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Blood Pressure

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November 25, 2016: Blood Pressure
Alessandra Mileni Versuti Ritter, Ana Paula de Faria, Natália Barbaro, Andréa Rodrigues Sabbatini, Nathália Batista Corrêa, Veridiana Brunelli, Rivadavio Amorim, Rodrigo Modolo, Heitor Moreno
The balance between matrix metalloproteinases (MMP) and their tissue inhibitors (TIMP) plays a key role in the development of hypertension and obesity. We aimed to evaluate the levels of MMP-2 and 9 and TIMP-2 and -1 in obese and non-obese apparent treatment-resistant hypertensive subjects (aTRH) and its association with cardiac hypertrophy. This cross-sectional study enrolled 122 subjects and divided into obese aTRH (n = 67) and non-obese (n = 55) group. Clinical and biochemical data were compared between both groups, including office BP, ambulatory BP, plasma MMP-2 and 9, TIMP-2 and 1 and left ventricular mass index (LVMI)...
November 8, 2016: Blood Pressure
Wenming Yuan, Genyang Cheng, Bin Li, Yansheng Li, Shan Lu, Dong Liu, Jing Xiao, Zhanzheng Zhao
The aim of this meta-analysis was to assess the effectiveness and safety of endothelin-receptor antagonist (ERA) in the patients with hypertension. Searches of the PubMed, EMBASE, and CENTRAL databases were conducted to include all the randomized control trials (RCTs). Eighteen trials including 4898 patients were used in the meta-analysis, of which nine were classified as low risk of bias and the other nine as unclear risk of bias. There was no statistically significant difference in all-cause mortality between ERA and placebo groups [6 trials, fixed effects model, RR 1...
November 3, 2016: Blood Pressure
Costantino Mancusi, Eva Gerdts, Giovanni de Simone, Helga Midtbø, Mai Tone Lønnebakken, Kurt Boman, Kristian Wachtell, Björn Dahlöf, Richard B Devereux
We tested the prognostic impact of a marker of arterial stiffness, pulse pressure/stroke volume index (PP/SVi) in patients with hypertension and left ventricular (LV) hypertrophy. We used data from 866 patients randomized to losartan or atenolol-based antihypertensive treatment, over a median of 4.8 years, in the Losartan Intervention For Endpoint reduction in hypertension (LIFE) study. The association of PP/SVi with outcomes was tested in Cox regression analyses and reported as hazard ratio (HR) and 95% confidence intervals (CI)...
October 6, 2016: Blood Pressure
(no author information available yet)
No abstract text is available yet for this article.
October 6, 2016: Blood Pressure
Søren Sandager Petersen, Line Reinholdt Pedersen, Manan Pareek, Mette Lundgren Nielsen, Søren Zöga Diederichsen, Margrét Leósdóttir, Peter M Nilsson, Axel Cosmus Pyndt Diederichsen, Michael Hecht Olsen
OBJECTIVE: To investigate the influence of cardiovascular risk factors, including fasting plasma glucose (FPG), on the association between electrocardiographic (ECG) and echocardiographic left ventricular hypertrophy (LVH) in an elderly population. METHODS: We tested cross-sectional associations between electrocardiographic and echocardiographic LVH, defining LVH according to the Sokolow-Lyon voltage combination, Cornell voltage-duration product, or left ventricular mass index (LVMI)...
September 23, 2016: Blood Pressure
Anna Dzieża-Grudnik, Joanna Sulicka, Magdalena Strach, Olga Siga, Ewa Klimek, Mariusz Korkosz, Tomasz Grodzicki
Patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS) have increased cardiovascular (CV) morbidity and mortality. Arterial stiffness is an independent predictor of CV events. The aim of the study was to assess arterial stiffness and inflammatory markers in patients with short duration chronic arthritis. We assessed carotid-femoral pulse wave velocity (PWV), augmentation index (AIx), traditional CV risk factors and inflammatory and endothelial markers in 71 chronic arthritis patients (RA and AS) and in 29 healthy controls...
