The Curbsiders Internal Medicine Podcast

#321 Hypertension FAQ: Common Outpatient Cases with Dr. Jordy Cohen

14 snips
Feb 14, 2022
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Jordy Cohen
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INSIGHT

Office Readings Mislead; Use Validated Home BP

  • Clinic BP measurements are often inaccurate due to poor positioning, wrong cuff, and white coat effects.
  • Use validated automated office or out-of-office home/ambulatory readings to confirm hypertension.
ADVICE

How To Instruct Patients For Home BP Checks

  • Instruct patients to take two morning and two evening home readings for at least three days after five minutes seated rest.
  • Use validated upper-arm devices listed on validatebp.org for accurate home averages.
ADVICE

Start Low‑Dose Combination Therapy

  • Start many patients on low-dose combination therapy (e.g., low-dose CCB + ARB) rather than full-dose monotherapy.
  • Lower doses of two complementary drugs increase efficacy and reduce side effects.
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