Primary Care

Hypertension

Questions discussed in this category

Can a dihydropyridine calcium channel blocker (CCB) like amlodipine be prescribed in addition to a non-dihydropyridine CCB such as diltiazem or verapamil for treating hypertension?

7 Answers available

Do you recommend transitioning elderly patients from thiazide diuretics to alternative agents when managing hypertension given the increased concern for hyponatremia in this patient population?

2 Answers available

What is the optimal BP target for patients with diabetes and hypertension to reduce their risk of MI/stroke?

1 Answer available

How do you counsel patients on the likelihood of resolution of their hypertension post adrenalectomy for primary hyperaldosteronism?

Zarnegar R, et al. The aldsoteronoma resolution score: predicting complete resolution of hypertension after adrenalectomy for aldosteronoma. PMI...

1 Answer available

Do you prefer using losartan in your patients with hypertension and gout due to its uricosuric effects?

2 Answers available

How do the results of the ESPRIT trial, which evaluated the impact of an SBP target of <120 mmHg on preventing major cardiovascular events, influence your blood pressure management goals for hypertensive patients with diabetes or a history of stroke?

ESPRIT Trial

1 Answer available

Do you prefer telmisartan over other ARBs given its longer half life elimination?

2 Answers available

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

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

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

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

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

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.

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.

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.

Lancet (London, England), 2024 Jun 27

Lowering systolic blood pressure to less than 120 mm Hg versus less than 140 mm Hg in patients with high cardiovascular risk with and without diabetes or previous stroke: an open-label, blinded-outcome, randomised trial.

The Journal of surgical research, 2012 Aug 15

Persistent hypertension after adrenalectomy for an aldosterone-producing adenoma: weight as a critical prognostic factor for aldosterone's lasting effect on the cardiac and vascular systems.

Diabetes care, 2025 Jan 01

10. Cardiovascular Disease and Risk Management: Standards of Care in Diabetes-2025.

Primary Care

Hypertension

Questions discussed in this category

Papers discussed in this category

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