Hypertension

Questions discussed in this category

In patients with hypertension and suspected primary aldosteronism who have undergone negative confirmatory testing, what follow-up and monitoring strategies would you recommend to ensure early detection of potential aldosteronism?

1 Answer available

Do you recommend taking any unique approaches to managing patients with persistent hypertension following bilateral renal artery stenting?

1 Answer available

Under what circumstances do you recommend targeting a systolic blood pressure of less than 120 mmHg in a patient with CKD?

2 Answers available

Do you recommend bedtime administration of antihypertensives in patients who exhibit nondipping on ambulatory blood pressure monitoring?

3 Answers available

What is the optimal approach to treat isolated diastolic hypertension?

1 Answer available

Do you recommend increasing dietary potassium intake for blood pressure management in non-CKD patients with hypertension?

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

What are your top takeaways from ASN 2023?

2 Answers available

Do you recommend performing cognitive testing in the clinic to determine the blood pressure target in patients 80 years or older?

1 Answer 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

Can Droxidopa be used for augmenting orthostatic hypotension treatment in patients who are already on midodrine and/or fludrocortisone?

Is there an approach to tapering the other two medications while uptitrating Droxidopa dosing to reduce the risk of supine hypertension?

1 Answer available

What is your approach to thiazide diuretic use in those with uncontrolled hypertension and advanced chronic kidney disease?

2 Answers available

What is a reasonable blood pressure goal for refractory HTN in the geriatric population?

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

What is the next best anti-hypertensive medication to start after mineralocorticoid receptor antagonists in patients with 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

Do you recommend using doses of ACEi or ARBs that is above the usual dosing with the goal of reducing a patient's proteinuria further?

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

Do you recommend switching to a non-dihydropyridine calcium channel blocker with the goal of decreasing proteinuria in a proteinuric, hypertensive CKD patient already on a dihydropyridine calcium channel blocker?

1 Answer available

For which patients do you prioritize ambulatory blood pressure monitoring over self-measured blood pressure?

1 Answer available

How do you estimate daily dietary sodium intake in your patients with hypertension?

1 Answer available

Papers discussed in this category

JAMA, 2016-06-28

Intensive vs Standard Blood Pressure Control and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years: A Randomized Clinical Trial.

JAMA, 2019-02-12

Effect of Intensive vs Standard Blood Pressure Control on Probable Dementia: A Randomized Clinical Trial.

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.

Hypertension (Dallas, Tex. : 1979), 2017 Nov 13

2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.

The New England journal of medicine, 2021 Nov 05

Chlorthalidone for Hypertension in Advanced Chronic Kidney Disease.

JAMA, 2019-08-13

Association of Intensive vs Standard Blood Pressure Control With Cerebral White Matter Lesions.

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.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2015-01

Liver involvement in early autosomal-dominant polycystic kidney disease.

N Engl J Med, 2015 Nov 09

A Randomized Trial of Intensive versus Standard Blood-Pressure Control.

Lancet (London, England), 2005 Mar 12-18

Blood-pressure control for renoprotection in patients with non-diabetic chronic renal disease (REIN-2): multicentre, randomised controlled trial.

Hypertension

Questions discussed in this category

Papers discussed in this category

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