Hypertonus: 11 häufige Behandlungsfehler vermeiden | AMBOSS-Podcast | 142

Blood pressure control is an absolute classic in general practice. Although the reason for treatment sometimes seems simple, the therapy contains numerous pitfalls. In this episode, nephrologist and hypertensiologist Dr. Ingo Krenz shares his experience with common errors in antihypertensive therapy. How can seemingly therapy-resistant blood pressure still be successfully reduced? Dr. Krenz highlights 11 typical stumbling blocks – from the dose-response range to the use of different active ingredients to ethnic differences. Table of Contents: 00:19 Intro 01:14 Hypertension in General Practice 05:10 Mistake 1 – Lack of Follow-Up Monitoring 07:18 Mistake 2 – Dosage Outside the Maximum Dose-Effect Range 10:08 Mistake 3 – Infrequent Use of Thiazides 10:47 Increased Risk of Skin Cancer with Thiazide Therapy 12:40 Which Thiazide is Preferred? 15:59 Mistake 4 – Loop diuretics as antihypertensives 17:07 Mistake 5 – Starting therapy with too low a dose 20:45 Therapy adjustment for dizziness 27:04 Mistake 6 – Failure to screen for end-organ damage 29:00 Target adjustment for end-organ damage 33:11 Lower limit of blood pressure control 36:37 Interim conclusion 37:21 Mistake 7 – Early diagnosis for secondary hypertension 40:07 Mistake 8 – Beta-blockers for isolated systolic hypertension 44:08 Mistake 9 – Managing side effects 48:51 Erectile dysfunction 51:57 Mistake 10 – Discontinuing thiazides with low creatinine clearance 53:11 Mistake 11 – RAAS blockers as monotherapy in Black patients 55:50 Take-home Messages *For the CME course "Dizziness as a Key Symptom" (20 CME credits):* https://go.amboss.com/rlp 20% discount with code "20Schwindel" *For the podcast episode "Kidney Diseases: From the U-Stix to Diagnosis":* https://go.amboss.com/yka *For the podcast episode "Heart Failure: Simple Guideline-Consistent Treatment":* https://go.amboss.com/8h9 *For the AMBOSS chapter "Heart Failure":* https://go.amboss.com/mpm *For the podcast "Medical Think Tank":* https://go.amboss.com/bbp *More about the AMBOSS podcast:* https://go.amboss.com/podcast *Disclaimer:* The content of the AMBOSS podcast is purely academic. They are intended for informational, educational, and training purposes only and are intended for medical personnel, medical students, and other healthcare professionals. The content is not suitable for treating real cases and is not a substitute for a doctor's visit. The podcast is created with the greatest possible care. However, AMBOSS GmbH assumes no liability for the accuracy, completeness, or timeliness of the content. Statements made by interviewees are solely the responsibility of the interviewees themselves; they do not reflect our point of view. We select our interviewees solely based on their scientific expertise. We will specifically indicate any known business connections our guests may have with supporters of our podcast. Studies on the effectiveness of RAAS blockers in Black people usually use the term "black." This does not indicate whether African Americans or all people with dark skin are meant. Keywords: High blood pressure, hypertension, medical malpractice, antihypertensives