This Week in Cardiology Aug 15 2025 This Week in Cardiology
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Aug 15, 2025 Discover the latest hypertension guidelines emphasizing prompt treatment and the importance of careful management. Learn about the surprising impacts of ultra-processed foods on cardiometabolic health. Explore innovative solutions for refractory angina, including the promising coronary sinus reducer. Plus, delve into the effectiveness of pulsed field ablation for atrial fibrillation, revealing its advantages over traditional methods. A crucial listen for keeping up with advancements in cardiovascular care!
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Use Combination Pills For Stage 2 HTN
- Start two first-line antihypertensive classes in a single-pill combination for stage 2 hypertension for better adherence.
- Prefer thiazide-type diuretics, long-acting dihydropyridines, ACE inhibitors, or ARBs as first-line agents.
Target Lower BP In Right Patients
- Intensive systolic targets (≈120 mm Hg) follow SPRINT evidence and benefit higher-risk middle-aged patients most.
- ACCORD's negative diabetes result may be reconciled by identifying SPRINT-like subgroups who do benefit from lower targets.
Work Up Resistant Hypertension First
- Confirm true resistant hypertension before advanced therapies by checking adherence and secondary causes.
- Use a mineralocorticoid receptor antagonist first, then consider amiloride if poorly tolerated.