General Internal Medicine

Hypertension

Questions discussed in this category

What is your systolic blood pressure target for patients over 80 with frailty and multiple comorbidities?

Do you have a preference between an ACEI and ARB when initiating therapy for a patient with diabetic kidney disease, albuminuria, and hypertension?

7 Answers available

How do you approach long-term blood pressure parameters in ischemic stroke patients with severe symptomatic intracranial stenosis?

How do you balance between having a higher long-term blood pressure to prevent flow failure and leading to worsening of stenosis or occlusion from the...

2 Answers available

Are there instances when you would recommend against pursuing adrenal vein sampling in a patient with primary hyperaldosteronism and normal adrenal imaging?

1 Answer available

Do you take any special considerations when working up a pregnant patient for secondary causes of hypertension?

1 Answer available

Would you treat an ESKD patient with renal artery stenosis in an attempt to improve blood pressure control and preserve residual renal function?

2 Answers available

What is your preferred initial imaging choice for a patient suspected of having renal artery stenosis who does not have any contraindications to imaging contrast media?

1 Answer available

What is the approach to use of ACE inhibitors for suspected scleroderma renal crisis in patients with only mildly elevated BP and renal artery stenosis?

2 Answers available

What is your approach to managing patients with labile blood pressures secondary to baroreflex failure?

1 Answer available

Which medications do you deem necessary to stop prior to measuring plasma renin and plasma aldosterone when evaluating a patient for possible primary aldosteronism?

1 Answer available

Is there a role for vascular intervention in patients with renal artery stenosis found during work up of resistant hypertension?

1 Answer available

What is your preferred method for confirming the diagnosis of primary aldosteronism in a patient with an elevated plasma aldosterone to renin ratio?

1 Answer available

Papers discussed in this category

The Journal of clinical endocrinology and metabolism, 2016-05

The Management of Primary Aldosteronism: Case Detection, Diagnosis, and Treatment: An Endocrine Society Clinical Practice Guideline.

The New England journal of medicine, 2014-01-02

Stenting and medical therapy for atherosclerotic renal-artery stenosis.

Annals of internal medicine, 2009 May 04

Stent placement in patients with atherosclerotic renal artery stenosis and impaired renal function: a randomized trial.

The New England journal of medicine, 2009 Nov 12

Revascularization versus medical therapy for renal-artery stenosis.

Kidney international. Supplement, 2002 Dec

Comparative effects of ACE inhibition and angiotensin II receptor blockade in the prevention of renal damage.

JAMA internal medicine, 2014 May

Effect of angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers on all-cause mortality, cardiovascular deaths, and cardiovascular events in patients with diabetes mellitus: a meta-analysis.

Drugs & aging, 2001

Hypertension in the Very Elderly Trial (HYVET): protocol for the main trial.

Circulation research, 2019 Mar 29

Hypertension Management in Older and Frail Older Patients.

General Internal Medicine

Hypertension

Questions discussed in this category

Papers discussed in this category

Related Topics in General Internal Medicine