This activity is part of the Frankly Speaking with Dr. Frank Domino podcast series.
Frankly Speaking CME 76

Podcast

Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76

Hypertension affects an estimated 80 million Americans. We diagnose, determine the need for medication therapy, and monitor treatment efficacy based on a simple office blood pressure measurement – but how accurate is that measurement, and what is the most valid method to obtain it?

Episode references and resource links:

  1. Agarwal R. Implications of Blood Pressure Measurement Technique for Implementation of Systolic Blood Pressure Intervention Trial (SPRINT). Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease. 2017;6(2):e004536. doi:10.1161/JAHA.116.004536.
  2. Bell KJL, Doust J, Glasziou P. Incremental Benefits and Harms of the 2017 American College of Cardiology/American Heart Association High Blood Pressure Guideline. JAMA Intern Med. Published online April 16, 2018. doi:10.1001/jamainternmed.2018.0310
  3. Brett AS, Watson KE. New Multisociety Hypertension Guideline Is Released: Brett and Watson reviewing Whelton PK et al. J Am Coll Cardiol 2017 Nov 13. 2017. On Nov 16. 2017. NEJM Journal Watch. 2017 Nov 16. https://www.jwatch.org/na45488/2017/11/16/new-multisociety-hypertension-guideline-released
  4. Einstadter D, Bolen SD, Misak JE, Bar-Shain DS, Cebul RD. Association of Repeated Measurements With Blood Pressure Control in Primary Care. JAMA Intern Med. Published online April 16, 2018. doi:10.1001/jamainternmed.2018.0315. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2678452?redirect=true
  5. Sebo, Paula; Pechère-Bertschi, Antoinetteb,c; Herrmann, François R.d; Haller, Dagmar M.a,b,e; Bovier, Patrickf.  Blood pressure measurements are unreliable to diagnose hypertension in primary care. Journal of Hypertension: March 2014 - Volume 32 - Issue 3 - p 509–517doi: 10.1097/HJH.0000000000000058
  6. Schwenk TJ Take Second (and Maybe Third) BP Readings in Routine Follow-Up for Hypertension. Schwenk reviewing Einstadter D et al. JAMA Intern Med 2018 Apr 16. NEJM Journal Watch 2018 Apr 26. 
  7. https://www.jwatch.org/na46552/2018/04/26/take-second-and-maybe-third-bp-readings-routine-follow?query=topic_hypertension&jwd=000020096714&jspc=
  8. Whelton PK et al. ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2017 Nov 13; [e-pub]. (http://dx.doi.org/10.1016/j.jacc.2017.11.006)

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CME/CE Information

0 Credits - Not for CME/CE Credit

Release Date: 7/9/2018

Expiration Date: 7/9/2019

Topics

Faculty

Frank J. Domino, MD

Professor, Family Medicine and Community Health,
University of Massachusetts Medical School, Worcester, MA 

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A. Susan Feeney, APRN,BC

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Disclosures

The following relevant financial relationships have been disclosed by faculty, and all have been mitigated by Pri-Med Institute.

Frank J. Domino, MD: Has disclosed no relevant financial relationships. 

Susan Feeney, DNP, FNP-BC: Has disclosed no relevant financial relationships. 

Non-faculty contributors involved in the planning, development, editing, and review of the content have disclosed no relevant financial relationships. 

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Assessing Blood Pressure: How Accurate Are the Blood Pressure Measurements You Use to Care for Your Patients? - Frankly Speaking EP 76

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