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Comorbid Clustering in Hypertensive African Americans: Disease Management of Multiple Risk Factors

Release Date: May 01, 2009
Expiration Date: May 01, 2010






This educational activity is designed for cardiologists and primary care physicians interested in or involved with the treatment of African Americans with hypertension and comorbid conditions.



Statement of Need

Recent advances have been made in the understanding of the components and actions of the renin-angiotensin-aldosterone-system (RAAS), including the activity of renin receptors and the role of the RAAS in the regulation of cardiovascular and renal function. These advances firmly establish the RAAS as an expanding therapeutic target in patients with hypertension. Despite this progress, however, a complete understanding of the multiple target sites within the RAAS pathway, and its implications on treatment, are not fully understood. Post-program evaluation surveys and communications with experts have shown an educational need among clinicians to further understand the optimization of treatments that target the RAAS, its effects on outcomes in patients with HTN, and current registry data on achieving BP goals.


Learning Objectives

Following completion of this activity, participants should be able to:

  • Identify predictive markers of disease progression in African Americans with hypertension and how these markers can be used to tailor therapy
  • Discuss the risk prevention of metabolic syndrome using polypharmacy in African Americans with diseases unrelated to metabolic syndrome
  • Develop strategies to address modifiable risk factors in African Americans with hypertension and comorbid conditions
  • Review the role of patient compliance in the development of comorbid conditions in African Americans and how to effectively implement patient education into treatment paradigms
  • Obtain sufficient information to effectively manage high-risk African Americans with multiple cardiovascular risk factors


Target Audience

This educational activity is designed for cardiologists and primary care physicians interested in or involved with the treatment of African Americans with hypertension and comorbid conditions.


Accreditation Statement

Temple University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to sponsor continuing medical education for physicians.


Certification Statement

Temple University School of Medicine designates this educational activity for a maximum of 1.5 AMA Physician’s Recognition Award Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Disclosure Policy

It is the policy of Temple University School of Medicine, The Albert J. Finestone, M.D., Office for Continuing Medical Education to ensure balance, independence, objectivity, and scientific rigor in all of its sponsored or jointly sponsored educational programs. All faculty participating in programs sponsored or jointly sponsored by Temple University School of Medicine are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s).

The information presented at this CME program represents the views and opinions of the individual presenters and does not constitute the opinion or endorsement of, or promotion by, Temple University School of Medicine, Temple University Health System, or its affiliates. Reasonable efforts have been taken intending for educational subject matter to be presented in a balanced, unbiased fashion and in compliance with regulatory requirements. However, each program attendee must always use his/her own personal and professional judgment when considering further application of this information, particularly as it may relate to patient diagnostic or treatment decisions, including, without limitation, FDA-approved uses and any off-label uses.



Faculty Disclosure Declarations

George Bakris, MD, has been a consultant for and has served on the speakers bureau for Abbott Laboratories; Boehringer Ingelheim; Bristol-Myers Squibb Company; Daiichi Sankyo, Inc.; Forest Laboratories, Inc.; Gilead Sciences, Inc.; GlaxoSmithKline; Merck & Co., Inc.; Novartis Pharmaceuticals Corporation; sanofi-aventis; and Walgreen Co. He has received grant/research support from Forest Pharmaceuticals, Inc.; GlaxoSmithKline; and the National Institutes of Health.

Jan N. Basile, MD, has been a consultant for Abbott Laboratories; Boehringer Ingelheim; and Novartis Pharmaceuticals Corporation. He has received grants/research support from Boehringer Ingelheim; the National Heart, Lung, and Blood Institute; and Novartis Pharmaceuticals Corporation. He is a member of the speakers bureau for Abbott Laboratories; AstraZeneca Pharmaceuticals LP; Boehringer Ingelheim; Daiichi Sankyo, Inc.; Forest Laboratories, Inc.; GlaxoSmithKline; Merck & Co., Inc.; Novartis Pharmaceuticals Corporation; and Pfizer Inc.

