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Reposted by Rémi Goupil

John Giacona, PhD, PA-C @giaconajohn.bsky.social · 11d

Subclinical primary aldosteronism is an under-recognized driver of cardiovascular risk. Could it be a new target for CV prevention? Read our Circulation editorial —>

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Reposted by Rémi Goupil

Jesslin Abraham, M.D. @jesslin23.bsky.social · 11d

Such a great opportunity, to be involved in an editorial on the most recent evidence for Subclinical Primary Aldosteronism. Thank you to @drwanpen.bsky.social @giaconajohn.bsky.social

Go check it out!! www.ahajournals.org/doi/10.1161/...

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Reposted by Rémi Goupil

Swapnil Hiremath 🍁🇨🇦 @hswapnil.medsky.social · 18d

Doesn’t take too long!

All those who think it is hard to measure BP properly in the clinic please fill out this survey from @goupilremi.bsky.social

#NephSky #CardioSky #MedSky

Rémi Goupil @goupilremi.bsky.social · 18d

🚨 Survey Alert!
Standardized office BP measurements are recommended everywhere, but still underused.
We want to hear from you: what are the barriers to using them as a routine in clinical practice?

Click here to read the consent form and take the survey:
redcap.link/barriers.to....

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Rémi Goupil @goupilremi.bsky.social · 18d

🚨 Survey Alert!
Standardized office BP measurements are recommended everywhere, but still underused.
We want to hear from you: what are the barriers to using them as a routine in clinical practice?

Click here to read the consent form and take the survey:
redcap.link/barriers.to....

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Reposted by Rémi Goupil

Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS @spjuraschek.bsky.social · Aug 15

Another great read on implementation of the new BP guidelines:

Implementing the 2025 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: How to Translate Team-Based Care of Hypertension to the Real World www.ahajournals.org/doi/10.1161/...

American Heart Association Journals

www.ahajournals.org

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Rémi Goupil @goupilremi.bsky.social · Jul 17

Measuring BP over a sweater sleeve? As accurate as the optimal method!
But using a non-validated device or leaving the arm unsupported? Expect higher readings than what’s actually seen on awake ABPM.

Underpowered pilot study, so hoping to confirm this in larger trials soon!

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Rémi Goupil @goupilremi.bsky.social · Jul 17

Just published in Hypertension! In a pilot study, we tested whether common "shortcuts" of the standardized AOBP measurement procedure affect accuracy, assessed with daytime ABPM.
www.ahajournals.org/doi/10.1161/...

Simplifications of the Standardized BP Measurement Procedure and Accuracy: The SIMPLE-AOBP Randomized Cross-Over Trial | Hypertension

www.ahajournals.org

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Reposted by Rémi Goupil

Stephen P Juraschek, MD, PhD, FAHA, AHSCP-CHS @spjuraschek.bsky.social · Jul 17

Cool trial (thx Dr. Cluett for sharing!). I love the within person comparison.
@goupilremi.bsky.social @deanpicone.bsky.social

Random ? (having enjoyed reading & doing similar studies): Is accuracy at a single time enough? Should we worry about BP change too?

www.ahajournals.org/doi/10.1161/...

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Rémi Goupil @goupilremi.bsky.social · Jul 17

Thanks! I wonder myself what the « gold standard » should be for BP accuracy. I don’t think it’s auscultatory BP (even for validation studies 🔥😱). We chose awake ABPM as it’s the most objective. We just launched a larger study on non-validated devices accuracy, so we’ll know more soon!

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Rémi Goupil @goupilremi.bsky.social · Jul 14

But we know bedtime BP meds reduce nighttime BP better than morning BP meds. The problem is it doesn’t change outcomes. Nighttime BP is not a good surrogate marker of CVD!

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Rémi Goupil @goupilremi.bsky.social · Jul 10

Another great finding with the @cartagene.bsky.social cohort, and an incredible collaboration with Greg Hundemer and many other colleagues.

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Rémi Goupil @goupilremi.bsky.social · Jul 10

We show that the thresholds associated with the best discrimination for MACE risk were renin < 4.0 ng/L and ARR > 70 pmol/L per ng/L, both exhibiting a 2-fold higher risk of MACE.

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Rémi Goupil @goupilremi.bsky.social · Jul 10

Our new data on subclinical PA and MACE is out in Circulation! For the first time, we show that renin-independant aldosterone production is associated with an increased risk of MACE independently of BP, in people mostly normotensive with low CV risk.
www.ahajournals.org/doi/full/10....

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Rémi Goupil @goupilremi.bsky.social · Jul 9

You just made me cry…

Rémi Goupil @goupilremi.bsky.social · Jun 16

Aujourd’hui est un grand jour! Publication, pour la première fois, des lignes directrices d’Hypertension Canada en français! Merci à la Société québécoise d’hypertension artérielle pour le soutien à la traduction du guide et de ses annexes!

www.cmaj.ca/content/197/...

Guide de pratique clinique en soins de première ligne d’Hypertension Canada pour le diagnostic et le traitement de l’hypertension artérielle chez les adultes

Contexte: Le Canada a longtemps figuré parmi les leaders mondiaux de la prise en charge de l’hypertension artérielle (HTA), mais ses taux de traitement et de maîtrise de l’HTA ont régressé ces dernièr...

www.cmaj.ca

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Rémi Goupil @goupilremi.bsky.social · May 29

It’s an excerpt from their book. Starts with « A few months ago »… it was in 2017. Sad that Stat published this outdated piece like it’s late-breaking news.

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Rémi Goupil @goupilremi.bsky.social · May 27

Always important to individualize. This situation is not common, and I’m not sure there is any data that shows we should treat (or not treat).

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Rémi Goupil @goupilremi.bsky.social · May 27

That’s what we just did in Canada! Target is SBP < 130 mmHg for all

www.cmaj.ca/content/197/...

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Reposted by Rémi Goupil

Dr. Ross Tsuyuki @rosstsuyuki.bsky.social · May 27

A new era in hypertension management-Simplified and practical guidelines. Here is what you need to know: 130/80mmHg and ARB-diuretic combination.