Discover and read the best of Twitter Threads about #hypertension

Most recents (24)

1) Gen med residents are taught to think of secondary hypertension, especially primary hyperaldosteronism, if the following conditions are met.

- young onset HTN (age < 40)
- family history
- resistant HTN
- hypokalemia
2) First of all, young onset HTN is a controversial term nowadays --> with the rise of fast food and sedentary lifestyles with pediatric obesity and metabolic syndrome --> it is entirely possible that the age may need to be shifted even lower!
3) This study, done in AIIMS with @DrSarahAlam as the lead author looked at PA epidemiologically.

202 patients with young onset HTN (YH) were evaluated.

Surprisingly the mean age was 43.9+/- 10.9 years!
pubmed.ncbi.nlm.nih.gov/33393127/
Read 12 tweets
Bilateral locomotor brachialis in a middle aged patient with severe hypertension and severe dizziness under eval ? post circulation stroke --> 280/170 mmg Hg (manually measured 4 times by 4 different people)

HTN is a killer!

#MedTwitter
#clinics
Patient consent taken before recording and posting video on SM!
Read 5 tweets
I want to highlight a recent meta-analysis of the sham-controlled renal denervation trials #hypertension

From @maahmed1218 @AndrewFoy82 and others at Penn State.

Free access x 40 days here: sciencedirect.com/science/articl…

Comments >
They study the 10 sham-controlled trials of RDN. About 1500 patients.

Mean fu (and this is a limitation) = 4 months.

Primary outcomes of the meta-analysis: the *raw mean differences* in 24 hour ambulatory, daytime ambulatory, nighttime, and office SBP and DBP
Results are clear: RDN does indeed reduce BP.

They found statistically sig reductions in all categories accept nocturnal BP.

Here are the differences in 24 hour ambulatory SBP and office SBP.
Read 11 tweets
A2 #Latinos are 1.5X as likely to be affected by #ALZ than non-Latino whites. They face inequities that discourage healthcare participation. They’re less likely to receive a timely diagnosis & more likely to experience #racism. #BrainHealthEquity #SaludTues @UsAgainstAlz (1/3)
A2 continued: In addition to barriers in healthcare participation, #Latinos & other people of color face higher risk for #ALZ or related dementia due to due to higher risk of comorbidities, like #diabetes and #hypertension. #BrainHealthEquity #SaludTues @UsAgainstAlz (2/3)
A2 continued: Lastly, social determinants of health #SDOH, like educational attainment, obesity & pollution are disproportionately felt by #Latino communities. We must make an intentional effort to promote #prevention & #BrainHealthEquity for #Latinos #SaludTues @UsAgainstAlz 3/3
Read 3 tweets
"It’s mediaschmerz—a sadness about the news cycle and news media, which is distinct from the experience of our everyday life. I’m not sure if I think this is good or bad. It simply is. Individual hope and national despair are not contradictions." @DKThomp greeneracresvaluenetwork.wordpress.com/2022/06/02/dai…
Read 13 tweets
Cardiovascular disease 🫀 is the world’s biggest killer, representing 32% of all global deaths.

Hypertension, or high blood pressure, is a major risk factor for cardiovascular disease. 🧵 1/11
#Hypertension is a “silent killer” as most people with hypertension are not aware of their diagnosis. 2/11
Treatment for hypertension involves multiple steps and medicines which make it difficult for patients to follow through and manage their treatment.

The price of medicines is also a major challenge in some places. 3/11
Read 11 tweets
1) Welcome to a new #accredited #tweetorial on Clinical and Laboratory Manifestations of #DKD in #T2D: From Early Identification to Monitoring Management. Your expert author is @edgarvlermamd.
2a) This activity is supported by an independent educational grant from the Boehringer Ingelheim/Lilly Alliance and is intended for healthcare providers. It is accredited for #physicians #physicianassistants #nurses #NPs #pharmacists. Check out @cardiomet_ce for more🆓CE/#CME.
Read 45 tweets
#आरोग्यसल्ला_ख़ास_तुमच्यासाठी
#जागतिक_उच्च_रक्त_दाब_दिन
सुरक्षित जीवनाच्या नियमांचे पालन
करू, उच्च रक्तदाब आजाराला दूर
पळवूया. #hypertensionday2022
💝 #धुम्रपान_सोडा
धु्म्रपानमुळे उच्च रक्तदाब होतो असे
निष्पन्न झालेले नाही पण जेव्हा तुम्ही
सिगारेट 🚬ओढतात ती संपल्यानंतर
काही मिनिटांसाठी धुराच्या स्वरुप🚬
Read 9 tweets
THREAD: Online Portraits for BC family physicians

