The Curbsiders Internal Medicine Podcast REBOOT #321 Hypertension FAQ: Common Outpatient Cases with Dr. Jordy Cohen
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Aug 28, 2023 AI Snips
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Counseling Patients on Home BP Checks
- Instruct patients to take at least three days of home readings with two measurements in the morning before meds and two in the evening before meds.
- Ensure patients rest seated for five minutes before readings and use validated upper-arm cuffs.
BP Threshold in Young Adults
- Guidelines suggest meds if BP averages above 140/90, but observational data in young low-risk adults is limited.
- Dr. Cohen prefers aiming for <130/80 and discusses risks and benefits openly with patients.
Start With Low-Dose Combo Therapy
- Start hypertension treatment with low-dose combination of calcium channel blocker and ARB to target multiple mechanisms.
- Avoid high doses initially to minimize side effects and use long-acting ARBs like olmesartan.