Podcasts about hypertension guidelines

Doctors Lisa and Sara talk to Dr Aseem Mishra to discuss changes in the guidelines for Hypertension. The discussion includes advice on how to get the most accurate diagnosis and measurements for blood pressures, the importance of counselling patients well, and advice on medications. We started with a poem from Aseem focusing around why this is such an important topic. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Useful resources:  NICE Clinical Knowledge Summaries (updated March 2023): https://cks.nice.org.uk/topics/hypertension/ NICE Visual Summary of Hypertension Diagnosis and Management (Aug 2019): https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517 European Society of Hypertension Guidelines: https://www.eshonline.org/guidelines/2023-guidelines/ Greater Manchester Medicines Management Group (GMMMG) Hypertension Toolkit (Sept 2023): https://gmmmg.nhs.uk/wp-content/uploads/2023/09/GM-Hypertension-Pathway-V9.2-Final.pdf Antonios T116 Antihypertensive drug concordance in patients with apparent resistant hypertension: a tertiary hypertension referral centre experience Heart 2019;105:A97 https://heart.bmj.com/content/105/Suppl_6/A97.1 Blood Pressure UK (good resources including patient booklets: https://www.bloodpressureuk.org/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our really quick anonymous survey here: https://pckb.org/feedback ___ This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.  The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

The Filtrate:Joel TopfSwapnil HiremathNayan AroraSophie AmbrusoJoshua WeismanEditorJoel TopfShow Notes:Soccer star Christian Eriksen 'was gone' after on-field cardiac arrest, doctor says (NBC News)120-sided Die. This was covered in Wired Magazine. Respect. https://www.wired.com/2016/05/mathematical-challenge-of-designing-the-worlds-most-complex-120-sided-dice/ Nephrologists that played D&D: https://twitter.com/kidney_boy/status/1398660927680036865?s=20 Doctors that played D&D (i.e. control group): https://twitter.com/kidney_boy/status/1398661170328899586?s=20 Average sodium intake among Americans is 3,400 mg (147 mEq of Na per day). Sodium and the Dietary Guideline Factsheet (PDF)DASH Sodium Diet Trial https://www.nejm.org/doi/10.1056/NEJM200101043440101 The PURE Trial as discussed by NephJC and as seen in the NEJMFormulas to Estimate Dietary Sodium Intake From Spot Urine Alter Sodium-Mortality Relationship https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.119.13117 The Taiwan Nursing Home study: https://pubmed.ncbi.nlm.nih.gov/16762939/ Peruvian Cluster RCT of sodium reduction in Nature (oooh!) https://www.nature.com/articles/s41591-020-0754-2 DASH Diet in CKD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957723/ A comparison of treating metabolic acidosis in CKD stage 4 hypertensive kidney disease with fruits and vegetables or sodium bicarbonate https://pubmed.ncbi.nlm.nih.gov/23393104/ ACCORD https://www.nejm.org/doi/full/10.1056/nejmoa1001286 Kidney Damage Biomarkers and Incident CKD During Blood Pressure Reduction: A Case-Control Study within SPRINT https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6953744/ Association of Urinary Biomarkers of Inflammation, Injury, and Fibrosis with Renal Function Decline: The ACCORD Trial https://pubmed.ncbi.nlm.nih.gov/27189318/ Lake Wobegon https://en.wikipedia.org/wiki/Lake_Wobegon SPRINT https://www.nejm.org/doi/full/10.1056/nejmoa1511939 Effect of Intensive vs Standard Blood Pressure Control on Probable Dementia https://jamanetwork.com/journals/jama/fullarticle/2723256 Characterizing Frailty Status in the Systolic Blood Pressure Intervention Trial https://pubmed.ncbi.nlm.nih.gov/26755682/ Syncope, Hypotension, and Falls in the Treatment of Hypertension: Results from the SPRINT Randomized Clinical Trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8045467/ The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/hypertension-in-adults-screening Concordance Between Blood Pressure in the Systolic Blood Pressure Intervention Trial and in Routine Clinical Practice https://pubmed.ncbi.nlm.nih.gov/33044494/