1/7 UBC’s Therapeutics Initiative now has Online #PrescribingPortraits: ti.ubc.ca/portrait

✅ Timely evidence
✅ Personalized, confidential prescribing data
✅ Recommendations to support

#BetterPrescribing & #BetterHealth Image
2/7 Why have a #PrescribingPortrait?

"How do I prescribe compared to others or to evidence standards?"

✅Portrait does NOT tell individual doctors how to practice
✅Portrait DOES promote optimal prescribing based on best available evidence

More here: ti.ubc.ca/portrait Image
3/7 BC family physicians: How do you prescribe ACEIs and ARBs for #hypertension?

✅Register for your Online #PrescribingPortrait: ti.ubc.ca/portrait

✅View a sample portrait on prescribing of antihypertensives: ti.ubc.ca/2022/01/28/ace…

#BetterPrescribing #MedEd Image
Read 8 tweets
1) Welcome to a new #accredited #tweetorial, Prevention and Management of Heart Failure in T2 Diabetes: The Diabetologist’s Perspective! Our expert author is Melanie J Davies CBE FMedSci @profmjdavies, Prof of Diabetes Medicine, U Leicester, Leicester Diabetes Unit @LDC_Tweets
2) This program is intended for #healthcare professionals and is accredited by @academiccme for 0.75h CE/#CME credit for #physicians #physicianassistants #nurses #nursepractitioners #pharmacists 🇺🇸🇨🇦🇬🇧🇪🇺. FOLLOW US for #cardiometabolic education from expert authors!
3) @cardiomet_CE is supported by educational grants from AstraZeneca, Bayer, Boehringer Ingelheim Pharmaceuticals Inc. and Eli Lilly Company, and Chiesi. See archived programs still available for credit at cardiometabolic-ce.com. Disclosures at cardiometabolic-ce.com/disclosures/
Read 43 tweets
1) Welcome to a #tweetorial on what every #ICU #nurse should know about #hypertensive crisis, or #hypertensive #emergency as it is now more properly termed. I’m Bryan Boling @bryanboling, ICU #NP, & co-host of the @icuscenarios podcast. Follow this 🧵for 🆓CE/#CME credit!
2) This accredited educational activity is intended for healthcare providers & is supported by grants from AstraZeneca, Bayer, & Chiesi. Faculty disclosures cardiometabolic-ce.com/disclosures/. Like ❤️this topic? More CE/#CME on #hypertension mgt at cardiometabolic-ce.com/category/hyper….
3) So let's start with a case: 65yo ♂️, presents to the #ED with #headache, lethargy & confusion. PMH: #HTN, #hyperlipidemia, #DM2, COPD. Initial VS: HR 85, BP 205/120, T 37.2 RR 12, SpO2 92% on RA. Family reports that he has been more lethargic over the past 2 days.
Read 37 tweets
1) Welcome to our new #accredited #tweetorial on the Pathophysiology of #DKD in #T2D: Traditional Teaching and New Insights. Our expert author is Hans-Joachim Anders, MD, @hjanders_hans from @LMU_Uniklinikum of @LMU_Muenchen
2) This #accredited #tweetorial series on the foundations of #kidneydisease #DKD through the lens of #T2D is supported by an independent educational grant from the Boehringer Ingelheim/Lilly Alliance and is intended for healthcare providers.
3) This activity is accredited for #physicians #physicianassociates #nurses #NPs #pharmacists 🇺🇸🇪🇺🇬🇧🇨🇦. Past programs still eligible for credit are at ckd-ce.com. Faculty disclosures are at ckd-ce.com/disclosures/. FOLLOW US for regular programs by expert faculty!
Read 48 tweets
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.

A thread to ponder over Easter 🧵

#Haemodynamics #Physio #PhysicalTherapy #Hypertension

1/
Reason 1.

