High Blood Pressure in Young Adults - Investigation and Management

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High Blood Pressure in Young Adults - Investigation and Management

High blood pressure in young people is increasingly common. It is partly linked to increasing levels of metabolic syndrome and obesity, but in addition, young adults are more likely to have a curable cause of hypertension. In this recorded webinar Dr Michael MacDonald, Consultant Cardiologist, discusses the investigation and management of high blood pressure in young adults. He examines the common secondary causes of hypertension in this group and how best to investigate and manage them. Dr Michael MacDonald is a Senior Consultant Cardiologist at the Harley Street Heart & Vascular Centre, Singapore.

⏲️ Time Stamps ⏲️
0:00 Introduction
1:17 THE HARLEY STREET HEART & VASCULAR CENTRE
1:29 Hypertension in the Young
1:57 Hypertension Globally
2:15 High prevalence of hypertension in patients 50 years of age in Singapore
5:57 Secondary causes are more common in the young
7:10 All Patients with Hypertension
12:55 Medications Increasing Blood Pressure
14:13 Oral contraceptive Pill
15:33 Common causes and clinical clues
20:44 Primary hyperaldosteronism
21:51 Many do not have hypokalemia
23:04 Some patients can be cured by surgery
23:56 Fibromuscular Dysplasia
25:11 Obstructive Sleep Apnea
26:55 Prevalence of secondary causes of hypertension associated with resistant hypertension
28:18 Cushing's Syndrome
28:58 Coarctation of Aorta
30:40 Screening for and Diagnosing Hypertension
31:36 Tests in all Patients to screen for causes and risk-stratify
35:37 Risk stratification – risk modifiers
36:52 What Levels of office BP are we Targeting?
37:57 When should treatment be initiated?
38:52 Drug treatment strategy
40:14 Guidelines recommendations for Dual combination and fixed-dose
41:03 Adding Another Drug is More Effective Than Increasing the Dose
41:39 Adherence to any Anti-Hypertensive Drug
42:25 Fixed-Dose Combinations Improve Compliance and Persistence
42:51 Better Adherence = Better BP Control

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