Download - Welcome and introduction, session 712
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CONTEMPORARY DEBATES IN HEART FAILURE AND HYPERTENSION
Joint Symposium of the Association of Black Cardiologists, the American Society of Hypertension and the American College of Cardiology
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• Advances in Heart Failure For African Americans:
Paradigm Shift or Paradigm Drift?
• 2014 Evidence-Based Guideline For the Management
of High Blood Pressure: Did They Get It Right?
AG
EN
DA
• Case Presentation with Key Clinical Pearls
• Panel Discussion with Audience Question and Answer
DEBATES
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• 8442 patients with class II-IV heart failure with LVEF 40% or less
• LCZ696 vs enalapril in addition to standard therapy
• 20% reduction in death and hospitalization
• Small number of Blacks enrolled
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Advances in Heart Failure
For African Americans:
Paradigm Shift or Paradigm Drift?
PRO
Clyde W. Yancy
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• 1050 AA patients with dilated ventricles and NYHA class III-IV heart failure
• Fixed dose hydralazine and isosorbide vs placebo
• 43% reduction in mortality
• 33% reduction in first hospitalization
• Surprisingly low utilization despite guideline recommendation
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Advances in Heart Failure
For African Americans:
Paradigm Shift or Paradigm Drift?
CON
Elizabeth Ofili
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Advances in Heart Failure
For African Americans:
Paradigm Shift or Paradigm Drift?
PRO CON
YANCY versus
OFILI
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• BP goal <150/90mHg in patients 60 years or older without
renal disease or diabetes
• Higher than previous recommendation of <140/90mmHg
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2014 Evidence-Based Guideline
For the Management of High Blood
Pressure: Did They Get It Right?
PRO
Joel Handler
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Raising the SBP goal to 150 mm Hg in persons who are 60
years of age – especially in African Americans – may have
a substantial negative impact on gains that have been
made in the last several decades in the treatment of CVD.
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2014 Evidence-Based Guideline
For the Management of High Blood
Pressure: Did They Get It Right?
CON
William Elliott
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2014 Evidence-Based Guideline For
the Management of High Blood
Pressure: Did They Get It Right?
PRO CON
HANDLER versus
ELLIOTT
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Case Presentation with Key Clinical Pearls
Domenic A. Sica
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Panel Discussion with Audience Question and Answer