Cycle 2 – Module 7 – Lecture 3 – Arterial Hypertension: The efficacy of Hormone therapies (3h21)

Abstract:

This interesting video lecture offers new insights in the treatment of one of the most frequent complaints in a medical consultation, arterial hypertension, by correcting the hormone deficit(s) with hormone supplementation, an approach that may work as an adjuvant therapy or even replace traditional antihypertensives in hypertensive patients by treating the (hormone) cause(s) and not only the consequence(s) of arterial hypertension

Thyroid therapy is known to reduce not only systolic hypertension but even with more efficacy the more deleterious diastolic hypertension. Estradiol and progesterone supplementation in women and testosterone treatment in men, and growth hormone treatment in both sexes usually reduce systolic and diastolic blood pressures. High levels of these hormones are generally associated with lower blood pressures. Melatonin reduces at night the blood pressure, insuring the nocturnal dip of the blood pressure.

DHEA, melatonin, and estradiol have been shown to reduce pulmonary hypertension in humans and animals. Both hypo- and hyperthyroidism have been associated with pulmonary hypertension. Thus, physicians must find the right hormone balance.

Arterial hypotension is often linked to adrenal deficiency. Synthetic fludrocortisone (aldosterone) and to a lesser degree bioidentical hydrocortisone work best to restore a normal blood pressure in hypotensive patients.

This session is rich in pictures and scientific data.

 

Content is a 3h21 video lecture, a PDF presentation file, a PDF references on:

| The 6 major hormone therapies that may prevent or reduce arterial hypertension:

  • Thyroid
  • GH (growth hormone)
  • IGF-1
  • Estrogens
  • Progesterone
  • Testosterone

| Other hormone therapies that may prevent or reduce arterial hypertension: DHEA, Melatonin, and possibly oxytocin

| Hormone excesses that may facilitate or cause pulmonary hypertension: hyperthyroidism, cortisol excess

| The 6 major hormone therapies that may prevent or reduce pulmonary hypertension:

  • DHEA
  • Thyroid
  • Estradiol
  • Possibly bioidentical progesterone
  • Melatonin
  • Cortisol in cortisol deficiency and inflammatory diseases

| Hormone excesses that may facilitate or cause pulmonary hypertension: hyperthyroidism, glucocorticoid excess

 

Educational outcome:

Transmission of knowledge on which hormone deficiencies may facilitate or even cause arterial and pulmonary hypertensions, and arterial hypotension, and how hormone supplementations may reduce these abnormal blood pressures.

 

Learning outcomes:

  • The physician should have learned to detect the hormone deficit(s) that cause or increase blood pressure abnormalities in patients.
  • The physician should have learned to differentiate clinically (symptomatically) which hormone deficiency or excess is behind arterial and pulmonary hypertensions, and arterial hypotension by recognizing other signs of symptoms of the causative hormone deficiency in the patient.
  • The physician should have learned to treat the hormone deficiency and even be able to finetune the doses to the needs and degree of abnormality of blood pressure of his or her patient.

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