Should You Trust Office Blood Pressure Measurements? In this episode, I will discuss the new hypertension guidelines for office blood pressure measurements. I have included soundbites from the co-chair of the hypertension committee to help answer this question.****Ask your doctor if you would benefit from vitamins:Vitamin C with rose hips, Zinc, D3 & K2, Magnesium or this one, B complex, Elderberry, Probiotic or this one, Melatonin & Quercetin, Braggs Nutritional Yeast, Apple Cider Vinegar If you enjoyed the podcast, please share and consider leaving a 5-star rating.Vitamin D Self Testing (no affiliation)Butter beans give you 126 mg of magnesium per cup. Click here for how to cook butter beans in about an hour.****Click here to see how to use a home blood pressure monitor and log.Get a validated Omron Blood Pressure Monitor here for purchase online. Use Omron MIT Elite for pregnant women due to the altered hemodynamics.Visit Hypertension Resistant to Treatment's YouTube Channel for What to Eat?****Hi, I'm Dr. Tonya, a clinical research scientist at the University of Alabama at Birmingham, Alabama, where I hold various positions and spent the past decade studying hypertension management. I am an author of six first-authored publications in scientific journals. You can read my work HERE. Connect with me on Facebook or Twitter. #relievestressandanxiety #drtonya #lowerhighbloodpressure #covid-19****Resources10 Year Cardiovascular Risk Calculator2017 Hypertension GuidelinesNew Guidelines for Proper Blood Pressure Measurement****Royalty-free music: Turn om My Swag 2 Intro by Mr. Willie Breaux****Disclaimer: This podcast is for educational purposes only and not intended to replace medical advice. Affiliate links support the podcast.

When is the Best Time to Check Blood Pressure at Home? Considering the fact that adrenaline is the highest in the morning and your lowest blood pressure is expected in the evenings, when should we monitor? There are expert recommendations, and there are scientific findings. I will discuss both in this brief episode.Remember, this is not medical advice, and only your doctor can tell you what you need to do for your high blood pressure. Consult your doctor or health care provider for medical advice. Visit Hypertension Resistant to Treatment's YouTube Channel for What to Eat?Click here to see how to use a home blood pressure monitor and log.Ask your doctor if you would benefit from vitamins: Vitamin C with rose hips, Zinc, D3 & K2, Magnesium or this one, B complex, Elderberry, Probiotic or this one, Melatonin, & QuercetinYou can purchase an Omron Blood Pressure Monitor from any big box store or pharmacy. Click here for purchase online.If you enjoyed the podcast, please share and consider leaving a 5-star rating.Resources:Taler, S. (2017, December, 17). New Blood Pressure Guidelines. Mayo Clinic. YouTube, December 17, 2017, Retrieved from https://www.youtube.com/watch?v=2OQioS-g6oc&t=477sAmagada, J. (2020, July 19). Best Time To Check Blood Pressure At Home, Dr. Joe TV, July 19, 2020, Dr. Joe TV https://www.youtube.com/watch?v=B3gaao3Sn8kLoCicero, K. (2016, March 15). How Often Should I Check My Blood Pressure, HCA West Florida Memorial Hospital of Tampa. Retrieved from https://www.youtube.com/watch?v=R**** Click here to see how to use a home blood pressure monitor and log. You can purchase an Omron Blood Pressure Monitor from any big box store or pharmacy. Click here for purchase online. Visit Hypertension Resistant to Treatment's YouTube Channel for What to Eat? ****Ask your doctor if you would benefit from vitamins: Vitamin C with rose hips, Zinc, D3 & K2, Magnesium or this one, B complex, Elderberry, Probiotic or this one, Melatonin, & Quercetin **** At Hypertension Resistant to Treatment podcast, website, and YouTube

On this episode we compare the newly published 2020 ISH Global Hypertension Guidelines with the 2017 AHA/ACC hypertension guidelines.  Thanks for listening! If you want to support the podcast, check out our Patreon account. Subscribers will have access to all previous and new pharmacotherapy lectures as well as downloadable power point slides for each lecture. You can find our account at the website below:  www.patreon.com/corconsultrx If you have any questions for Cole or me, reach out to us on any of the following: Text - 415-943-6116 Mike - mcorvino@corconsultrx.com Cole - cswanson@corconsultrx.com Instagram and other social media platforms - @corconsultrx This podcast reviews current evidence-based medicine and pharmacy treatment options. This podcast is intended to be used for educational purposes only and is intended for healthcare professionals and students. This podcast is not for patients and not intended as advice or treatment.

