chronique correspond à une pression trop élevée dans les vaisseaux sanguins. Cette maladie peut être asymptomatique, ce qui explique que 46% des adultes atteints d'hypertension l'ignorent. Comment se passe le dépistage ? Comment assure-t-on le suivi de la maladie ? Quelles peuvent en être les manifestations et les complications ?   Pr Jacques Blacher, cardiologue, spécialiste de l'hypertension artérielle, chef de service du Centre de diagnostic et de thérapeutique à l'Hôpital Hôtel Dieu de Paris et professeur de Thérapeutique à l'Université Paris Cité Pr Félicité Kamdem, maître de conférences agrégée de cardiologie à la Faculté de médecine et des sciences pharmaceutique de l'Université de Douala. Cheffe du service Cardiologie à l'Hôpital général de Douala, au Cameroun. Vice-présidente de la société camerounaise de cardiologie.  Programmation musicale :  ► Laurent Bardainne, Gabi Hartmann – Love high ► Chella – My darling.

Selon l'OMS, 1,28 milliard de personnes dans le monde âgées de 30 à 79 ans sont atteintes d'hypertension. Les deux tiers d'entre elles vivent dans des pays à revenu faible ou intermédiaire. Cette pathologie chronique correspond à une pression trop élevée dans les vaisseaux sanguins. Cette maladie peut être asymptomatique, ce qui explique que 46% des adultes atteints d'hypertension l'ignorent. Comment se passe le dépistage ? Comment assure-t-on le suivi de la maladie ? Quelles peuvent en être les manifestations et les complications ?   Pr Jacques Blacher, cardiologue, spécialiste de l'hypertension artérielle, chef de service du Centre de diagnostic et de thérapeutique à l'Hôpital Hôtel Dieu de Paris et professeur de Thérapeutique à l'Université Paris Cité Pr Félicité Kamdem, maître de conférences agrégée de cardiologie à la Faculté de médecine et des sciences pharmaceutique de l'Université de Douala. Cheffe du service Cardiologie à l'Hôpital général de Douala, au Cameroun. Vice-présidente de la société camerounaise de cardiologie.  Programmation musicale :  ► Laurent Bardainne, Gabi Hartmann – Love high ► Chella – My darling.

This week, Dr. Prather talks about how Aerobic Exercise and External CounterPulsation (ECP) Therapy are treatments that benefit every patient and all types of Cardiovascular Disease.  In this episode, you'll find out:—Why Dr. Prather calls ECP Therapy and Aerobic Exercise "the panacea for Cardiovascular Disease".—The amount of Aerobic Exercise each person needs to prevent or reverse Cardiovascular Disease.  (And why everyone reading this probably does not measure up!)—The story of how ECP Therapy was designed by Harvard decades ago to do Aerobic Exercise for patients who couldn't even walk across the room without losing their breath.  Plus, how long-distance runners are using ECP to help set new records. —How Dr. Prather called the FDA to ask if it would be OK for him to offer ECP Therapy to his patients and was actually encouraged by them to do this therapy in his office.—The "amazing" safety record of ECP Therapy that has NEVER had a single injury reported in decades of use.—The screening Dr. Prather does on patients prior to ECP Therapy for potential contraindications to ensure patient safety.—Why Cardiologists refer for ECP Therapy after everything else has been tried.  And how everyone who has been referred to Dr. Prather for it has lived.—The conditions that benefit from ECP Therapy, including:  Angina, Congestive Heart Failure, Atherosclerosis, Hypertension, Kidney Disease, Restless Leg Syndrome, Diabetes, Cognitive Brain Function, and Erectile Dysfunction. —How Natalie and John came to see Dr. Prather without an appointment after leaving two different hospitals.  And how Dr. Prather was able to provide John relief from pain that very first day.—The details about Dr. Prather's upcoming free educational seminar, "Diabetes Decoded:  A Holistic Look At Type 1 and Type 2 Diabetes" on Wednesday, June 25th at 6:30 p.m.http://www.TheVoiceOfHealthRadio.com

