About this video
- Video Title: Grand Rounds 2025.10.08
- Channel: University of Miami Department of Medicine
- Speakers: Dr. Despandez, Dr. Logado, Dr. Doleki, Dr. Susan Dele Lewis, Dr. Goldberg, Dr. Von Harath
- Duration: 01:05:32
Overview
This video features two presentations from the University of Miami Department of Medicine Grand Rounds. The first presentation, by Dr. Logado, discusses updates and key changes in the 2025 hypertension guidelines, covering new terminology, the role of aldosterone, lifestyle modifications, treatment thresholds, and considerations for specific populations like pregnant women and those with chronic kidney disease. The second presentation, by Dr. Susan Dele Lewis, focuses on COVID-19 vaccines, discussing their efficacy, safety, the current vaccine rollout, and considerations for different patient groups.
Key takeaways
- Hypertension Guideline Updates (2025): The guidelines introduce new terminology like "severe hypertension" (formerly hypertensive urgency), emphasize the role of potassium in blood pressure management, and lower the cardiovascular risk threshold for initiating medication.
- Hypertension in Specific Populations: New recommendations address hypertension management during pregnancy, including the use of low-dose aspirin, and provide clearer guidance for patients with chronic kidney disease and those experiencing intracranial hemorrhage.
- COVID-19 Vaccine Efficacy and Safety: While initial vaccine efficacy was high, it wanes over time, particularly after six months. The primary risks associated with COVID-19 vaccines (myocarditis, pericarditis) are rare, generally mild, and less common than the risks associated with natural infection.
- Vaccine Rollout and Recommendations: The 2025 COVID-19 vaccine rollout has a more targeted approval, emphasizing individuals over 65 or with underlying medical conditions, though shared clinical decision-making is encouraged.
- Public Health Approach to Hypertension: Managing hypertension requires a team-based approach involving physicians, nurses, pharmacists, and dietitians, with a strong emphasis on patient education, community involvement, and addressing social determinants of health.
