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Blood Pressure

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https://www.readbyqxmd.com/read/28830251/the-effect-of-renal-denervation-on-arterial-stiffness-central-blood-pressure-and-heart-rate-variability-in-treatment-resistant-essential-hypertension-a-substudy-of-a-randomized-sham-controlled-double-blinded-trial-the-reset-trial
#1
Christian Daugaard Peters, Ole Norling Mathiassen, Henrik Vase, Jesper Bech Nørgaard, Kent Lodberg Christensen, Anne Pauline Schroeder, Hans Joachim von Hofe Rickers, Ulla Kampmann Opstrup, Per Løgstrup Poulsen, Sten Langfeldt, Gratien Andersen, Klavs Würgler Hansen, Hans Erik Bøtker, Morten Engholm, Jannik Buus Bertelsen, Erling Bjerregaard Pedersen, Anne Kaltoft, Niels Henrik Buus
OBJECTIVES: To investigate, whether renal denervation (RDN) improves arterial stiffness, central blood pressure (C-BP) and heart rate variability (HRV) in patients with treatment resistant hypertension. METHODS: ReSET was a randomized, sham-controlled, double-blinded trial (NCT01459900). RDN was performed by a single experienced operator using the Medtronic unipolar Symplicity Flex(TM) catheter. C-BP, carotid-femoral pulse wave velocity (PWV), and HRV were obtained at baseline and after six months with the SphygmoCor(®)-device...
August 23, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28830245/truncal-pattern-of-subcutaneous-fat-distribution-is-associated-with-obesity-and-elevated-blood-pressure-among-children-and-adolescents
#2
Ying-Xiu Zhang, Shu-Rong Wang, Jin-Shan Zhao, Zun-Hua Chu
BACKGROUND: The association between elevated blood pressure (BP) and childhood obesity has been documented in several studies. However, little is known the difference in BP levels among children and adolescents with different patterns of fat distribution. The present study examined the association of subcutaneous fat distributional pattern with obesity and elevated BP among children and adolescents. METHODS: A total of 38,687 students (19,386 boys and 19,301 girls) aged 7-17 years participated in the study...
August 23, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28754066/pulse-pressure-tracking-from-adolescence-to-young-adulthood-contributions-to-vascular-health
#3
Xavier Melo, Diana A Santos, Rui Ornelas, Bo Fernhall, Helena Santa-Clara, Luís B Sardinha
PURPOSE: We examined whether exposure to high PP in adolescence predicts carotid artery intima-media thickness (IMT) and stiffness indices at young adulthood. METHODS: Seventy-nine participants had their brachial systolic (SBP) and diastolic blood (DBP) pressures taken at the age of 15-16 years and later at young adulthood (29-31 years). Carotid IMT, distensibility and stiffness index β were measured at young adulthood. Linear and logistical regression analysis were performed...
July 28, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28745077/validity-of-a-protocol-to-estimate-patients-pre-morbid-basal-blood-pressure
#4
Rakshit Panwar, Brendan Sullohern, Emily Shiel, Catherine Alexis Brown, Anthony Quail
PURPOSE: The pre-illness basal mean arterial BP (MAP) is an important reference point to gauge the degree of relative hypotension among unwell patients. We aimed to assess mean bias, correlation, and agreement between basal MAP measured during nighttime ambulatory BP monitoring (ABPM) and basal MAP estimated using a standardized protocol. MATERIALS AND METHODS: For a cohort of 137 consecutive patients, aged ≥40 years, who recently underwent ABPM, a blinded investigator estimated basal MAP from up to five most recent clinic BP measurements...
July 26, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28738697/reduction-of-heart-rate-variability-in-hypertensive-elderly
#5
Paulo Evaristo de Andrade, Joice Anaize Tonon do Amaral, Laércio da Silva Paiva, Fernando Adami, Juliana Zangirolami Raimudo, Vitor Engrácia Valenti, Luiz Carlos de Abreu, Rodrigo Daminello Raimundo
INTRODUCTION: The elderly population grows globally every day, and along with it the incidence of high blood pressure also grows, following these data scientists seek tools to improve the health of this population, a widely used tool for assessing cardiovascular function is the heart rate variability(HRV), that is a mecanism that allows the investigation of oscillations in the intervals between consecutive heart beats (RR intervals). There are already studies on the autonomic nervous system in the elderly population, however, these studies investigated normotensive patients and there is little research in hypertensive patients...