Vital signs tell you lots about the patient’s general health.

The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.

2/
Reason 2.

High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.

... Unless you take the time to check.

3/
Read 8 tweets
1) Welcome to a new #accredited #tweetorial about an important complication of #pulmonaryembolism (#PE): chronic thromboembolic pulmonary hypertension #CTEPH. Follow this thread to earn 0.75h CE/#CME #physicians #physicianassociates #NPs #nurses #pharmacists.
2) I am Jason Weatherald @AlbertaPHdoc of @UAlberta and you may recall my previous tweetorial in this feed. It's still available for credit at cardiometabolic-ce.com/pah2/. @cardiomet_CE is your ONLY home for earning CE/#CME entirely on Twitter! Howdy to @vic_tapson @lauralynndonah1 Image
3) This program is intended for #healthcare providers and is supported by educational grants from Actelion, Bayer, Chiesi, & AstraZeneca. Faculty disclosures are listed at cardiometabolic-ce.com/disclosures/. Prior programs, still available for credit, are at cardiometabolic-ce.com
Read 49 tweets
Finally, the #GoldacreReview is published! (During Parliamentary Easter holidays, mid-ping-pong on the #HealthAndCareBill...)

It's 221 pages - each PDF page is a double page spread - so this could be a lo-o-o-ong [Thread].

Here goes...
First point to note, in the Terms of Reference (p5), is that this is about "access to #NHSdata by #researchers, #commissioners, and #innovators" - i.e. #Planning and #CommercialReUse - so it is directly relevant to the operation of millions of people's #NationalDataOptOuts... Terms of reference for the review  1. How do we facilitate a
"185 wide-ranging recommendations for us to explore", says @sajidjavid (p6). Gulp! Time for some coffee...

"systems that ensure #underrepresented groups are well represented" may (partly) refer to this "landmark review", which got off to a slow start:

gov.uk/government/new… The far-reaching independent review into potential ethnic bi
Read 159 tweets
🎖 #ACC_AHA_HFSA #HF Guidelines are out
Short Tweetorial
🍀 Congrats to the authors for the huge effort : 108 pgs covering multiple aspects including #CardiacAmyloid
@ShelleyZieroth @hvanspall @carlosguizars @ValleAlfonso @JavedButler1 @gcfmd @JJheart_doc
rb.gy/ocnlb7
1️⃣ #HFrEF tx
✅ Pros: Clear 4 pillar 1st line 1 day ( No wait)
❌ Cons: NYHA is not fixed very changeable : Better using Hypotension (SBP<100 mmHg) as choice criteria for ACE/ARB vs ARNI
❌ Cons: After 1 + 1/2 year from #GALACTIC_HF Omecamtiv Mecarbil still not in GD
2️⃣ #HFmrEF
✅ Pros: Concur with HFmrEF recom.
⭕️ Probably a 2a in this class for #ARNI is more EBM
@DrNasrien @dranulala @robmentz @MicheleSenni @DrDEliaEmilia @gbiondizoccai @torresviera @JavierdeJuan1 @global_meded @Filippatos @YuriLopatin1
#ACC22
Read 6 tweets
Check out Top 10🔑points from the 🆕ACC/@American_Heart/@HFSA Guideline for the Management of #HeartFailure #CardioTwitter #ClinicalGuidelines #ACC22

