Search results for "Hypertension"
MKSAP Quiz: Evaluation for sports participation
This week's quiz asks readers to interpret the cardiac findings of an 18-year-old man with no history of hypertension or other pertinent medical history who is being evaluated before participating on his college basketball team.
https://immattersacp.org/weekly/archives/2023/02/21/3.htm
21 Feb 2023
MKSAP Quiz: Follow-up of abdominal, pelvic CT scan
A 38-year-old woman is seen in follow-up to discuss the findings of an abdominal and pelvic CT scan done to evaluate renal colic, which has since resolved. The abdominal CT scan showed two small nonobstructing renal calculi in the right kidney and a 1.6-cm left adrenal mass. Following a physical exam and lab studies, what is the most appropriate test to perform next?
https://immattersacp.org/weekly/archives/2021/04/06/3.htm
6 Apr 2021
Guideline issued on blood pressure management in CKD
The Kidney Disease: Improving Global Outcomes Work Group recommends targeting a standardized systolic blood pressure less than 120 mm Hg in patients with chronic kidney disease (CKD) who are not receiving dialysis, among other guidance.
https://immattersacp.org/weekly/archives/2021/06/22/4.htm
22 Jun 2021
MKSAP Quiz: Elevated blood pressure during pregnancy
A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. Following a physical exam and lab studies, what is the most likely cause of this patient's elevated blood pressure?
https://immattersacp.org/weekly/archives/2020/05/19/3.htm
19 May 2020
MKSAP quiz: Appropriate treatment for primary hyperaldosteronism
A 67-year-old man is evaluated during a follow-up visit for resistant hypertension. He was recently evaluated for primary hyperaldosteronism, and the screening plasma aldosterone concentration/plasma renin activity ratio was >20. A dedicated adrenal CT scan showed diffuse bilateral adrenal hyperplasia. After history and physical, cardiac and pulmonary exams, and discussion of patient preferences, what is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2022/07/19/3.htm
19 Jul 2022
Incidentally detected bradyarrhythmias not associated with worse outcomes in older patients
Bradyarrhythmias were found in 20.8% of patients ages 70 years and older who were given an implantable loop recorder compared to 3.8% in a control group, but detection and treatment were not associated with risk of syncope or sudden death, a Danish study found.
https://immattersacp.org/weekly/archives/2023/02/21/1.htm
21 Feb 2023
App-enabled device no better than standard device for self-measuring blood pressure
A smartphone app did not provide any additional reduction in blood pressure, and patients with hypertension would recommend a standard device as much as they would the app-connected device, a study concluded.
https://immattersacp.org/weekly/archives/2022/08/23/2.htm
23 Aug 2022
Cardiac societies issue new joint guideline on management of heart failure
The updated guideline recommends sodium-glucose cotransporter-2 inhibitors for many heart failure patients, regardless of their diabetes status, among other changes.
https://immattersacp.org/weekly/archives/2022/04/05/2.htm
5 Apr 2022
Treatment of mild hypertension is not associated with improved outcomes
Treating patients with mild hypertension for primary prevention does not significantly reduce their morbidity or mortality, according to a new Cochrane review.
https://immattersacp.org/weekly/archives/2012/08/21/1.htm
21 Aug 2012
Adding an antihypertensive to existing regimens associated with greater BP reduction than maximizing dose, with some caveats in adherence
A retrospective study of older veterans with hypertension found that while adding a medication reduced systolic blood pressure by an extra point, patients who received a dose increase instead of a new drug were more likely to maintain the regimen.
https://immattersacp.org/weekly/archives/2021/10/05/4.htm
5 Oct 2021