July 24, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28738693/the-accuracy-of-spacelabs-90207-in-blood-pressure-monitoring-in-patients-with-atrial-fibrillation
#6
Eliza Miszkowska-Nagórna, Jolanta Neubauer-Geryk, Jacek Wolf, Melanie Wielicka, Grzegorz Raczak, Krzysztof Narkiewicz, Leszek Bieniaszewski
PURPOSE: Irregular heart rhythm in the course of atrial fibrillation (AFib) results in lower blood pressure (BP) measurements reproducibility which is further limited by various BP-monitors used. Therefore the aim of our study was to estimate accuracy of oscillometric BP measurement (SpaceLabs 90207) with reference to mercury manometer-based readings. MATERIAL AND METHODS: Study was performed in 47 hemodynamically stable patients aged 63 ± 12 yo with paroxysmal or persistent AFib, at baseline...
July 24, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28724313/treatment-strategies-for-comorbid-conditions-lower-residual-risk-in-patients-with-treated-hypertension-fourier-and-other-randomized-outcome-trials
#7
Sverre E Kjeldsen, Krzysztof Narkiewicz, Michel Burnier, Suzanne Oparil
No abstract text is available yet for this article.
July 20, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28724309/effects-of-long-term-device-guided-slow-breathing-on-sympathetic-nervous-activity-in-hypertensive-patients-a-randomized-open-label-clinical-trial
#8
Silvana de Barros, Giovanio Vieira da Silva, Josiane Lima de Gusmão, Tatiana Goveia de Araújo, Dinoélia Rosa de Souza, Crivaldo Gomes Cardoso, Bruna Oneda, Décio Mion
PURPOSE: Device-guided slow breathing (DGB) is indicated as nonpharmacological treatment for hypertension. The sympathetic nerve activity (SNA) reduction may be one of the mechanisms involved in blood pressure (BP) decrease. The aim of this study is to evaluate the long-term use of DGB in BP and SNA. SUBJECTS AND METHODS: Hypertensive patients were randomized to listen music (Control Group-CG) or DGB (aim to reduce respiratory rate to less than 10 breaths/minute during 15 minutes/day for 8 weeks)...
July 20, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28708028/the-association-between-changes-in-blood-pressure-components-and-incident-cardiovascular-diseases
#9
Donna Parizadeh, Hosein Ghahvehchian, Samaneh Asgari, Amir Abbas Momenan, Fereidoun Azizi, Farzad Hadaegh
PURPOSE: To determine the association of changes in blood pressure (BP) components between baseline examination (1999-2001) and a second visit (2002-2005) with incident cardiovascular diseases (CVD). METHODS: In 3569 (2048 female) Iranian subjects ≥30 y, systolic BP, diastolic BP, mean arterial pressure (MAP) and pulse pressure (PP) were evaluated in two consecutive visits. Subjects were then followed for cardiovascular events. Multivariate sex-adjusted Cox Proportional-Hazards models were built for each BP component's change, and further adjusted for baseline BP values, traditional cardiovascular risk factors, and their changes...
July 14, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28675304/immune-markers-diurnal-blood-pressure-profile-and-cardiac-function-in-virologically-suppressed-hiv-infected-patients
#10
Ingjerd W Manner, Bård Waldum-Grevbo, Birgit Nomeland Witczak, Morten Bækken, Olav Øktedalen, Ingrid Os, Thomas Schwartz, Ivar Sjaastad
PURPOSE: Non-dipping nocturnal blood pressure (BP) pattern has been reported prevalent among HIV-infected patients and is associated with adverse cardiovascular outcomes. The aims of this observational study were to identify predictors of nocturnal BP decline, and to explore whether diurnal BP profile is associated with alterations in cardiac structure and function. MATERIALS AND METHODS: A total of 108 treated HIV-infected patients with suppressed viremia underwent ambulatory BP measurement, 51 of these patients also underwent echocardiography...
