De-intensify Anti-Hypertensives for Nursing Home Residents? Athanase Benetos and Mike Steinman
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
51 min
2 speakers
8 chapters
transcribed 10 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the main focus of this episode on deprescribing antihypertensives in nursing homes?
Welcome to the JerryPell
Podcast.
Timeout Time Out. What? Ann Kelly here, and I'm here to interrupt this flow because we have a special announcement.
What's that?
The 400th Jerry Pell episode is coming up, you guys. Ten years, four hundred episodes. And you know we gotta celebrate. What are we gonna do? What are we gonna do, Alex?
We're gonna do an Ask Us Anything podcast where you, dear listeners, that's you listening right now, send us questions, anything to do with geriatrics, palliative care, policy, research, clinical practice.
Eric and Alex's
middle name. Whatever you wanna ask. Who do they send it to? They
send it to me, eric.widera at ucsf.edu, for ask me anything. Just email me any questions that you have, and then on to the show for now. This podcast is not see me eligible. If people do want to learn more about see me eligible podcast, Alex, what do they do?
They can go to JerryPal dot org backslash CME.
And on to the show. Welcome to the Jerry Pal podcast. This is Eric Widera. This is Alex Smith. And Alex, who do we have on the podcast with us today?
Today. From Europe, from France, we are delighted to welcome Atanaz Benetos, who is a geriatrician researcher at the University Hospital of Nancy Lorraine and senior researcher at the National Institute of Biomedical Research in CERN. Welcome to the JerryPow podcast, Atanas. Hello, I'm very pleased to be with you today. Great. And we're delighted to welcome back Mike Steinman, who's a geriatrician researcher at UCSF in the division of geriatrics and co-PI of the U.S. Deprescribing Research Network. Mike, welcome back to JerryPal. Always a pleasure. Thanks.
So we're going to be talking about one of our favorite subjects here on JerryPal, Deprescribing. This time. Talking about deprescribing anti-hypertensives in older adults and nursing home patients. Really important study that came out this last year was a New England Journal study headed by Athanas on deprescribing antihypertensives in nursing home patients. We're going to be talking about that and so much more. But before we do, we always have a song request. Athanas, do you have a song request for Alex? Yes. I
propose a a song that I like very much, which is I'n alamour. Why'd you pick this up? Yeah, I mean I think it's very known song actually, uh not only in France And uh well I like this song, I like very much the singer, Edith Piaf, was was a great, great person, a great singer and she She wrote the lyrics. Yeah. The music is a it's another lady. I don't remember her name now. Well, Alex likes
this 'cause he likes talking in a French accent. So we'll see how he does.
Yeah, I don't understand a word of this, but but I love singing in French and I like trying to speak in French. So apologies to those of you who speak French. Here's a little bit.
Le ciel bleu, ce n'est plus, s'effondrer. Il at le bien s'écrouler. Et même porte, si tu m'énistes, je m'en fous du monde entier. Tant qu'elle m'a inondéra mes mentelles. Kim prend remira sous tes mains. Come import all the problems. Mon amour Piska. To
Alex, it's like I'm sitting in a cafe in the uh the moray. The Well done. Can you describe what's the lyrics saying
briefly? Well, the the lyrics are very, very nice actually, and they say globally that even if the everything disappears, even everything is I mean it's broken down, it's uh А міндеворс тінська. I I can accept everything. City mem if you love me. So and this is a very yes, so it's uh Imla Lamura, yeah, so it And what I mean Edith was really something that extremely s powerful. I mean in her voice. You know, a s little woman like that. And what one thing very an very important detail This song I mean f she first sang this song in nineteen forty nine in September. She was, you know, in a cabaret at that time. And one month later, something like I think October. Her big love. What's a box a boxer, you know?
Marcel Cerdon A very known French боксер хівос хермен And he died in an accident. in a plane accident and denied so she was completely destroyed she was and and the night she l just one hour after she learned he died, she came out because she has to s to sing.
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Chapters
8 chapters
1
What is the main focus of this episode on deprescribing antihypertensives in nursing homes?
0:00–6:14
2
Why did the researchers choose mortality as the primary outcome for the study?
6:14–13:09
3
How did the study design address frailty and exclusion criteria in nursing‑home residents?
13:09–19:17
4
What were the key findings regarding mortality and secondary outcomes?
19:17–25:52
5
How do the results compare with other hypertension trials like SPRINT, OPTIMIZE, and the Danton study?
25:52–31:56
6
What does the data suggest about deprescribing strategies for frail versus robust patients?
31:56–37:12
7
What practical guidance do the experts give clinicians about stopping antihypertensives?
37:12–43:58
8
How does the episode wrap up with final take‑aways and the French song request?
43:58–51:48
Speakers
2 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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