Category Archives: Hypertension

BP control before surgery

A reference in the latest BJGP has just answered a question I’ve been meaning to look into; how good a blood pressure control do we need to aim for in patients we’re referring for surgery? Not as strict as I’d … Continue reading

Posted in BJGP, Credits 2017, Hypertension, Surgery | Leave a comment

Bits and bobs

Useful bunch of motley learning points from the 15th April BMJ: A double-blind trial reported in NEJM has looked at the effects of treating borderline thyroid results (raised TSH with normal T4) in the elderly. It didn’t show any benefit … Continue reading

Posted in BMJ, Cardiovascular, Credits 2017, Endocrinology, Hypertension, Medication, Paediatrics, Thyroid | Leave a comment

New evidence on hypertension targets in elderly

The ‘research update’ section in the BMJ alerted me to an interesting study in JAMA – the SPRINT study, comparing different hypertension targets in relatively healthy elderly people. Here’s the information I have from the abstract plus editorial: Population studied … Continue reading

Posted in Credits 2016, Elderly Medicine, Hypertension | Leave a comment

Rational prescribing

From our CCG’s review of evidence (Rational Prescribing, Sept 2015): On current evidence (which admittedly is somewhat limited), there is no statistically significant benefit from treating Stage 1 hypertension (160/100 or less) Aiming for an HbA1c level of 7.0% vs. … Continue reading

Posted in Credits 2016, Diabetes, Hypertension, Medication, Nephrology | Leave a comment

Snippets

Ovestin vaginal cream does not increase circulating oestradiol, and thus can be considered for treatment of vaginal dryness in women who’ve had breast cancer. Evidence varies on whether systemic oestrogen increases recurrence risk (HABIT trial vs. Stockholm trial) but it’s … Continue reading

Posted in BJGP, Cardiovascular, HRT, Hypertension, Medication | 1 Comment

Resistant hypertension

Defined as BP above target despite 3 antihypertensives at best tolerated doses. However, before diagnosing it, check that that actually is what’s happening: Are the drugs being taken as prescribed? Compliance issues, comprehension issues, memory. Is BP measurement correct? Poor … Continue reading

Posted in Cardiovascular, Hypertension | Leave a comment

BMJ 2012: 344: 1 – 58 (4th February)

How safe are SSRIs in pregnancy?  A large linked-register study from the Nordic countries has shown third-trimester use to be associated with a 1.8/1000 risk of persistent pulmonary hypertension of the newborn (a life-threatening condition). Although a recent study, HYVET, … Continue reading

Posted in BMJ, Credits 2012, Elderly Medicine, Hypertension, Medication, Neurology, Pregnancy and Childbirth | Leave a comment