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Medicine Grand Rounds - Overview and Update on the Treatment of Mild Hypertension

Dr. Denker reviews the current guidelines regarding the definition and diagnosis of hypertension, and its relationship with age, race, cardiovascular risk and renal disease. He describes several clinical trials that indicate important clinical benefits with intensive blood pressure control, with the caveat that studies in patients with diabetes have not demonstrated the same benefits. In addition, he acknowledges the potential harms of intensive blood pressure targets including possible progression of kidney disease and falls. The importance of the consistency and accuracy of blood pressure measurement and the preference for automated blood pressures and ambulatory monitoring is emphasized.

Activity Details

Start Date: March 8, 2019
End Date: March 8, 2021

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

  • Bradley M. Denker, MD
    Associate Professor of Medicine
    Harvard Medical School
    Clinical Chief, Renal Division, Beth Israel Deaconess Medical Center
    Chief of Nephrology, Atrius Health

    Bradley M. Denker, MD graduated from State University of New York Medical School, he completed his Internal Medicine Residency and Fellowship in Hematology at the Johns Hopkins Hospital, and completed his Nephrology Fellowship at the Brigham and Women’s Hospital.  He was the lead author on the paper that ultimately led to the discovery of Aquaporins and the 2003 Nobel Prize in Chemistry. Dr. Denker has busy outpatient Renal Clinics at Beth Israel and Atrius Health, and is working on the use of electronic medical records to improve recognition and management of chronic kidney disease in addition to developing new care delivery models to improve quality and reduce costs in the dialysis patient population.
Learning Outcome

Participants will be able to review definitions, epidemiology and recent guidelines on the management of hypertension, summarize benefits of life style modifications on blood pressure and discuss evidence for lower blood pressure goals in specific populations.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for Overview and Update on the Treatment of Mild Hypertension (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. Dr. Denker reports no conflicts of interest. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Allurion. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
43 Registered Users