🧵Key Points👇
1⃣ Guideline-directed medical therapy for #HeartFailure w/ reduced ejection fraction #HFrEF now incorporates four medication classes that include #SGLT2i. #ClinicalGuidelines
2⃣ #SGLT2i have a Class of Recommendation 2a in #HFmrEF. Weaker recommendations (COR 2b) are made for ARNi, ACEi, ARB, MRA & beta blockers in this population. #ClinicalGuidelines
Read 11 tweets
Join us tomorrow for the launch of a new accredited tweetorial – a case-based program on the assessment and management of patients with IgA #nephropathy (#IgAN). Free CE/#CME for #physicians, #nurses, #pharmacists! Expert author none other than @IgAN_JBarratt. FOLLOW US . . .
. . . and tell your colleagues to join you here on @ckd_ce, your ONLY source for accredited #tweetorials in the #CKD space! #nephtwitter #nephjc @nephondemand @Nephro_Sparks @edgarvlermamd @ChristosArgyrop @goKDIGO @nicklimd @CKJsocial @ERAkidney @kidney_boy @kidneypathology
1) Welcome to our accredited #tweetorial on optimal contemporary mgt of #IgAN. Earn 0.5h CME/CE credit #physicians #nurses #nursepractitioners #physicianassistants by following this thread. I am @IgAN_JBarratt. @MedTweetorials #nephtwitter #nephjc #FOAMed #MedEd Image
Read 56 tweets
This one aimed to assess whether inflammation mediates the Black-White incident diabetes disparity.
- In this prospective cohort study of Black and White adults, Black adults had higher CRP and higher rates of incident diabetes than White adults.
- Inflammation as measured by CRP was found to be a risk factor for diabetes regardless of race.
Read 7 tweets
This one found greater adiposity measures to be associated with CVD risk factors even after adjustments for covariates and physical fitness in Swedish 9-year-old children.
- Body composition and physical fitness were strongly associated.
- Fat mass and fat mass index were strongly and positively associated with CVD risk factors also after adjustments for covariates including physical fitness.
Read 9 tweets
In this middle-to-older-aged active general population sample living in Lausanne, Switzerland, differential associations between permanent night work and the risk of metabolic syndrome for men and women were found.
- Permanent night work was only associated with a higher risk of metabolic syndrome in men but not in women, an that may be mediated by a higher risk of visceral obesity.
- Contrary to other studies, no association between permanent night work or night-shift work and metabolic syndrome in women was found.
Read 5 tweets
1) Welcome to a new #accredited #tweetorial on currently available treatments for mineralocorticoid receptor (MR) antagonism (#MRA), the differences among them, and how these differences impact on treatment of cardio-reno-metabolic diseases #CaReMe #FOAMed
2) Our expert author is Dr. Patrick Holmes MB BS, MSc, DipTher, MRCGP (@drpatrickholmes), a GP Partner at St. George’s Medical Practice, Darlington for 23 years. He is a Trustee for the Primary Care Diabetes Society and is Associate Editor for Diabetic Medicine @diabeticmed.
3) This program is supported by an educational grant from Bayer & is intended for #healthcare providers. Author disclosures can be found at ckd-ce.com/disclosures/. Prior programs, still available for CE/#CME credit, are at ckd-ce.com. CE/#CME credit 🇬🇧🇪🇺🇨🇦🇺🇸
Read 35 tweets
Doing this space yesterday reminded me of my own Hypertension diagnosis & how it affected my life:

Firstly, I was shocked when my dr told me I have a high blood pressure. My BP had always been on average 110/70 for MANY years. I did annual checks regularly “for points”..
But when I started my practice I “got busy” & slacked a little (a lot)..

2 yrs went by. Life happened. I went through patches of STRESS - work & personal life.

Then I went for a full medical because I was going to climb Mt Kilimanjaro. Then BOOM - BP is around 150/110..
We think it’s white coat hypertension syndrome: that I’m nervous as a dr patient.

Off I go to Mt Kili. My BP on the mountain fluctuates between 135/85 to 145/90 when we do daily checks with my guide.

Hike went more than well. Guide says I’m an overachiever for my summit time😁
Read 13 tweets
THREAD: Primary #hypertension therapy: after thiazides, an ACEI or an ARB?

1/8 Nearly 650,000 British Columbians took an ACEI or ARB in 2021

Our new TI Therapeutics Letter reiterates evidence for one of the most common primary care tx choices: ti.ubc.ca/letter133

#MedEd
2/8 Lower #BloodPressure not the Main Goal

#Antihypertensives lower various measures of blood pressure (BP) 💊

But... not all BP lowering drugs are proven to reduce both morbidity & mortality

👉🏾ti.ubc.ca/letter133

#MedEd #prescribing #hypertension
3/8 The importance of clinical outcomes

Basing decisions on which drug lowers #BloodPressure the best cannot guarantee the best clinical outcomes

Read our Therapeutics Letter on optimal 1st and 2nd line treatments: ti.ubc.ca/letter133

#MedEd #prescribing #hypertension
Read 9 tweets

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