A review of the carbohydrate insulin model of obesity and the related proposal that low carbohydrate diets are superior to traditional low fat diets. I begin with a discussion of the theory behind the carbohydrate insulin model, and then assess its plausibility using relevant evidence from rodent studies, dietary studies, ahd controlled feeding experiments. I argue that the scientific evidence does not support the alleged benefits of low carb diets for weight loss in otherwise healthy adults. Recommended pre-listening is Episode 151: Diet and Nutrition, and Episode 152: Obesity, Diabetes, and Hypertension. If you enjoyed the podcast please consider supporting the show by making a PayPal donation or becoming a Patreon supporter. https://www.patreon.com/jamesfodor https://www.paypal.me/ScienceofEverything

Send us a message with this link, we would love to hear from you. Standard message rates may apply.Insulin resistance often precedes diabetes by 5-10 years and serves as an early warning sign of potential damage to your cardiovascular system and other organs. We explore this common condition, its risk factors, and how simple lifestyle changes can reverse it before more serious health problems develop.• Insulin resistance occurs when muscles, liver, and fat cells fail to respond to normal levels of insulin• The pancreas compensates by producing more insulin, eventually leading to beta cell failure• Clinical signs include dark skin patches in body folds (acanthosis nigricans), elevated triglycerides, and increased waist circumference• One in three Americans have prediabetes, with many also experiencing insulin resistance• Risk factors include central obesity, sedentary lifestyle, family history, PCOS, and certain racial/ethnic backgrounds• Sleep disturbances, chronic stress, and fatty liver disease are emerging factors linked to insulin resistance• A 5-7% weight reduction improves insulin sensitivity by over 50%• Regular physical activity (150+ minutes weekly) helps glucose enter cells more efficiently• Diet modifications focusing on whole foods, limiting refined sugars, and following Mediterranean or DASH patterns show significant benefits• "The movement is the medicine, the food is the medicine" when addressing insulin resistanceSupport the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

The white-coat effect is a measure of blood pressure change from before to during the visit in office/clinic when the blood pressure is recorded by a physician or nurse; this was first described in 1983 by Mancia et al, and was initially thought to represent a benign process. But it was unclear what this actually meant for pregnancy. Ambulatory blood pressure monitoring (ABPM) has been used in pregnancy for about 20 years now. Use of this monitoring option has revealed a subgroup of patients who have persistently high blood pressure (BP) in the presence of health care providers, but a normal ambulatory or self-measured BP. This phenomenon has been termed “White Coat Hypertension” (WCH). In 2013, The International Society for the Study of Hypertension in Pregnancy (ISSHP) published the revised classification for hypertensive disorders in pregnancy, that included WCH, not previously included. The ISSHP guidelines also emphasize that a diagnosis of white coat hypertension in pregnancy should only be considered before 20 weeks of gestation. We now know that WCH, outside of pregnancy, is not an entirely benign process. The role of metabolic risk factors in patients with white-coat hypertension was first outlined in 2000 by Kario and Pickering. When metabolic risk factors are present in association with white-coat hypertension, the increased risk of target organ damage is determined not only by the blood pressure characteristics but also by the metabolic abnormalities. Recognizing the potential risks of white coat hypertension was also published in a commentary in 2016 out of the European Society of Cardiology. That article's title was, “White-coat hypertension: not so innocent”. But what is the latest data on WCH in pregnancy? Is WCH linked to poor obstetrical outcomes? Does WHC need medication therapy? We have data from 2024 to help us. Listen in for details.

