2015 Comprehensive Update in Hypertension
Friday, September 11, 2015
University of Rochester School of Medicine and Dentistry
415 Elmwood Avenue
Rochester, NY 14642
Every health care practitioner is involved, in one way or another, in the evaluation and management of hypertension. With the advent of the electronic medical record and meaningful use criteria, blood pressure is taken at every office visit whether it be at a dermatologist, ophthalmologist, or general practitioner office. One has to do something with these readings – and with more readings being taken, there are more readings that identify patients at risk for the disastrous consequences of hypertension that include heart failure, renal failure, and stroke.
Since 1976, the federal government has published guidelines for the evaluation and treatment of hypertension that were the foundation of most providers’ approach to their patients. However, the last set of guidelines were published in 2003 and a controversial document was published in 2013 that caused much discord within the medical community. Moreover, the federal government decided not to endorse the 2013 document, further clouding the issue of evaluation and treatment. Similarly, the American Heart Association published guidelines in 2007 that were widely viewed as too aggressive and great controversy now hangs over the entire field.
At the same time, the population at risk has grown in number. Additionally, there are an increasing number of patients with diabetes, coronary disease, renal insufficiency, and severe hypertension so that the task on hand for many providers has become even more challenging. As if those weren’t enough challenges, health care reform has mandated quality measures that make the evaluation and appropriate treatment of hypertension even more of a priority. With that, population based strategies including motivational techniques have become more commonplace, as well as home and ambulatory blood pressure measurements as an adjunct to accurate evaluation.
This course has been constructed after a careful survey of about 15 primary care physicians, several nephrologists, several cardiologists, and members of the program planning committee of the annual Scientific Sessions of the American Society of Hypertension (ASH). The planning committee gave a useful perspective on issues of national and international interest to health care providers and helped greatly in the selection of topics and formats – many of which mimic the primary care track in ASH’s annual meetings. We feel that this conference will address the needs of practicing physicians, NP’s, PA’s, RN’s, and trainees at all levels and greatly improve the delivery of appropriate hypertension evaluation and treatment within our region.
This course is designed to provide the primary care physician, advance practice provider, and specialty physician the latest updates in the evaluation and management of patients with hypertension . The newest guidelines will be reviewed as will strategies for treatment of patients with resistant hypertension. Discussion of special patient populations will be covered. Case-based sessions will be included and focus on standard treatment strategies. There will be a focus on the diabetic patient, as well as those with co-morbidities such as renal insufficiency and vascular disease.