Alan S. Brown, MD, FACC, has been a consultant for Abbott Laboratories; Merck & Co., Inc.; and Pfizer Inc. He is a member of the speakers bureau for Abbott Laboratories; AstraZeneca Pharmaceuticals LP; Eli Lilly and Company; Kos Pharmaceuticals, Inc.; Merck & Co., Inc.; Pfizer Inc.; and Schering-Plough Corporation.

Gregg C. Fonarow, MD, is a member of the speakers bureau for Bristol-Myers Squibb Company; GlaxoSmithKline; Merck & Co., Inc.; Pfizer Inc.; and sanofi-aventis.

Kenneth A. Jamerson, MD, has been a consultant for Daiichi Sankyo, Inc.; Merck & Co., Inc.; and Novartis Pharmaceuticals Corporation. He has received grants/research support from the National Heart, Lung, and Blood Institute; National Institute of Diabetes and Digestive and Kidney Diseases; National Institutes of Health; and Novartis Pharmaceuticals Corporation. He is a member of the speakers bureau for Abbott Laboratories; Bristol-Myers Squibb Company; GlaxoSmithKline; Merck & Co., Inc.; and Novartis Pharmaceuticals Corporation.

Thomas J. Price Jr, MD, has been a consultant for AstraZeneca Pharmaceuticals LP. He is a member of the speakers bureau for Bayer HealthCare; GlaxoSmithKline; Merck & Co., Inc.; Novartis Pharmaceuticals Corporation; and Pfizer Inc.

Karol Watson, MD, PhD, FACC, has been a consultant for Abbott Laboratories; AstraZeneca Pharmaceuticals LP; Merck & Co., Inc.; and Merck/Schering-Plough Corporation.

All conflicts were resolved.


Planning Committee Disclosures

Temple University School of Medicine:
Arnold Meyer, Ed.D.
Melinda Somasekhar, PhD

No commercial relationships to disclose.

Healthcare First:
Donna Bonura
Calvin Butts
Andrew Finan

No commercial relationships to disclose.




 
Presented by Presented by Temple University School of Medicine and HealthcareFirst
Supported by This activity is supported by an educational grant from Novartis Pharmaceuticals
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GEORGE BAKRIS, MD

  • Professor of Medicine
  • Director, Hypertensive Diseases Center
  • Section of Endocrinology, Diabetes and Metabolism
  • University of Chicago - Pritzker School of Medicine
  • Chicago, Illinois
Panelist Header

KENNETH A. JAMERSON, MD

  • Professor of Medicine
  • University of Michigan Healthcare System
  • Ann Arbor, Michigan
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KAROL WATSON, MD, PHD, FACC

  • Associate Professor of Medicine/Cardiology
  • David Geffen School of Medicine at UCLA
  • Co-Director, UCLA Center for Cholesterol and Lipid Management
  • Co-Director, UCLA Program in Preventive Cardiology
  • University of California, Los Angeles
  • Redondo Beach, California
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JAN N. BASILE, MD

  • Chief, Primary Care Service Line
  • Ralph H. Johnson VA Medical Center
  • Professor of Medicine
  • Division of General Internal Medicine/Geriatrics
  • Medical University of South Carolina
  • Charleston, South Carolina
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ALAN S. BROWN, MD, FACC

  • Midwest Heart Specialists
  • Loyola University Chicago Stritch School of Medicine
  • Chicago, Illinois
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GREGG C. FONAROW, MD

  • Professor of Medicine, UCLA Division of Cardiology
  • The Eliot Corday Chair in Cardiovascular Medicine and Science
  • Director, Ahmanson-UCLA Cardiomyopathy Center
  • Los Angeles, California
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THOMAS J. PRICE, JR, MD

  • Associate Director of Cardiology, Mount Vernon Hospital
  • Mount Vernon, New York
  • Attending Cardiologist, Sound Shore Medical Center
  • New Rochelle, New York