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Clinical cardiology
Systematic update of knowledge on the key areas of clinical cardiology for confident bedside decisions.
Isaeva A.V.
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Cardiology · Advanced
Outpatient management strategy for patients with arterial hypertension
Outpatient management of arterial hypertension: from accurate diagnosis to regimen selection and improving patient treatment adherence.
36academic hours
Advancedlevel
Distance learningmode of study
Course curriculum
- Definition of hypertension, main classifications and stratification scales
- Establishing the diagnosis
- Classification of arterial hypertension (hereinafter - AH) by the level of blood pressure (hereinafter - BP)
- Epidemiology
- Risk factors
- Asymptomatic target organ damage
- Associated clinical conditions and modifying factors contributing to increased cardiovascular risk
- Cardiovascular age
- Methods of measuring arterial blood pressure and specific types of hypertension
- Office, ambulatory, and home measurements, 24-hour blood pressure monitoring
- Self-monitoring of blood pressure (indications, regimens, device selection)
- Indications, limitations and advantages of 24-hour monitoring
- White coat hypertension
- Masked hypertension
- Examination to verify the diagnosis of arterial hypertension
- History taking
- Clinical examination
- Laboratory tests
- Electrocardiography
- Echocardiography
- Treatment strategy: when, to whom, and what to prescribe
- Indications for hospitalization
- Initiation of antihypertensive therapy (hereinafter - AHT) in age groups, depending on the baseline blood pressure level
- Target BP levels
- Principles of formulating the diagnosis
- Algorithm of drug therapy for uncomplicated arterial hypertension
- Sympathetic hyperactivation
- Selected clinical situations, including resistant arterial hypertension and ways to overcome it
- Arterial hypertension and diabetes mellitus
- Arterial hypertension and chronic kidney disease
- Arterial hypertension and chronic heart failure
- Arterial hypertension, atrial fibrillation and arrhythmias
- Arterial hypertension and cerebrovascular disease
- Arterial hypertension and atherosclerosis
- Arterial hypertension and bronchial asthma, chronic obstructive pulmonary disease
- Arterial hypertension in the perioperative period
- Resistant hypertension
- Arterial hypertension in the young and the elderly
- Features of dispensary follow-up of patients with arterial hypertension at the outpatient stage
- History and complaints
- Routine examination
- Instrumental examinations and recommendations
- Criteria for assessing the quality of medical care
- Typical errors (in history-taking, examination, diagnosis, treatment, ensuring continuity of care)
- Hypertension in pregnant women
- Classification
- Blood pressure measurement during pregnancy
- Indications for hospitalization
- Criteria for initiating antihypertensive therapy
- Main drugs for planned antihypertensive therapy in patients during pregnancy, labor and the postpartum period
- Suspected Preeclampsia
- Recommendations for the management of patients with hypertension during and up to 12 weeks after delivery
- Arterial hypertension and lactation
- Hypertensive crisis
- Causes of hypertensive crisis
- Causes of non-adherence to the prescribed AH therapy regimen
- Complicated hypertensive crisis
- Examination algorithm
Despite the abundance of drugs, blood pressure control remains unattainable in many patients due to suboptimal regimens and low adherence. The course examines the rational selection and combination of antihypertensive therapy and the practice of outpatient management according to current guidelines.
You will reach target blood pressure values more often and build long-term cooperation with the patient, reducing the risk of complications.
Candidate of Medical Sciences, cardiologist
Candidate of Medical Sciences and cardiologist of the first category, combining clinical cardiology with ultrasound and functional diagnostics. Her broad diagnostic profile and membership in a professional society make her a point of reference in matters of cardiac diagnostics.
Candidate of Medical Sciences, cardiologist of the first category, member of the Russian Society of Cardiology. Also practices as a therapist and a specialist in ultrasound and functional diagnostics. Total work experience — 14 years.
Education
- 2006 — graduated from the Ural State Medical Academy with a degree in «General Medicine»; completed an internship at the Department of Internal Medicine at the Ural Institute of Cardiology
Professional retraining
- «Ultrasound Diagnostics»
- «Functional Diagnostics»
- «Healthcare Organization and Public Health»
- «Clinical Cardiology» (retraining and thematic advanced training)
Continuing education
- Current issues of arrhythmology
- Echocardiography according to international standards
- Modern issues of internal medicine
- Ultrasound angiology
- Issues of temporary disability examination, quality control of medical care
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