Hypertension Specialist
Core curriculum

Section 5: Target Organ Damage
a.  How to assess organ damage
b.  Clinical significance of organ damage
c.  Sites/types of organ damage

  I.Heart:

1. Left ventricular hypertrophy

        http://www.eshonline.org/education/newsletter.htm
        Assessment of Preclinical Target Organ Damage in Hypertension: Left Ventricular Hypertrophy; (E. Agabiti Rosei)
        Newsletter no 10

2. Systolic/diastolic dysfunction
3. Ischemic heart disease

        http://www.eshonline.org/education/newsletter.htm
        Hypertension and Coronary Heart Disease; (J.P. Baguet, J.M. Mallion); Revised version – 2005
        Newsletter 14

4. Cardiac arrhythmias

http://www.eshonline.org/education/congresses/esh_2005/teaching_seminars.asp
Saturday, June 18; 2005
Diagnosis and management of cardiac arrhythmias  Prof. A. Manolis

http://www.eshonline.org/education/newsletter.htm
Hypertension and Arrhythmia; J.P. Baguet, S. Erdineb, J.M. Mallion)
Newsletter no 24

5. Heart failure

  II Brain:

  1. Transient ischemic attacks
  2. Ischemic/hemorrhagic stroke
    http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
    Mechanisms, prevention and management of stroke in hypertension
    Blood pressure in acute stroke; Philip Bath
  3. Silent infarctions
  4. Cognitive dysfunction/dementia

  III. Retinal vessels 
  IV. Large and small arteries:

   http://www.eshonline.org/education/congresses/2006/esh/teaching_seminars.asp
   A. Heagerty, UK; The roll of small arteries in hypertensive target organ damage

  1. Endothelial dysfunction
  2. Wall thickening/plaques
    http://www.eshonline.org/education/newsletter.htm
    Assessment of Preclinical Target Organ Damage in Hypertension: Carotid Intima-media Thickness and Plaque; (E. Agabiti Rosei)
    Newsletter no 11
  3. Arterial stiffening
    http://www.eshonline.org/education/congresses/2006/esh/teaching_seminars.   asp#javascript();
    Damiano Rizzoni, IT Early resistance artery changes in essential hypertension
  4. Arteriolar remodelling
  5. Microcirculation

  V. Kidney

  1. Microalbuminuria
    http://www.eshonline.org/education/congresses/2006/esh/teaching_seminars.asp#javascript();
    Tuesday, June 14 TEACHING SEMINAR 4; 2006

    http://www.eshonline.org/education/newsletter.htm
    Microalbuminuria in Type-1 Diabetes Mellitus; (J. Redon, J.L. Rodicio)
    Newsletter no 16
  2. Proteinuria
  3. Importance of marked/modest renal damage
    http://www.eshonline.org/education/congresses/esh_2005/teaching_seminars.asp
    Saturday, June 18; 2005
    Mild to severe renal damage. Implication for cardiovascular risk and treatment; Prof. A. Wiecek

d.  Correlations between different organ damages
e.  New techniques for assessing organ damage

Section 6: Diagnosis
a.  History
b.  Physical examination
c.  Blood pressure measurements

http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm#javascript;
Ambulatory and Home BP, 2004

  I. Office blood pressure:

  1. Mercury syphygmamanometer and other devices
  2. Methodological requirements
  3. Errors to be avoided
  4. Orthostatic blood pressure measurements

  II. Ambulatory blood pressure:

http://www.eshonline.org/education/newsletter.htm
Clinical Value of Ambulatory Blood Pressure Monitoring; (J.M. Mallion, J.P. Baguet, G. Mancia); revised version – 2005
Newsletter no 19

  1. Available devices
  2. Current methodology
  3. Data analysis
    http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
    BP variability; G. Parati
  4. References values
    http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
    ABPM in hypertension diagnosis; R. Asmar (Paris, France), T. Mengden (Bonn, Germany), G. Parati (Milano - Italy), G.S. Stergiou
  5. Advantages and indications
    http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
    Recommendations for the clinical use of 24-hour ABPM; J. Redon

    http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
    Prognostic value of Ambulatory Blood-Pressure Recordings in patients with treated hypertension; D.L. Clement

  III. Home Blood Pressure:

                 http://www.eshonline.org/education/newsletter.htm
                 Home Blood Pressure Monitoring; (H. Reims, S.E. Kjeldsen, G.                                    Mancia); Revised version – 2005
                 Newsletter 12

1. Available devices
2. Current methodology
3. References values
4. Advantages and indications

  IV. Blood pressure measurements during exercise, stress and other conditions
  V. Circadian blood pressure profile and blood pressure variability

d.  When to search for secondary hypertension

http://www.eshonline.org/education/archivio/esh2003/teaching_seminars_2003.htm
B. Waeber In whom shall we look for secondary hypertension?
14 june 2003

e.  Routine examinations

http://www.eshonline.org/education/archivio/esh2003/teaching_seminars_2003.htm
16 June, 2004; D. Duprez, Is there sill a place for ECG screening in hypertensive patients.

Seminars 2001
http://www.eshonline.org/education/archivio/lectures/duprez.htm
D. Duprez (Ghent, Belgium; Role of the Electrocardiogram

http://www.eshonline.org/education/archivio/esh2003/teaching_seminars_2003.htm
16 June, 2004; E. Agabiti; Shall we look for LVH in all hypertensive patients?

http://www.eshonline.org/education/archivio/esh2003/teaching_seminars_2003.htm
16 June, 2004; D.L. Clement, Shall we perform ABPM in all hypertensive patients?;

f.   Additional examinations

g.  Calculation of global cardiovascular risk

http://www.eshonline.org/education/congresses/2006/esh/teaching_seminars.asp
Tuesday, June 13 TEACHING SEMINAR 1; 2006

Section 7: Benefit of treatment

a.  Morbidity/Mortality trials

http://www.eshonline.org/education/congresses/2006/esh/teaching_seminars.asp
Thursday, June 15 Teaching Seminar 6 2006
S. Julius, US; Trial of preventing hypertension(TROPHY): findings and implications

b.  Trials on intermediate end points

http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm
Mechanisms, prevention and management of stroke in hypertension, 2004
Stroke prevention by antihypertensive treatment: are there any differences between drugs?, Jan Staessen

c.  Trials on nephroprotection
d.  Hypertension, antihypertensive treatment and dementia
e.  High risk patients and secondary cardio vascular prevention

http://www.eshonline.org/education/archivio/esh2004/teaching_2004.htm#javascript
Mechanisms, prevention and management of stroke in hypertension, 2004
Stroke prevention in the very elderly population, Francois Gueyffier

f.   Protection as a function of age, gender and ethnicity
g.  Blood pressure thresholds for treatment
h.  Blood pressure targets