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CME

Recognizing and Overcoming Barriers to Optimizing RAAS Inhibitor Use

  • Authors: Javed Butler, MD, MBA, MPH; Mikhail N. Kosiborod, MD; Matthew R. Weir, MD
  • CME Released: 11/23/2021
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 11/23/2022
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Target Audience and Goal Statement

This activity is intended for cardiologists, nephrologists, and primary care physicians.

The goal of this activity is to discuss the use of renin-angiotensin-aldosterone (RAAS) inhibitors in patients with heart failure (HF) and chronic kidney disease (CKD), the associated risk of hyperkalemia, and how novel potassium binders may help regulate K+ levels to enable the optimal dosing of RAAS inhibitors to improve outcomes in this patient population.

Upon completion of this activity, participants will:

  • Have increased knowledge regarding the
    • Importance of optimal RAAS inhibitor use in patients with CKD and HF
    • Effects of RAAS inhibitors on serum K+ levels
    • Role of potassium binders in enabling RAAS inhibition


Disclosures

As an organization accredited by the ACCME, Medscape, LLC requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

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Faculty

  • Javed Butler, MD, MBA, MPH

    Patrick A. Lehan Chair in Cardiovascular Research
    Professor of Medicine and Physiology
    University of Mississippi
    Jackson, Mississippi

    Disclosures

    Disclosure: Javed Butler, MD, MBA, MPH, has the following relevant financial relationships: 
    Advisor or consultant for: Abbott; Adrenomed; American Regent; Amgen; Array; AstraZeneca; Bayer; Boehringer Ingelheim; Bristol Myers Squibb Company; CVRx; G3 Pharmaceutical; Impulse Dynamics; Innolife; Janssen; LivaNova; Medtronic; Merck; Novartis; Novo Nordisk; Relypsa; Roche; Vifor
    Speaker or a member of a speakers bureau for: AstraZeneca; Boehringer Ingelheim; Lilly; Vifor

  • Mikhail N. Kosiborod, MD

    Professor of Medicine
    University of Missouri
    Kansas City School of Medicine
    Saint Luke's Mid America Heart Institute
    Kansas City, Missouri

    Disclosures

    Disclosure: Mikhail N. Kosiborod, MD, has the following relevant financial relationships: 
    Advisor or consultant for: Amgen; Applied Therapeutics; AstraZeneca; Bayer; Boehringer Ingelheim; Esperion; Janssen; Lilly; Merck; Novo Nordisk; Sanofi; Vifor
    Grants for clinical research from: AstraZeneca; Boehringer Ingelheim

  • Matthew R. Weir, MD

    Professor and Chief
    Division of Nephrology
    University of Maryland School of Medicine
    Baltimore, Maryland

    Disclosures

    Disclosure: Matthew R. Weir, MD, has the following relevant financial relationships: 
    Advisor or consultant for: Akeiba; AstraZeneca; Bayer; Boehringer Ingelheim; Janssen; Merck; Novo Nordisk; Vifor

Editors

  • George Boutsalis, PhD

    Director, Content Development, Medscape, LLC

    Disclosures

    Disclosure: George Boutsalis, PhD, has disclosed no relevant financial relationships.

  • Fred Stange, DO

    Scientific Content Manager, Medscape, LLC

    Disclosures

    Disclosure: Fred Stange, DO, has disclosed no relevant financial relationships.

CME Reviewer

  • Leigh Schmidt, MSN, RN, CMSRN, CNE, CHCP

    Associate Director, Accreditation and Compliance, Medscape, LLC

    Disclosures

    Disclosure: Leigh Schmidt, MSN, RN, CMSRN, CNE, CHCP, has disclosed no relevant financial relationships.

None of the nonfaculty planners for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients.

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.


Accreditation Statements



In support of improving patient care, Medscape LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Medscape, LLC designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

CME

Recognizing and Overcoming Barriers to Optimizing RAAS Inhibitor Use

Authors: Javed Butler, MD, MBA, MPH; Mikhail N. Kosiborod, MD; Matthew R. Weir, MDFaculty and Disclosures
THIS ACTIVITY HAS EXPIRED

CME Released: 11/23/2021

Valid for credit through: 11/23/2022

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What are the benefits of using RAAS inhibitors in patients with HF and CKD? What are the barriers preventing the optimal use of RAAS inhibitors? How can you overcome and manage elevated K+ levels resulting from RAAS inhibitor use? This Medscape micro activity consists of brief video-based chapters where our expert faculty provide you with the information you seek on these questions. Please choose the chapters you are interested to learn more about, in any order, and build up your CME credits with the  Medscape micro calculator.