Resistant Hypertension

CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults

Definition of Resistant Hypertension. The most common cause of resistant HTN non-adherence. Diagnosis H&P: -Identify and reversible risk factors such as obesity/overweight, lack of exercise, high salt diet, increased alcohol intake. -Screen for OSA and treat if...

Essential Hypertension (New Diagnosis)

CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds

Definition of Hypertension. Diagnosis Hypertension guidelines (JNC8, etc) reviewed. Will confirm dx by obtaining measurements outside of the clinical setting before starting treatment (per USPSTF 2015). Given BP card and instructed on how to take home BPs. Will...

HAS-BLED score

CARDIOLOGY, MNEMONICS

The HAS-BLED score estimates the 1-year risk of major bleeding for patients on anticoagulation for atrial fibrillation.  Prior to the publication of the HAS-BLED manuscript in 2010, an older, more complicated algorithm called HEMORR2HAGES was used. HAS-BLED has a...

Secondary Hypertension

CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

-This patient likely has secondary hypertension. -History and physical exam -The Causes of Secondary Hypertension, reviewed. -BPs have been repeated for accuracy. -Diet and drug-related causes reviewed. -2017 AAFP Algorithm reviewed. Diagnostic studies: -TSH, ECG, UA...

Hypertension Guidelines

CARDIOLOGY

1. JNC8 Hypertension Guidelines, from 2014 2. ACP and AAFP Guideline for Treatment of Hypertension in Adults 60 Years Old and Older (Jan 2017) Modification to the treatment cutoff of 150/90 for adults 60 or older to use the normal cutoff of 140/90 if the patient, 1)...

Syncope and Presyncope

CARDIOLOGY, Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Definition and classification of syNCOpe and presyncope. -Neurally mediated syncope vs. cardiac syncope vs. orthostatic hypotension syncope. -Patients with presyncope have similar prognoses to those with syncope and should undergo a similar evaluation” (AFP...