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Nov 13, 2023 · Jordy Cohen, MD, MSCE, is an Assistant Professor of Medicine and Epidemiology in the Renal-Electrolyte and Hypertension Division and Department of Biostatistics, Epidemiology and Informatics.
- Hypertension Definition
- Mechanisms of Hypertension
- Agents For Treating Blood Pressure
- Escalating Blood Pressure Medication
- Workup For Hard to Control Hypertension
While there is still conflict regarding the definition of hypertension, it is generally agreed that hypertension is a systolic blood pressure (BP) ≥ 130mm Hg and/or a diastolic BP ≥ 80 mmHg (2017 ACC/AHA Guidelines), while other groups have a higher threshold to define hypertension, 140/90 (ACP/AAFP guidelines). Dr. Cohen reminds that in most patie...
Essential hypertension, also called primary hypertension, is hypertension without a clear secondary cause, and it is often the result of multiple processes. However, essential hypertension can be thought about in terms of two primary contributory mechanisms, renin-angiotensin-aldosterone system (RAAS)-driven or sympathetic-driven hypertension (Hall...
Patients should be treated with all three first line agents before second line agents are added. Dr. Cohen talks at more length on choosing an initial blood pressure agent in episode #321. First line agents are (2017 ACC/AHA Guidelines): ARBs/ACEi, angiotensin receptor blockers (ARBs) and ACE (angiotensin-converting enzyme) inhibitors like losartan...
Dr. Cohen encourages us to have a low threshold for adding a third agent in a patient who is still hypertensive despite already being on two antihypertensive agents. While we want to avoid polypharmacy,using multiple antihypertensive agents at a lower dose can achieve blood pressure control with fewer side effects (Bennett et al 2017). Your patient...
Laboratory evaluation for hypertension should include a basic metabolic panel, a lipid profile, and urinalysis looking for proteinuria (2017 ACC/AHA Guidelines). For hard to control hypertension, renin and aldosterone should also be tested. Dr. Cohen’s research of testing and prescribing data from the VA shows that renin and aldosterone are tested ...
Feb 14, 2022 · Hypertension FAQ Round #2 Dr. Jordy Cohen Strikes Back Tackle resistant hypertension. Learn when it is pseudo resistant hypertension, and...
Feb 14, 2022 · Our guest Dr. Jordy Cohen will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.
Principal investigator and co-investigator of mechanistic randomized trials, prospective observational studies, and emulated trials related to physiology-driven management of hypertension...
- 373
- 388
- University of Pennsylvania School of Medicine
Feb 14, 2022 · Master common hypertension scenarios in the clinic! Our guest Dr. Jordy Cohen ( @jordy_bc (https://twitter.com/jordy_bc) ) will lead us through the FAQs of o...
- 84 min
- 2.9K
- The Curbsiders Internal Medicine Podcast
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Aug 28, 2023 · Our guest Dr. Jordy Cohen will lead us through the FAQs of outpatient hypertension management, including making a diagnosis of hypertension, managing blood pressure in patients with chronic kidney disease, working up refractory hypertension, and more.
