Hypertension specialist Dr Jordana Cohen shared her diagnosis and treatment recommendations during a recent thecurbsiders podcast.
recommend confirming the diagnosis of hypertension with home BP readings. So be sure that you're not just fooled by one reading in the office.
We are all at least aware of white coat hypertension, which is when the patient is hypertensive in the office but okay at home. In the past when I was just learning, we thought that was entirely benign. But it turns out to confer some cardiovascular risk. These are the patients in whom you might be more aggressive in treating. It's probably one of the few ways you can get insurance to pay for a 24-hour BP monitor, which is different from home BP monitoring.
We have the patient's home BP readings, which were high quality. Now I want to start a medication. ACE inhibitors and ARBs [angiotensin-converting enzyme inhibitors and angiotensin receptor blockers]: Is there any difference between them? How do you think about them now, and has your practice changed recently?by Chen and colleagues, from 2021, compared ACE inhibitors and ARBs.
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