Secondary Hypertension: Coarctation of the Aorta | Clinical Case-Based Learning (ESC 2024)
Dr Mohammed Elmisiry
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Secondary Hypertension: Coarctation of the Aorta | Clinical Case-Based Learning (ESC 2024)
228 просмотров · 10 месяцев назад
Dr Mohammed Elmisiry
11,4 тыс. подписчиков
228 просмотров · 10 месяцев назад
In this clinical episode 6, we explore Case 6: A 25-year-old male with secondary hypertension — a classic example of Coarctation of the Aorta.
Through this case-based learning session, we analyze the step-by-step diagnostic approach, from history and physical findings (radial-femoral delay, popliteal BP less than brachial) to investigations confirming the diagnosis and evidence-based management.
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🔍 What You’ll Learn
1. When to suspect secondary hypertension in young adults
2. Clinical signs of coarctation of the aorta
3. How to interpret popliteal vs. brachial BP difference
4. Work-up algorithm: labs, ECG, echocardiography, and CT-angiography
5. Treatment options: pharmacologic (Losartan + Mavilor) and definitive (surgical or percutaneous repair)
6. Targets: SBP 120–129 mmHg | LDL less than 100 mg/dL
7. Follow-up and long-term BP control after repair
📈 Perfect for:
General practitioners, internal medicine residents, family physicians, and all clinicians aiming to strengthen their foundation in hypertension management using a deeply evidence-based, guideline-aligned approach. to become "Resident Ready"!
🧠 Evidence Base:
Drawn from the 2024 ESC/ESH Guidelines, AHA/ACC Hypertension Recommendations, and the latest insights from Nature Reviews Cardiology and Lancet Hypertension (2022–2024).
📚 Full Lecture Series:
1️⃣ Hypertension Essentials
2️⃣ Diagnosis & Lab Evaluation
3️⃣ Prevention & Lifestyle Management
4️⃣ Pharmacotherapy I (ACEi, ARB, CCB, Thiazides)
5️⃣ Pharmacotherapy II (β-Blockers, MRAs, α-Blockers, Others)
6️⃣ Clinical Case Scenarios I
7️⃣ Clinical Case Scenarios II – Comorbidities
8️⃣ Hypertensive Crisis – Urgency vs. Emergency
00:00 Case Clinical Presentation
00:11 History & Examination
05:12 ECG: LVH criteria
07:37 Clinical Reasoning
08:42 Imaging & Lab Confirmation
10:02 Final Diagnosis
10:43 Philosophy behind Treatment
14:05 Final Recap & Outro
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DISCLAIMER: This video is for educational purposes only and is intended for medical professionals. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition.
📚 Part of the ESC 2024 Hypertension Series – Case-Based Learning for MDs
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