July 4, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28643526/association-between-cotinine-verified-smoking-status-and-hypertension-in-167-868-korean-adults
#11
Byung Jin Kim, Ji Min Han, Jung Gyu Kang, Bum Soo Kim, Jin Ho Kang
PURPOSE: Previous studies showed inconsistent results concerning the relationship between chronic smoking and blood pressure. Most of the studies involved self-reported smoking status. This study was performed to evaluate the association of urinary cotinine or self-reported smoking status with hypertension and blood pressure in Korean adults. MATERIALS AND METHODS: Among individuals enrolled in the Kangbuk Samsung Health Study and Kangbuk Samsung Cohort Study, 167,868 participants (men, 55...
June 23, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28701047/heart-rate-is-a-useful-marker-of-adherence-to-beta-blocker-treatment-in-hypertension
#12
Eva Kociánová, Jan Václavík, Jana Tomková, Peter Ondra, Jiří Jarkovský, Klára Benešová, Tomáš Václavík, Monika Kamasová, Miloš Táborský
OBJECTIVES: Suboptimal medication adherence is common among patients with hypertension. Measurements of plasma or urinary levels of antihypertensive drugs are useful, but not widely available. The aim of our study was to investigate the relation of patients' heart rates to their serum beta-blocker levels. METHODS: We correlated 220 measurements of serum beta-blocker levels in 106 patients with apparently resistant hypertension to their corresponding office heart rate...
October 2017: Blood Pressure
https://www.readbyqxmd.com/read/28270031/high-blood-pressure-variability-predicts-30-day-mortality-but-not-1-year-mortality-in-hospitalized-elderly-patients
#13
Avraham Weiss, Yaron Rudman, Yichayaou Beloosesky, Amit Akirov, Tzippy Shochat, Alon Grossman
BACKGROUND: The association of blood pressure (BP) variability (BPV) in hospitalized patients, which represents day-to-day variability, with mortality has been extensively reported in patients with stroke, but poorly defined for other medical conditions. AIM AND METHOD: To assess the association of day-to-day blood pressure variability in hospitalized patients, 10 BP measurements were obtained in individuals ≥75 years old hospitalized in a geriatric ward. Day-to-day BPV, measured 3 times a day, was calculated in each patient as the coefficient of variation of systolic BP...
October 2017: Blood Pressure
https://www.readbyqxmd.com/read/28566004/prevention-of-heart-failure-mortality-and-hospitalizations-in-sprint-empa-reg-allhat-and-hyvet-are-diuretics-the-clue
#14
Michel Burnier, Krzysztof Narkiewicz, Sverre E Kjeldsen
No abstract text is available yet for this article.
August 2017: Blood Pressure
https://www.readbyqxmd.com/read/28443356/sham-or-no-sham-control-that-is-the-question-in-trials-of-renal-denervation-for-resistant-hypertension-a-systematic-meta-analysis
#15
Fadl Elmula M Fadl Elmula, Ying-Mei Feng, Lotte Jacobs, Anne C Larstorp, Sverre E Kjeldsen, Alexandre Persu, Jan A Staessen
BACKGROUND: Studies of renal denervation (RDN) in patients with apparent treatment resistant hypertension have been hampered by a number of patient and physician related confounders on blood pressure (BP) including poor drug adherence. It remains uncertain whether RDN lowers BP. We aimed to investigate whether the use of sham control is essential in RDN studies or whether systematic use of 24-hour ambulatory BP provides enough information thereby making an invasive sham control redundant...