September 22, 2016: Blood Pressure
Sverre E Kjeldsen, Aud Stenehjem, Ingrid Os, Philippe Van de Borne, Michel Burnier, Krzysztof Narkiewicz, Josep Redon, Enrico Agabiti Rosei, Giuseppe Mancia
The European Society of Hypertension recommend the following main rules for treatment of hypertension in elderly and octogenarians: 1) In elderly hypertensives with SBP ≥ 160 mmHg there is solid evidence to recommend reducing SBP to between 140 mmHg and 150 mmHg. 2) In fit elderly patients less than 80 years old treatment may be considered at SBP ≥ 140 mmHg with a target SBP < 140 mmHg if treatment is well tolerated. 3) In fit individuals older than 80 years with an initial SBP ≥ 160 mmHg it is recommended to reduce SBP to between 150 mmHg and 140 mmHg...
December 2016: Blood Pressure
Sverre E Kjeldsen, Krzysztof Narkiewicz, Suzanne Oparil
No abstract text is available yet for this article.
December 2016: Blood Pressure
Seyed Saeed Mazloomy Mahmoodabad, Hadi Tehrani, Mahdi Gholian-Aval, Hasan Gholami, Mohsen Nematy
Reducing salt intake is a factor related to life style which can influence the prevention of blood pressure. This study was conducted to assess the impact of social class on the amount of salt intake in patients with hypertension in Iran. This was an observational on the intake of salt, as estimated by Kawasaki formula in a sample from Iranian population, stratified for social background characteristics. The finding in general was that the estimated salt intake was somewhat higher in subjects from a lower social background, while the opposite was true for lipid levels (LDL and HDL cholesterol)...
December 2016: Blood Pressure
Michael T Tanoue, Sverre E Kjeldsen, Richard B Devereux, Peter M Okin
BACKGROUND: Persistence or development of Cornell product left ventricular hypertrophy (LVH) is associated with increased heart failure (HF) risk that is partly explained by greater LV systolic dysfunction. However, whether new or persistent Cornell product LVH during antihypertensive treatment is associated with worse LV diastolic function is unclear. METHODS: Left ventricular diastolic function was examined in relation to year-3 ECG LVH in 377 hypertensive patients with a preserved LV ejection fraction (>45%) at year-3...
December 2016: Blood Pressure
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Blood Pressure
Man Wang, Chao Chu, Jianjun Mu
The aim of this study was to estimate the relationship between body mass index (BMI) and blood pressure (BP) in a Chinese population with 26 year follow-up. The study included 4211 schoolchildren aged 6-17 years in Hanzhong, Shaanxi Province, China. Body weight, height, waist circumference, and BP were measured in 1987, 1989, 1992, 1995 and 2013. Cox proportional hazards model were fitted to examine the effect of BMI on BP. At the 26 year follow-up, 6.93% of male and 3.43% of female subjects had high SBP, and 12...
October 2016: Blood Pressure
Sondre Heimark, Per Anders Eskås, Julian Eek Mariampillai, Anne Cecilie K Larstorp, Aud Høieggen, Fadl Elmula M Fadl Elmula
OBJECTIVE: Treatment-resistant hypertension (TRH) has regained attention with development of new methods for treatment. However, the prevalence of TRH varies considerably from primary to secondary and tertiary care. We aimed to assess the prevalence of true TRH in a population of patients with apparent TRH in a university hospital setting of tertiary work-up and also investigate reasons for poor BP control and evaluate how work-up can be performed in general practice and secondary care...