Commentary by Dr. Valentin Fuster

In collaboration with many different specialists, professions and patient representatives, Mollan et al (2018) have developed the first ever guidelines for the investigation and management of idiopathic intracranial hypertension (IIH). Senior author, Dr Alexandra Sinclair (University of Birmingham) discusses these with the JNNP podcast editor, Elizabeth Highton. Read the full guidelines here: https://jnnp.bmj.com/content/89/10/1088 Access the Practical Neurology infographic summary here: https://pn.bmj.com/content/early/2018/08/28/practneurol-2018-002009

Adoption of the new ACC/AHA hypertension guidelines would suddenly lead to 15 million more Americans and about 125 million more Chinese with hypertension. Also today, in virto fertilization and cancer risk, depression screening rates are improving, but are still not great, and the relationship between temperature, pollution and lupus flares.

In this episode of the JAAPA Podcast, our hosts Kris Maday and Adrian Banning cover highlights from the June 2018 issue. They'll discuss the most recent hypertension guidelines, prepare you and your patients for biologic medications, and introduce a new tool for the management of Type 2 diabetes: SGLT2 inhibitors. Plus, how would our hosts survive a zombie apocalypse?

Hypertension is extremely common in our society, affecting nearly 1 in every 3 individuals in the United States. The treatment of hypertension is the most common reason for office visits in non-pregnant adults to healthcare providers and the most common reason for use of prescription medications. Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester, along with Dr. Gary Schwartz, a consultant in the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, discuss the evaluation and management of hypertension and the new hypertension treatment guidelines.

Interview with Jiang He, MD, PhD, author of Estimating the Association of the 2017 and 2014 Hypertension Guidelines With Cardiovascular Events and Deaths in US Adults: An Analysis of National Data, and Lawrence J. Fine, MD, PhD, author of Blood Pressure Control—Much Has Been Achieved, Much Remains to Be Done

Despite the fact that we have a wide variety of antihypertensive medications available, it’s estimated that up to half of the patients with hypertension are not adequately controlled. Dr. Darryl Chutka welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.

Drs Harrington and Gibson discuss burning issues in medicine, including artificial intelligence, social media, wearable tech, and the new hypertension guidelines.

In this month’s podcast, James Cave (DTB Editor-in-Chief) and David Phizackerley (DTB Deputy Editor) discuss some of the difficulties in implementing clinical guidelines for the management of elevated blood pressure and the potential impact of changes in the threshold for a diagnosis of hypertension (http://dtb.bmj.com/content/56/3/25). The editors also review the evidence for dupliumab for the treatment of moderate-to-severe atopic dermatitis in adults (http://dtb.bmj.com/content/56/3/30) and discuss drug names (http://dtb.bmj.com/content/56/3/33). Read the full March 2018 issue here: http://dtb.bmj.com/content/56/3.

Host: Jennifer Caudle, DO Guest: Karol Watson, MD, PhD Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle is joined by Dr. Karol Watson, an attending cardiologist and a Professor of Medicine/Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is a principal investigator for several large National Institutes of Health research studies, including the Diabetes Prevention Program Outcomes Study and the Multi-Ethnic Study of Atherosclerosis. She reacts to the new guidelines and reflects on what these changes could mean to patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare's Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of …

Host: Jennifer Caudle, DO Guest: Robert Carey, MD, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle talks with Dr. Robert Carey, vice chair of the 2017 hypertension guidelines about the new recommendations and their impact on clinical practice. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare's Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The …

Host: Jennifer Caudle, DO Guest: Paul Whelton, MB, MD, MSc, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure, which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle chats with Dr. Paul Whelton, chair of the 2017 blood pressure guidelines writing committee, about how the new guidelines will affect patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare's Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The views, information, or …

Host: Jennifer Caudle, DO Guest: Karol Watson, MD, PhD Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle is joined by Dr. Karol Watson, an attending cardiologist and a Professor of Medicine/Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is a principal investigator for several large National Institutes of Health research studies, including the Diabetes Prevention Program Outcomes Study and the Multi-Ethnic Study of Atherosclerosis. She reacts to the new guidelines and reflects on what these changes could mean to patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of ...

Host: Jennifer Caudle, DO Guest: Robert Carey, MD, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle talks with Dr. Robert Carey, vice chair of the 2017 hypertension guidelines about the new recommendations and their impact on clinical practice. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The ...

Host: Jennifer Caudle, DO Guest: Paul Whelton, MB, MD, MSc, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure, which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle chats with Dr. Paul Whelton, chair of the 2017 blood pressure guidelines writing committee, about how the new guidelines will affect patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The views, information, or ...

Host: Jennifer Caudle, DO Guest: Robert Carey, MD, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle talks with Dr. Robert Carey, vice chair of the 2017 hypertension guidelines about the new recommendations and their impact on clinical practice. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The ...

