CLIMA Clinical Management of Arterial Hypertension during Emergencies and at the Clinic

The Second-level short specialisation degree in Clinical Management of Arterial Hypertension during Emergencies and at the Clinic provides training on the prevalence, diagnosis and treatment of secondary arterial hypertension forms, in different settings (primary aldosteronism – PA, kidney artery stenosis, pheochromocytoma/paraganglioma, rare forms); PA subtyping and adrenal venous catheterization; iatrogenic and antineoplastic arterial hypertension; arterial hypertension in pregnant women; organ damage; hypertensive emergencies (BARKH approach).

The discussion of interactive cases helps develop the ability to apply knowledge through the problem-solving method. The simulation of clinical cases supports hands-on activities. The course will include in-classroom screening of invasive procedures and surgeries to promote the discussion of clinical cases and review the procedure/surgery.

Furthermore, it will stimulate the capacity of gathering and interpreting data deemed useful to determine independent assessment on clinical secondary hypertension cases, including some rare forms.

The Second-level short specialisation degree in Clinical Management of Arterial Hypertension during Emergencies and at the Clinic is addressed to hospitalists, endocrinologists, radiologists, surgeons, with a high level of expertise in the diagnosis and treatment of secondary hypertension, and nurses with a high level of professionalism.

The course trains figures such as medical directors with high professional competencies, in intra- and extra-hospital settings, and nurses with high intra-hospital skills.

The Second-level short specialisation degree in Clinical Management of Arterial Hypertension during Emergencies and at the Clinic includes in-depth training on the following modules:

Module 1: Organ damage in arterial hypertension

• Nephroangiosclerosis and kidney failure

Module 2: Kidney artery stenosis

• Instrumental diagnostics and revascularization of kidney artery stenosis
• Pickering syndrome

Module 3: Rare forms of arterial hypertension

• Iatrogenic arterial hypertension
• Antineoplastic arterial hypertension

Module 4: Diseases and conditions related to arterial hypertension

• Dyslipidaemia and arterial hypertension
• Pre-eclampsia and eclampsia
• Atrial fibrillation

Module 5: Arterial hypertension in PS and Urgent Care

• Patient classification with an appropriate treatment and care setting
• Hypertensive emergency treatment

Module 6: Pheochromocytoma/paraganglioma

• Genetics of pheochromocytoma/paraganglioma
• Surgical treatment and follow up

Module 7: Primary or essential hypertension: fake entity?

• Analysis of clinical studies on primary and secondary arterial hypertension

Module 8: Vascular remodelling 

• Vascular remodelling pattern
• Microangiopathy of arterial hypertension

Module 9: Primary aldosteronism

• Guidelines on primary aldosteronism
• Diagnostics of primary aldosteronism
• Venous adrenal catheterization
• Patient intra- and peri-procedural assessment

Module 10: Organ damage in arterial hypertension

• Hypertensive cardiac disease
• Hypertensive kidney disease

The general ranking of merit for the academic year 2023/24 will be published on the Italian page of this Second-level short specialisation degree according to the timing provided in the Call.