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Journal of Clinical Hypertension

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https://www.readbyqxmd.com/read/28929608/the-importance-of-frequent-return-visits-and-hypertension-control-among-us-young-adults-a-multidisciplinary-group-practice-observational-study
#1
Cecile C King, Christie M Bartels, Elizabeth M Magnan, Jennifer T Fink, Maureen A Smith, Heather M Johnson
Young adults (aged 18 to 39 years) have the lowest hypertension control rates compared with older adults. Shorter follow-up encounter intervals are associated with faster hypertension control rates in older adults; however, optimal intervals are unknown for young adults. The study objective was to evaluate the relationship between ambulatory blood pressure encounter intervals (average number of provider visits with blood pressures over time) and hypertension control rates among young adults with incident hypertension...
September 19, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28929577/salt-intake-and-blood-pressure-response-to-percutaneous-renal-denervation-in-resistant-hypertension
#2
Esther de Beus, Rosa L de Jager, Martine M Beeftink, Margreet F Sanders, Wilko Spiering, Evert-Jan Vonken, Michiel Voskuil, Michiel L Bots, Peter J Blankestijn
The effect of lowering sympathetic nerve activity by renal denervation (RDN) is highly variable. With the exception of office systolic blood pressure (BP), predictors of the BP-lowering effect have not been identified. Because dietary sodium intake influences sympathetic drive, and, conversely, sympathetic activity influences salt sensitivity in hypertension, we investigated 24-hour urinary sodium excretion in participants of the SYMPATHY trial. SYMPATHY investigated RDN in patients with resistant hypertension...
September 19, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28929576/systolic-orthostatic-hypotension-is-related-to-lowered-cognitive-function-findings-from-the-maine-syracuse-longitudinal-study
#3
Rachael V Torres, Merrill F Elias, Georgina E Crichton, Gregory A Dore, Adam Davey
The aim of the present study was to examine the relationship between orthostatic changes in blood pressure (BP) and cognition, with consideration given to cardiovascular risk factors and lifestyle variables. The cross-sectional analysis included 961 community-dwelling participants of the Maine-Syracuse Longitudinal Study, for whom BP clinic measures (five sitting, five recumbent, and five standing) were obtained. Eighteen percent of participants had orthostatic hypotension (fall in systolic BP ≥20 mm Hg or diastolic BP ≥10 mm Hg upon standing) and 6% had orthostatic hypertension (rise in systolic BP ≥20 mm Hg)...
September 19, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28921875/chronic-kidney-disease-and-incident-apparent-treatment-resistant-hypertension-among-blacks-data-from-the-jackson-heart-study
#4
Rikki M Tanner, Daichi Shimbo, Marguerite R Irvin, Tanya M Spruill, Samantha G Bromfield, Samantha R Seals, Bessie A Young, Paul Muntner
It is unclear whether black patients with chronic kidney disease (CKD) vs those without CKD who take antihypertensive medication have an increased risk for apparent treatment-resistant hypertension (aTRH). The authors analyzed 1741 Jackson Heart Study participants without aTRH taking antihypertensive medication at baseline. aTRH was defined as uncontrolled blood pressure while taking three antihypertensive medication classes or taking four or more antihypertensive medication classes, regardless of blood pressure level...
September 17, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28895288/association-between-hiv-and-blood-pressure-in-adults-and-role-of-body-weight-as-a-mediator-cross-sectional-study-in-uganda
#5
Samson Okello, Peter Ueda, Michael Kanyesigye, Emmanuel Byaruhanga, Achilles Kiyimba, Gideon Amanyire, Alex Kintu, Wafaie W Fawzi, Winnie R Muyindike, Goodarz Danaei
The authors sought to describe the association between human immunodeficiency virus (HIV) and blood pressure (BP) levels, and determined the extent to which this relationship is mediated by body weight in a cross-sectional study of HIV-infected and HIV-uninfected controls matched by age, sex, and neighborhood. Mixed-effects models were fit to determine the association between HIV and BP and amount of effect of HIV on BP mediated through body mass index. Data were analyzed from 577 HIV-infected and 538 matched HIV-uninfected participants...
September 12, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28889455/management-of-primary-aldosteronism-in-patients-with-adrenal-hemorrhage-following-adrenal-vein-sampling-a-brief-review-with-illustrative-cases
#6
REVIEW
Fady Hannah-Shmouni, Andrew Demidowich, Beatriz Rizkallah Alves, Gabriela Dockhorn Paluch, Dionysiou Margarita, Charalampos Lysikatos, Elena Belyavskaya, Richard Chang, Constantine A Stratakis
The authors describe the clinical investigation of two cases of primary aldosteronism with adrenal hemorrhage (AH) following adrenal vein sampling. A literature review was conducted regarding the medical management of primary aldosteronism in patients with AH following adrenal vein sampling. Guidelines on the management of primary aldosteronism with AH following adrenal vein sampling are lacking. The two patients were followed with serial imaging to document resolution of AH and treated medically with excellent blood pressure response...
