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Hypertension in Cancer Patients and Survivors: Epidemiology, Diagnosis, and Management (JACC CardioOncology December 2019)
Hypertension in Cancer Patients and Survivors: Epidemiology, Diagnosis, and Management (JACC CardioOncology December 2019)
Cancer patients and survivors of cancer have a greater burden of cardiovascular disease compared with the general population. Much of the elevated cardiovascular risk in these individuals is likely attributable to hypertension, because individuals with cancer have a particularly high incidence of hypertension following cancer diagnosis. Treatment with chemotherapy is an independent risk factor for hypertension due to direct effects of many agents on endothelial function, sympathetic activity, and renin-angiotensin system activity, as well as nephrotoxicity. Diagnosis and management of hypertension in cancer patients requires accurate blood pressure measurement and consideration of potential confounding factors, such as adjuvant treatments and acute pain, that can temporarily elevate blood pressure readings. Home blood pressure monitoring can be a useful tool to facilitate longitudinal blood pressure monitoring for titration of antihypertensive medications. Selection of antihypertensive agents in cancer patients should account for treatmentspecific morbidities and target organ damage.


Editor-in-Chief and CME Editor
Bonnie Ky, MD, MSCE, FACC

Author
Jordana B. Cohen, MD, MSCE

CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: December 17, 2019
Term of Approval/Date of CME/MOC/ECME Expiration: December 16, 2020

Learner Objectives

After reading this article the reader should be able to:

  • Identify factors contributing to the elevated risk of hypertension among patients with cancer and survivors of cancer.
  • Discuss approaches to blood pressure monitoring in patients with cancer and survivors of cancer.
  • Select appropriate agents for the management of hypertension in patients with cancer and survivors of cancer, considering cancer treatment–specific morbidities and target organ damage.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC, or ECME credit for this Activity
To request credit, you must:

  1. Read the article for which you wish to receive credit.
  2. Answer the self-assessment questions. You need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
  3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
  4. For CME credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim.
  5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
  6. For ECME credit, click the Claim button in the row for EMCE. Please note that you may only claim once for this activity. Enter date of birth and click Submit.
  7. The page will be updated with the date and time that you claimed your credit.
  8. To view your credit, or to print a certificate, please go to ACC.org and navigate to the My Transcript section of My ACC.

This CME/MOC/ECME-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/MOC/ECME certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/MOC/ECME-certified activity.

Summary
Availability: On-Demand
Available Dec 17, 2019 to Dec 16, 2020
Cost: FREE
Credit Offered: 1 CME Credit
1 ECME Credit
1 ABIM-MOC Point
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