Host: Jennifer Caudle, DO Guest: Karol Watson, MD, PhD Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle is joined by Dr. Karol Watson, an attending cardiologist and a Professor of Medicine/Cardiology at the David Geffen School of Medicine at UCLA. Dr. Watson is a principal investigator for several large National Institutes of Health research studies, including the Diabetes Prevention Program Outcomes Study and the Multi-Ethnic Study of Atherosclerosis. She reacts to the new guidelines and reflects on what these changes could mean to patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of ...

Host: Jennifer Caudle, DO Guest: Paul Whelton, MB, MD, MSc, FAHA Under the 2017 Hypertension Guidelines, 46 percent of U.S. adults have high blood pressure, which is up from 32 percent under the old benchmark. This interview covers the key information physicians need to know from the new guidelines in order to improve blood pressure control rates. Host Dr. Jennifer Caudle chats with Dr. Paul Whelton, chair of the 2017 blood pressure guidelines writing committee, about how the new guidelines will affect patients. The American Medical Association's M.A.P. framework and blood pressure improvement program is dedicated to helping health care providers improve blood pressure control in their adult patient populations, and a new AMA resource can help you succeed in Medicare’s Merit-Based Incentive Payment System (MIPS) while you manage and treat high blood pressure. This resource outlines the different measures that relate to hypertension management in each MIPS performance category, potential MIPS score results, and related AMA resources that can help you improve the health of your patients with hypertension while checking all your MIPS boxes along the way. Please click here to access the New AMA resource pairs BP quality improvement with MIPS The views, information, or ...

Host Kevin Patton invites listeners to the 2018 Annual HAPS Conference, then summarizes a few key points from the new 2017 blood pressure guidelines, giving practical tips for the A&P course. The featured topic is how online tests can be used for retrieval practice, thus providing a powerful learning experience.   Testing is not just for assessment—tests can be a primary way to learn. What's in the new blood pressure guidelines? Going to the annual HAPS conference?   I encourage all anatomy and/or physiology instructors to attend the 2018 Annual Conference of the Human Anatomy and Physiology in Columbus OH. (0:50) HAPS 2018 Annual Conference   I summarize a few key points from the new 2017 guidelines on hypertension and their impact on how we talk about blood pressure in our A&P course. (3:45) Got High Blood Pressure Covered? The 2017 Hypertension Guidelines. What we need to know for teaching A&P. Link to the full report. And many more related links. Free slide to use in your course. Brief video interview of report authors, giving pithy highlights.   A previous topic, spaced retrieval practice (Episode 1), is the basis for a new discussion of Kevin's experience using online tests to provide students with regular and required spaced retrieval practice. (10:17) Testing as a Learning Tool Testing as Teaching Testing as a Learning Tool | Update Online Seminar: Testing as Teaching   More details at the episode page. Transcript available at the script page. If the hyperlinks above are not active, go to TAPPradio.org to find the episode page. Listen to any episode on your Alexa device. Join The A&P Professor social network: Blog Twitter @theAPprofessor Facebook theAPprofessor Instagram theAPprofessor YouTube Amazon referrals help defray podcasting expenses.

New hypertension guidelines from the American College of Cardiology have introduced a new blood pressure classification system and lowered the threshold for initiating pharmacotherapy in certain patient populations. Learning Objectives: Understand the new classification categories of hypertension Understand the new thresholds for starting treatment Understand the limitations of the new recommendations to specific patient populations

Ease the tension around blood pressure goals in older adults and get inside the hypertension guidelines released by the ACP and ACC/AHA in 2017 with the sagacity of Dr. Mary Ann Forciea, MD, MACP, Professor of Medicine at University of Pennsylvania. We cover: how to properly measure blood pressure, how to diagnose hypertension, blood pressure targets, why BP goals differ by society, how to guidelines are written and how to interpret them with a critical eye, plus a hot take on the 2017 ACC/AHA guidelines. Dr. Shreya Trivedi joins as cohost. Special thanks to Hannah Abrams for her wonderful infographics and to Dr Trivedi for compiling our show notes. Time Stamps 00:00 The setup 02:15 Disclaimer 03:32 Picks of the Week 08:13 Getting to know Dr Forciea 13:35 Broad overview and a clinical case of geriatric hypertension 14:45 Brief history on BP targets 18:05 How do you measure a blood pressure? What type of monitors are available? 22:13 How to standardize BP in the office? 23:55  Ambulatory BP monitoring 24:55 Home blood pressure monitoring 26:11 Standing blood pressure readings and orthostatic hypotension 27:53 How guidelines are written 30:51 Evaluating evidence quality and strength of recommendation 32:35 Timeline and process for guideline generation 34:27 How to read guidelines with a “critical eye” 36:15 Return to our case of uncontrolled hypertension 38:25 Blood pressure targets from ACP guidelines and BP management in frail older adults 40:33 Counsel patients on BP targets    42:25 Low diastolic blood pressure 45:35 SPRINT and the ACP BP guidelines 48:58 Take home points from Dr Forciea 50:07 HTN targets and pay for performance in clinical practice 51:45 Curbsiders recap the ACP guidelines 53:45 Matt and Paul recap the AHA guidelines 54:47 AHA definitions of hypertension 56:15 Diagnosing hypertension and how to measure a blood pressure 60:35 Choosing a blood pressure monitor and HBPM 62:29 Blood pressure goals in ACC guidelines 66:08 Non-pharmacologic measures 69:15 Will we follow these new strict targets? 72:45 Outro Tags:hypertension, blood, pressure, monitor, cuff, heart, aha, acc, act, stroke, cardiac, cardiovascular, event, guidelines, assistant, care, doctor, education, family, foam, foamed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

