Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Dr. Mary Marketou
This session covered various interesting fundamental aspects of secondary hypertension by top researchers in the field. Although secondary hypertension accounts for a small proportion of hypertensive patients, we must maintain a high level of clinical suspicion, since it may lead to treatment resistance, while it represents a potentially curable disease.Endocrine hypertension is the most common cause of secondary hypertension in adults with primary aldosteronism as the principal condition.Prof. Rossi gave an excellent talk on primary aldosteronism. He nicely emphasized the need for wider population screening through the use of aldosterone/renin ratio levels. In addition, he presented important information on the role of gene mutations in the pathophysiology of the disease, with particular emphasis in KNCJ5 which is the most prevalent one.Prof. MacDonald gave a very informative talk on pheochromocytoma, sharing his valuable clinical experience with the audience. He emphasized the different presentations of the disease that a clinician may easily miss. Periodic follow up is mandatory, while genetic testing may help in personalized therapy and follow-up, as well as in early detection in relatives.Prof. Limbourg delivered an excellent presentation on the most controversial topic of the session, the treatment of atheromatic renovascular disease. Although the safety and efficacy of renal angioplasty and stenting have improved in recent years, the treatment strategy still does not show significant benefits of revascularizaton. The therapeutic approach lacks consensus due to the lack of large well-designed randomized trials. Intrarenal damage determines the treatment response in interventional treatment. Better strategies are needed and these might include cell therapies in the future.The topic of aortic coarctation was very effectively covered by Prof. Deanfield. The issue is difficult, since this group of patients suffers from significant cardiovascular morbidity and mortality. Hypertension remains an unresolved issue even in patients who successfully underwent intervention.
Diagnosis and treatment of secondary hypertension
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