The Curbsiders Internal Medicine Podcast #509 Fresh Hypertension Guidelines. West Philadelphia Doc Jordy Cohen Keeps Our Hypertension Management Fresh
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Dec 22, 2025 Dr. Jordana Cohen, a nephrologist and hypertension specialist at the University of Pennsylvania, tackles the latest in hypertension management. She delves into the importance of accurate blood pressure measurements and critiques wearable devices' limitations. Cohen highlights the 'time-in-target' concept for better risk prediction and discusses the value of fixed-dose combination pills for effective treatment. She also shares insights on managing hypertension during pregnancy and emphasizes the role of diet, particularly potassium intake, in blood pressure control.
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Hypertension Dramatically Raises Long‑Term Risk
- Hypertension causally increases cardiovascular events, stroke, CKD progression, and dementia risk. For every 20 mmHg higher systolic BP you roughly double major cardiac event risk.
How To Get A High‑Quality BP Reading
- Measure blood pressure with five minutes rest, arm at heart level, proper cuff size, empty bladder, and no bulky clothing. Use validated devices (see validatebp.org) and prefer automated office devices over aneroid cuffs.
Use Home BP Monitoring Routinely
- Recommend home blood pressure monitoring for diagnosis and follow-up: two readings morning and evening for at least 3 days, ideally 7. Combine home BP with follow-up actions for better control.