Welcome and introduction, session 712

transcript

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

• 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?

• Case Presentation with Key Clinical Pearls

• Panel Discussion with Audience Question and Answer

DEBATES

• 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

Advances in Heart Failure

For African Americans:

Clyde W. Yancy

• 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

Elizabeth Ofili

PRO CON

YANCY versus

• BP goal <150/90mHg in patients 60 years or older without

renal disease or diabetes

• Higher than previous recommendation of <140/90mmHg

2014 Evidence-Based Guideline

For the Management of High Blood

Pressure: Did They Get It Right?

Joel Handler

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.

2014 Evidence-Based Guideline

For the Management of High Blood

William Elliott

2014 Evidence-Based Guideline For

the Management of High Blood

PRO CON

HANDLER versus

ELLIOTT

Case Presentation with Key Clinical Pearls

Domenic A. Sica

Panel Discussion with Audience Question and Answer

Welcome and introduction, session 712

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