October 2016: Blood Pressure
Shan-Shan Li, Fang Zhou, Yi-Chao Lu, Ping Lyv, Hai-Feng Zhang, Wen-Ming Yao, Lei Gong, Yan-Li Zhou, Rong Yang, Yan-Hui Sheng, Dong-Jie Xu, Xiang-Qing Kong, Xin-Li Li
BACKGROUND AND OBJECTIVE: Hypertension-related knowledge and behaviour have been identified as influential factors associated with awareness, treatment and control of hypertension in urban regions. However, there were few studies on rural areas. This study aims to investigate whether hypertension related knowledge and behaviour were associated with hypertension awareness, treatment and control in Gaoyou, a rural area of Jiangsu province, China. METHODS: A cross-sectional, population-based survey was conducted among hypertensive individuals in rural areas of Gaoyou, the south-eastern of China in 2010...
October 2016: Blood Pressure
Marijana Tadic, Cesare Cuspidi, Vladan Vukomanovic, Vesna Kocijancic, Vera Celic
OBJECTIVE: We sought to evaluate right ventricular (RV) structure and function in hypertensive patients with various left ventricular (LV) geometric patterns using an updated classification for LV geometry. METHODS: This cross-sectional study included 232 hypertensive subjects. All the subjects underwent complete two-dimensional (2D) and three-dimensional (3D) echocardiographic examination. Using LV mass index, LV end-diastolic diameter and relative wall thickness, according to the updated classification, all subjects were divided into six different groups: normal LV geometry, concentric remodeling, eccentric LV hypertrophy (LVH), concentric, dilated, and concentric-dilated LVH...
October 2016: Blood Pressure
Helga Midtbø, Eva Gerdts, Tore K Kvien, Inge C Olsen, Mai Tone Lønnebakken, Einar Skulstad Davidsen, Silvia Rollefstad, Anne Grete Semb
BACKGROUND: The association of hypertension with asymptomatic cardiovascular organ damage in patients with rheumatoid arthritis (RA) has been little studied by echocardiography. METHODS: Echocardiography was done in 134 RA patients and 102 healthy controls. Left ventricular (LV) geometry was considered abnormal if LV mass index or relative wall thickness was increased. LV diastolic dysfunction was considered present if septal early diastolic tissue velocity <8 cm/s...
October 2016: Blood Pressure
Takayasu Ito, Ryuji Okamoto, Masaya Taniguchi, Masaki Tanabe, Haruna Komatsubara, Norikazu Yamada, Masaaki Ito
Hypertensive emergency is an important entity which should be managed adequately. A 65-year-old woman presented with blindness and elevated blood pressure of 254/131 mmHg. She was diagnosed with hypertensive emergency on physical examination, and brain magnetic resonance imaging showed posterior reversible encephalopathy syndrome (PRES) with bilateral thalamic haemorrhage. After controlling her blood pressure with intravenous antihypertensive agents, periaortitis and retroperitoneal fibrosis (RPF) were manifested by left hydronephrosis and creatinine elevation...
October 2016: Blood Pressure
Oscar Hägglund, Ingrid Sjöqvist, Cecilia Linde, Per Svensson, Jan Östergren
BACKGROUND: Patients with coronary artery disease (CAD) are at high risk for secondary CV events. Few studies have been performed concerning the physicians' reactions to high BP in patients with manifest CAD. AIMS: To compare the prevalence and management of high BP after percutaneous coronary intervention (PCI) in 2011-2012 with that in 2004. MATERIAL AND METHODS: We identified 300 consecutive patients from 2011-2012 and 167 from 2004 with a follow-up visit after PCI at a University hospital in Sweden...
October 2016: Blood Pressure
Xiaojing Ye, Salman Shafi, Andrea Negrete, William N Davis, Erdal Sarac, Alejandro M Negrete, Hilmer Negrete
Home blood pressure monitoring (HBPM) is recommended in patients with chronic kidney disease (CKD) and hypertension (HTN). However, little is known about the use and pattern of HBPM in CKD patients. A cross-sectional study was conducted in an out-patient nephrology clinic. A total of 285 patients participated in the study. Of all patients, 66% reported using HBPM. Self-reported compliance with BP medications (93.9% vs. 85.1%, p 0.03), exercise >3 days/week (45.9 vs. 26.3%, p <0.001) and dietary sodium restriction (85...
October 2016: Blood Pressure
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