Goals and Objectives
Approximately 10-30% of patients fail to have their BP controlled on three antihypertensive agents, one of which is a diuretic. Reasons for this apparent lack of BP control has to do with the office BP measurement itself, lack of adherence to drug therapy, and inappropriate combinations of antihypertensive medications that do not complement each other’s mechanism of action. This activity will review key secondary causes of hypertension including endocrine tumors, mineralocorticoid excess, and sleep apnea. A reasonable approach for those with resistant hypertension will be presented to further improve BP control rates in this high-risk population. Upon Completion, learners should be better prepared to:
- Understand the definition of resistant hypertension
- Review the clinical workup of resistant hypertension including the importance of 24-hr ABPM to secure the diagnosis
- Recognize the importance of lifestyle modification and the evidence for the use of chlorthalidone over hydrochlorthiazide, and mineralocorticoid receptor antagonism (spironolactone) as a 4th drug to improve BP control in those with resistant hypertension
CME Release Date: December 27th, 2017
Valid for credit through: December27th, 2018
Course type: Video lecture
Sponsored in part by: SMA Services, Inc.
Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Southern Medical Association designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board. All healthcare professionals who are not MDs or DOs will receive a certificate of participation.
Instructions for Participation and Credit
This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:
- Read the goals and objectives, accreditation information, and author disclosures.
- Study the educational content and references.
- Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
- Complete the activity evaluation and attestation.
Upon completion of the evaluation and attestation, your certificate will be processed and emailed within 2 weeks. Credits will be archived for 6 years; at any point within this time period you can contact Southern Medical Association for a duplicate copy of your credit.
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