In this episode, we discuss the diagnosis and treatment of resistant hypertension, including a newer endothelin receptor antagonist (ERA) called aprocitentan (Tryvio®). Key Concepts The diagnosis of true resistant hypertension is based on requiring more than 3 antihypertensives (ACE inhibitor or ARB + calcium channel blocker + diuretic) to achieve goal BP, ruling out inaccurate BP readings, and ensuring patient adherence to their antihypertensive therapy. Non-pharmacologic therapy (especially dietary sodium restriction), medication adherence, and lifestyle changes are critical to the treatment of resistant hypertension. The preferred 4th line option for most patients with resistant hypertension is spironolactone. After adding spironolactone, additional therapies are based on expert opinion and patient-specific factors. These additional therapies may include beta blockers, alpha-2 agonists, alpha-1 blockers, hydralazine, minoxidil, and aprocitentan. References Carey RM, Calhoun DA, Bakris GL, et al. Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association. Hypertension. 2018;72(5):e53-e90. doi:10.1161/HYP.0000000000000084 Mancia G, Kreutz R, Brunström M, et al. 2023 ESH Guidelines for the management of arterial hypertension The Task Force for the management of arterial hypertension of the European Society of Hypertension: Endorsed by the International Society of Hypertension (ISH) and the European Renal Association (ERA). J Hypertens. 2023;41(12):1874-2071. doi:10.1097/HJH.0000000000003480

Today, I've got a fantastic guest with me—Mark Young, the brilliant mind behind the book "Radical Generosity." In this episode, Mark and I dive deep into a topic that's affecting so many of us: hypertension. You know, high blood pressure isn't just something that happens out of the blue. Mark breaks it down for us, explaining how it's often a symptom of deeper issues like a poor diet, lack of exercise, and stress. These are things we can tackle head-on! We chat about the importance of cutting down on sugar—because, let's face it, sugar is a sneaky little devil that wreaks havoc on our health. Mark also shares some insights on isometric exercises, which are a game-changer for anyone looking to improve their health without spending hours in the gym. And here's something cool: Mark introduces us to the Zona device, a nifty tool for managing blood pressure. But it's not just about the gadgets and exercises. Mark emphasizes the power of generosity and how it plays a crucial role in our overall well-being. It's all about giving and receiving, folks! This episode is packed with practical strategies to help you achieve metabolic health and manage hypertension beyond just popping pills. So, tune in, take notes, and let's get on the path to better health together. Remember, small changes can lead to big results. Keep being awesome, and I'll catch you on the next episode!

In this Maternal-Fetal Medicine (MFM) Rafael Medina Subspecialty episode, Dr. Mary Peeler presents a case of headache in a pregnant patient to Dr. Greg Kirschen. Session facilitator: Maddy Conte Case Discussant: Dr. Greg Kirschen is a Maternal-Fetal Medicine fellow at the Hospital of the University of Pennsylvania with a particular interest in pharmacology and metabolism in… Read More »Episode 397: Rafael Medina Subspecialty Episode – Hypertension in Pregnancy

  In this Q&A episode, Dr. Rebecca Dekker answers questions submitted by EBB Pro Members—each exploring a different facet of evidence-based maternity care.   First, she explores the latest evidence on early induction for gestational hypertension, including findings from the WILL trial and other recent studies. What are the real risks and benefits of inducing labor at 37 or 38 weeks for gestational hypertension? And how should families weigh these decisions with their providers?   Next, Dr. Dekker shares new insights into the effectiveness of acupuncture and acupressure for labor pain, anxiety, and Cesarean recovery. From systematic reviews to randomized trials, the data is growing!   Finally, she looks into the evidence on interpregnancy intervals. What does the research say about the risks associated with short or long gaps between pregnancies? And how might this information apply to those who are pregnant again after a five-year or more break?   (00:00) Intro to Mini Q&A and EBB Pro Membership (02:17) Early Induction for Gestational Hypertension – What the Research Says (06:20) WILL Trial Findings and Recommendations from ACOG and NICE (08:23) Outcomes at 37 vs. 38 Weeks – Cesareans, NICU, and Respiratory Distress (10:15) Balancing Induction Timing and Risks of Continuing Pregnancy (11:03) Acupuncture and Acupressure – New Research and Applications (12:41) Studies on Pain, Anxiety, and Nausea During Labor and Cesareans (14:46) Acupuncture and Cesarean Recovery – Mobility and Pain Management (16:54) Interpregnancy Intervals – Definitions and Research Challenges (19:39) Risks of Short and Long Pregnancy Spacing (23:22) Global Perspectives and Meta-Analysis on Birth Outcomes (26:49) Public Health Implications and Final Thoughts   View the full list of resources and references on ebbirth.com.   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.