Pre PACES Podcast

#12 Hypertension

8 snips
Jul 4, 2021
Dr. Angus Nightingale, a consultant cardiologist and hypertension expert from the University of Bristol, dives into the complexities of hypertension. He explains various types, from primary to malignant, and shares essential red flags to look out for. Discussion on managing acute severe hypertension alongside practical lifestyle modifications offers listeners valuable insights. The episode wraps up with a fun quiz segment about the Italian detective novels featuring Inspector Montalbano, blending medicine with light-hearted literary charm.
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INSIGHT

Why Hypertension Is A Key PACES Case

  • Hypertension is a common multisystem problem linking heart, kidneys, endocrine and brain risks.
  • Its frequency and varied causes make it ideal for PACES stations testing broad clinical reasoning.
ADVICE

Diagnostic BP Thresholds To Use

  • Use clinic BP >140/90 to suspect hypertension and confirm with home/ambulatory monitoring.
  • For out-of-clinic readings, use >135/85 as the diagnostic threshold.
ADVICE

Confirm Readings And Key Early Questions

  • First confirm the BP data source and technique before diagnosing hypertension.
  • Ask medication history, previous readings, and pregnancy intentions in young women.
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