August 2017: Blood Pressure
https://www.readbyqxmd.com/read/28155333/cardioprotective-role-of-zofenopril-in-hypertensive-patients-with-acute-myocardial-infarction-a-pooled-individual-data-analysis-of-the-smile-studies
#16
Claudio Borghi, Stefano Omboni, Giorgio Reggiardo, Stefano Bacchelli, Daniela Degli Esposti, Ettore Ambrosioni
PURPOSE: The four SMILE studies demonstrated that early administration of zofenopril following acute myocardial infarction is prognostically beneficial compared to placebo or other angiotensin-converting enzyme (ACE) inhibitors. In the present retrospective pooled analysis of individual SMILE studies, we evaluated the efficacy of zofenopril on cardiovascular (CV) outcomes in 1880 hypertensive and 1662 normotensive patients. MATERIALS AND METHODS: Four hundred and forty-nine hypertensives and 486 normotensives were treated with placebo, 980 and 786 with zofenopril 30-60 mg daily, 252 and 259 with lisinopril 5-10 mg daily, 199 and 131 with ramipril 10 mg daily, for 6 to 48 weeks...
August 2017: Blood Pressure
https://www.readbyqxmd.com/read/28595464/the-effects-of-baroreflex-activation-therapy-on-blood-pressure-and-sympathetic-function-in-patients-with-refractory-hypertension-the-rationale-and-design-of-the-nordic-bat-study
#17
Daniel Gordin, Fadl Elmula M Fadl Elmula, Bert Andersson, Anders Gottsäter, Johan Elf, Thomas Kahan, Kent Lodberg Christensen, Pirkka Vikatmaa, Leena Vikatmaa, Thomas Bastholm Olesen, Per-Henrik Groop, Michael Hecht Olsen, Ilkka Tikkanen
OBJECTIVE: To explore the effects of baroreflex activation therapy (BAT) on hypertension in patients with treatment resistant or refractory hypertension. METHODS: This investigator-initiated randomized, double-blind, 1:1 parallel-design clinical trial will include 100 patients with refractory hypertension from 6 tertiary referral hypertension centers in the Nordic countries. A Barostim Neo System will be implanted and after 1 month patients will be randomized to either BAT for 16 months or continuous pharmacotherapy (BAT off) for 8 months followed by BAT for 8 months...
June 8, 2017: Blood Pressure
https://www.readbyqxmd.com/read/28224820/the-interstroke-study-hypertension-is-by-far-the-most-important-modifiable-risk-factor-for-stroke
#18
Sverre E Kjeldsen, Krzysztof Narkiewicz, Michel Burnier, Suzanne Oparil
No abstract text is available yet for this article.
June 2017: Blood Pressure
https://www.readbyqxmd.com/read/28116919/morning-blood-pressure-surge-and-arterial-stiffness-in-newly-diagnosed-hypertensive-patients
#19
Ali Kıvrak, Süleyman Özbiçer, Gülhan Yüksel Kalkan, Mustafa Gür
OBJECTIVE: We aimed to investigate the relationship between the morning blood pressure (BP) surge and arterial stiffness in patients with newly diagnosed hypertension. SUBJECTS AND METHODS: Three hundred and twenty four (mean age 51.7 ± 11.4 years) patients who had newly diagnosed hypertension with 24 h ambulatory BP monitoring were enrolled. Parameters of arterial stiffness, pulse wave velocity and augmentation index (Aix) were measured by applanation tonometry and aortic distensibility was calculated by echocardiography...
June 2017: Blood Pressure
https://www.readbyqxmd.com/read/28092977/hypertension-is-associated-with-increased-mortality-in-patients-with-ischaemic-heart-disease-after-revascularization-with-percutaneous-coronary-intervention-a-report-from-scaar
#20
Ott Saluveer, Björn Redfors, Oskar Angerås, Christian Dworeck, Inger Haraldsson, Charlotta Ljungman, Petur Petursson, Jacob Odenstedt, Dan Ioanes, Peter Lundgren, Sebastian Völz, Truls Råmunddal, Bert Andersson, Elmir Omerovic, Niklas Bergh
BACKGROUND: The prognostic role of hypertension on long-term survival after percutaneous coronary intervention (PCI) is limited and inconsistent. We hypothesize that hypertension increases long-term mortality after PCI. METHODS: We analyzed data from SCAAR (Swedish Coronary Angiography and Angioplasty Registry) for all consecutive patients admitted coronary care units in Sweden between January 1995 and May 2013 and who underwent PCI due to ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI)/unstable angina (UA) or stable angina pectoris...
June 2017: Blood Pressure
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