Paper Chase #5 | Management of Obesity Outcomes With or Without Gastric Bypass
From May 2018, The Buzz That Won't QuitIn extended follow-up of obese adults with type 2 diabetes randomized to adding gastric bypass compared with lifestyle and intensive medical management alone, there remained a significantly better composite triple end point (A1c < 7%, LDL < 100 mg/dL, systolic blood pressure < 130) in the surgical …
4min 22Andrew Buelt, DO and Joe Weatherly, DO
New Hypertension Guidelines: Friend, Foe, or Foolishness??
From December 2017, New Hypertension Guidelines: Friend, Foe, or Foolishness??Andrew and Heidi discuss the new AHA Hypertension guidelines that were released in November. Spoiler: even though they try really, really, REALLY hard to keep an open mind, our intrepid podcasters are not impressed. •
9min 11Heidi James, MD and Andrew Buelt, DO
Resistant Hypertension
From January 2017, Bones Lose Their AutonomyRob and Malcolm Thaler discuss evaluation and management of patients with resistant and secondary hypertension. •
14min 59Malcolm Thaler, MD and Rob Orman, MD
Paper Chase 3: BP Targets in Diabetes
From November 2016, Aspirin Loses Its TenureAntihypertensive treatment reduces the risk of mortality and cardiovascular morbidity in people with diabetes mellitus and a systolic blood pressure more than 140 mm Hg. If systolic blood pressure is less than 140 mm Hg, however, further treatment is associated with an increased risk of …
6min 1Andrew Buelt, DO and Joe Weatherly, DO
Paperchase 4: Managing Asymptomatic Hypertensive Urgency
From September 2016, Best Weight, Best Exercise!Hypertensive urgency is common, but the rate of major adverse cardiac events in asymptomatic patients is very low. In this study, visits to the emergency department were associated with more hospitalizations but not improved outcomes. •
6min 4Andrew Buelt, DO and Joe Weatherly, DO
Paperchase 2: Hypertension Management for Octogenarians
From September 2016, Best Weight, Best Exercise!5min 30Andrew Buelt, DO and Joe Weatherly, DO
Things I Do, But Should I? Dual Antihypertensives
From July 2016, Creme de la ThyroidReview evidence in favor of utilizing low dose double agents rather than high dose single agent for management of hypertension. •
8min 14Vanessa Cardy, MD and Adrien Selim, MD
Paper Chase 3: Prevention of Atrial Fibrillation
From April 2016, Hernias and OvariesDiscuss the recent article by Zhao, Di, Ze-Mu Wang, and Lian-Sheng Wang. "Prevention of atrial fibrillation with renin-angiotensin system inhibitors on essential hypertensive patients: a meta-analysis of randomized controlled trials." Journal of biomedical research 29.6 (2015): 475. •
4min 11Andrew Buelt, DO and Joe Weatherly, DO
JNC 8 Hypertension Guideline
From August 2014, All Roads Lead to Cheese FriesIf essential hypertension is so essential, why do we treat it? The new JNC 8 blood pressure guidelines have all the drama, intrigue, politics and excitement of a Shakespearean play (at least we think so). What BP limits got to stay and which ones were on the chopping block?
34min 25Rob Orman, MD and Heidi James, MD