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Hypertension Management

Diagnose hypertension accurately and select guideline-directed therapy based on a patient's comorbidities.

What this track covers

This track covers accurate blood pressure measurement and diagnosis, including distinguishing white coat and masked hypertension using ambulatory monitoring. It builds toward guideline-based treatment initiation, first-line drug selection by comorbidity, combination therapy, and the workup for resistant hypertension and special populations.

What you will practice

  • Confirm a hypertension diagnosis using proper measurement technique and ABPM data
  • Select a first-line agent for patients with diabetes, CKD, heart failure, or CAD
  • Decide when to start combination therapy versus titrating a single agent
  • Work up suspected resistant hypertension, including adherence and secondary causes
  • Adjust treatment approach for pregnancy, elderly patients, and hypertensive emergencies

Simulator scenario

A patient on multiple antihypertensives with persistently elevated home readings, requiring an adherence and secondary-cause workup before adjusting therapy.

Board question topics

  • Interpreting ABPM and distinguishing white coat from masked hypertension
  • First-line drug selection by comorbidity
  • Diagnostic approach to resistant hypertension
  • Management of hypertensive emergencies

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