The Curbsiders Internal Medicine Podcast #463 Tofurkey-cakes: A Hypertension Triple Pill, Arm Position & BP, early TAVR, Liberal vs Restrictive Transfusions, New Periop Guidelines
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Nov 25, 2024 Delve into groundbreaking topics like a promising new triple pill for hypertension, which could reshape treatment approaches. Learn how arm positioning can skew blood pressure readings, impacting clinical accuracy. Explore the implications of early TAVR for asymptomatic patients with severe aortic stenosis and the contrasting transfusion strategies for acute brain injuries. Lastly, get a rundown of the 2024 perioperative guidelines that aim to enhance risk assessment in non-cardiac surgeries. It's informative, insightful, and garnished with some humor!
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Triple-Pill Therapy for Hypertension
- Consider triple-pill therapy for hypertension.
- This approach may improve blood pressure control in appropriate patients.
Arm Position Matters for Blood Pressure
- Arm position significantly affects blood pressure readings.
- Ensure the arm rests at heart level on a flat surface for accurate measurement.
Early TAVR for Asymptomatic Aortic Stenosis
- Early TAVR in asymptomatic, low-risk severe AS patients reduced unplanned cardiovascular hospitalizations.
- However, it did not significantly impact stroke or death rates compared to surveillance.