In this episode, we review the important changes in 2017 ACC/AHA guidelines for hypertension management in adults.

We interview Eric MacLaughlin, Joseph Saseen, and Kristin Rieser about the ACC/AHA Guidelines for the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure in Adults released in November 2017.  Dr. MacLaughin, a member of the Guideline Writing Committee, gives a insiders view of the guidelines development process and explains the rationale for lower blood pressure goals.  Drs. Saseen and Rieser talk about some of the practical considerations that we all must consider as we move forward to making these recommendations a reality. Guests:  Kristin Rieser, Pharm.D., Joseph Saseen, Pharm.D, and Eric MacLaughlin, Pharm.D. Music by Good Talk

We introduce the podcast and review the 2017 ACC/AHA Hypertension guidelines. The CorConsult Rx Podcast is a quick way to refresh your evidence-based medicine knowledge. Our aim is to produce easy-to-digest content that will be beneficial to students and professionals working in medicine, pharmacy, and nursing.

This week, the top stories in managed care included new hypertension guidelines lowering the threshold for high blood pressure, Trump nominating a new HHS secretary, and many consumers now have access to less expensive Affordable Care Act plans. High Blood Pressure Starts at 130/80, New Guidelines Say: www.ajmc.com/conferences/aha-2017/80-new-guidelines-say Trump Nominates Alex Azar, Former Lilly Executive, to Lead HHS: www.ajmc.com/newsroom/trump-nominates-alex-azar-former-lilly-executive-to-lead-hhs Kaiser Analysis: For Many, Health Coverage Costs Less Than Individual Mandate Penalty: www.ajmc.com/focus-of-the-week/kaiser-analysis-for-many-health-coverage-costs-less-than-individual-mandate-penalty Patient-Centered Oncology Care: www.ajmc.com/conferences/pcoc-2017/

Produced in collaboration with the Journal of the American Medical Association (JAMA) Date: March 13, 2014Featuring: Craig W. Robbins, MD, MPH, Medical Director, Center for Clinical Information Services, Kaiser Permanente Care Management Institute Don Goldmann, MD, Chief Medical and Scientific Officer, Institute for Healthcare Improvement Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, Medstar Health Eric Peterson, MD, MPH, Director, Duke Clinical Research Institute; Professor of Medicine, Division of Cardiology, Duke University Medical Center   Hypertension is a hot issue, especially in the US, where an expert committee recently recommended that the available evidence does not support initiating treatment (largely medication) for people 60 years or older until their blood pressure climbs to 150 over 90. The decades-long consensus had been to initiate treatment at 140 over 90, which is still the recommendation for adults younger than 60. The reasons for this change are possibly as complicated as the guideline process itself, but one of the chief concerns of the majority on the Eighth Joint National Committee (“JNC 8”) is the risk associated with aggressive treatment of hypertension in older adults. So, can we talk about this? We invite you to listen to this special WIHI produced in collaboration with the Journal of the American Medical Association. The discussion was constructive and forward-looking.  Some experts take exception to the committee’s findings and the process itself. Our guests are going to take all that into consideration, but, with your help, we’ll focus primarily on the best ways to approach changing and often-debated guidelines when working with patients to achieve optimal health. (The new guidelines for determining who should be put on statins to lower cholesterol are another case in point.)

Editor's Audio Summary by Phil B. Fontanarosa, MD, MBA, Executive Editor, the Journal of the American Medical Association, for the April 09, 2014 issue