<em>Decision-IQ</em>: An Unusual Case of Curable Hypertension
Decision-IQ Decision-IQ

Decision-IQ: An Unusual Case of Curable Hypertension

This activity was developed by Med-IQ in collaboration with Duke Health.

Med-IQ      Duke Medicine


Maximum Credits:


Decision-IQ Decision-IQ


Maximum Credits:
Decision-IQ Decision-IQ


Maximum Credits:

Overview: In this short case-based activity, you will meet a 38-year-old man who has been referred to a cardiologist for early onset, refractory hypertension. As you move through this activity, click on the links to review resources to help you make diagnostic and management decisions for this patient, and read insights from cardiologist Richard A. Krasuski, MD, on how he would manage this patient.

CME Information:

Richard A. Krasuski, MD, FACC, FAHA, FESC
Professor of Medicine and Pediatrics
Director, Adult Congenital Heart Disease Center
Director, Hemodynamic Research
Duke University Medical Center
Durham, NC

Activity Planners
Christie Avraamides, PhD
Clinical Content Manager
Baltimore, MD
Samantha Gordon
CME Specialist
Baltimore, MD
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
East Lansing, MI
Learning Objectives
Upon completion, participants should be able to:

  • Discuss management strategies for patients with a congenital anomaly that affects blood pressure

Target Audience
This activity is intended for cardiologists.
Statement of Need
Approximately 5% to 10% of all patients with hypertension have secondary hypertension, defined as increased systemic blood pressure due to an identifiable cause. Patients with an early onset of high blood pressure or blood pressure that is particularly challenging to control should be screened for potential secondary causes because early detection and treatment are important to prevent irreversible changes in the vasculature. Clinicians need to be aware of clinical characteristics suggestive of secondary hypertension in order to identify and manage the cause.
Collaboration Statement
This activity was developed by Med-IQ in collaboration with Duke Health.

Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Med-IQ designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Medium/Method of Participation
This CME activity consists of a 0.25-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
Initial Release Date: November 26, 2018
Expiration Date: November 25, 2019
Estimated Time to Complete This Activity: 15 minutes

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.
Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation. 
Richard A. Krasuski, MD, FACC, FAHA, FESC
Consulting fees/advisory boards: Actelion Pharmaceuticals Ltd., Ventripoint Diagnostics Ltd.
Contracted research: Actelion Pharmaceuticals Ltd., Edwards Lifesciences Corporation
The peer reviewers and activity planners have no financial relationships to disclose.
Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.
Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.
Contact Information        
For questions or comments about this activity, please contact Med-IQ.
Call (toll-free) 866 858 7434 or email info@med-iq.com.
System Requirements



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    • Apple (eg, iPhone/iPad)
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    • Apple (Safari)

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ADA Statement
Med-IQ fully complies with the legal requirements of the ADA and the rules and regulations thereof. If any participant in this educational activity is in need of accommodations, please contact Med-IQ at 443 543 5200.
The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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© 2018 Med-IQ, Inc. and Duke University Health System


Unless otherwise indicated, photographed subjects who appear within the content of this activity or on artwork associated with this activity are models; they are not actual patients or doctors.

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