September 9, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28868764/the-role-of-increased-glucose-on-neurovascular-dysfunction-in-patients-with-the-metabolic-syndrome
#7
Sara Rodrigues, Felipe X Cepeda, Edgar Toschi-Dias, Akothirene C B Dutra-Marques, Jefferson C Carvalho, Valéria Costa-Hong, Maria Janieire N N Alves, Maria Urbana P B Rondon, Luiz A Bortolotto, Ivani C Trombetta
Metabolic syndrome (MetS) causes autonomic alteration and vascular dysfunction. The authors investigated whether impaired fasting glucose (IFG) is the main cause of vascular dysfunction via elevated sympathetic tone in nondiabetic patients with MetS. Pulse wave velocity, muscle sympathetic nerve activity (MSNA), and forearm vascular resistance was measured in patients with MetS divided according to fasting glucose levels: (1) MetS+IFG (blood glucose ≥100 mg/dL) and (2) MetS-IFG (<100 mg/dL) compared with healthy controls...
September 4, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28866866/hospital-and-out-of-hospital-mortality-in-670-hypertensive-emergencies-and-urgencies
#8
Haythem Guiga, Clémentine Decroux, Pierre Michelet, Anderson Loundou, Dimitri Cornand, François Silhol, Bernard Vaisse, Gabrielle Sarlon-Bartoli
Long-term mortality in patients with acute severe hypertension is unclear. The authors aimed to compare short-term (hospital) and long-term (12 months) mortality in these patients. A total of 670 adults presenting for acute severe hypertension between January 1, 2015, and December 31, 2015, were included. A total of 57.5% were hypertensive emergencies and 66.1% were hospitalized: 98% and 23.2% of those with hypertensive emergencies and urgencies, respectively (P = .001). Hospital mortality was 7.9% and was significantly higher for hypertensive emergencies (12...
September 3, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28866864/the-association-between-insulin-resistance-and-atrial-fibrillation-a-cross-sectional-analysis-from-sprint-systolic-blood-pressure-intervention-trial
#9
Monique E Cho, Timothy E Craven, Alfred K Cheung, Stephen P Glasser, Mahboob Rahman, Elsayed Z Soliman, Randall S Stafford, Karen C Johnson, Jeffrey T Bates, Anna Burgner, Addison A Taylor, Leonardo Tamariz, Rocky Tang, Srinivasan Beddhu
It is unclear whether metabolic syndrome (MetS) is associated with atrial fibrillation (AF) in an older population with greater cardiovascular risk, including those with chronic kidney disease. The authors investigated the association between MetS and AF in participants in SPRINT (Systolic Blood Pressure Intervention Trial). MetS was defined based on the Modified Third National Cholesterol Education Program. The baseline prevalence rate for MetS was 55%, while 8.2% of the participants had AF. In multivariate regression analyses, AF was not associated with presence of MetS in either chronic kidney disease or non-chronic kidney disease subgroups...
September 3, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28861938/diagnostic-accuracy-of-a-new-algorithm-to-detect-atrial-fibrillation-in-a-home-blood-pressure-monitor
#10
Tomoyuki Kabutoya, Yasushi Imai, Satoshi Hoshide, Kazuomi Kario
The authors evaluated a new algorithm for detecting atrial fibrillation (AF) using a home blood pressure monitor. Three serial blood pressure values were measured by the monitor in 16 patients with AF and 20 patients with sinus rhythm. The authors defined "monitor AF in irregular pulse peak (IPP) 25" as follows: (1) IPP: |interval of pulse peak - the average of the interval of the pulse peak| ≥ the average of the interval of the pulse peak ×25%; (2) irregular heart beat: beats of IPP ≥ total pulse ×20%; and (3) monitor AF: two or more irregular heart beats of the three blood pressure measurements...
September 1, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28856834/disparities-in-hypertension-and-cardiovascular-disease-in-blacks-the-critical-role-of-medication-adherence
#11
REVIEW
Keith C Ferdinand, Kapil Yadav, Samar A Nasser, Helene D Clayton-Jeter, John Lewin, Dennis R Cryer, Fortunato Fred Senatore
Blacks are two to three times as likely as whites to die of preventable heart disease and stroke. Declines in mortality from heart disease have not eliminated racial disparities. Control and effective treatment of hypertension, a leading cause of cardiovascular disease, among blacks is less than in whites and remains a challenge. One of the driving forces behind this racial/ethnic disparity is medication nonadherence whose cause is embedded in social determinants. Eight practical approaches to addressing medication adherence with the potential to attenuate disparities were identified and include: (1) patient engagement strategies, (2) consumer-directed health care, (3) patient portals, (4) smart apps and text messages, (5) digital pillboxes, (6) pharmacist-led engagement, (7) cardiac rehabilitation, and (8) cognitive-based behavior...
August 30, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28856830/spousal-concordance-for-hypertension-a-meta-analysis-of-observational-studies
#12
Zhancheng Wang, Wenhui Ji, Yanqiu Song, Jin Li, Yan Shen, Hongchao Zheng, Yueyou Ding
The authors performed a meta-analysis of observational studies to estimate the magnitude of spousal concordance for hypertension and to examine whether the concordance varied by important study methodological aspects. PubMed and Embase were searched up to June 2017 for cross-sectional, case-control, and cohort studies that investigated the concordance/association of hypertension between spouse pairs. A meta-analysis with random-effects models was performed by pooling adjusted odds ratios. Eight studies with a total number of 81 928 spouse pairs were eligible...
August 30, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28856800/obstructive-sleep-apnea-excessive-daytime-sleepiness-and-adherence-to-antihypertensive-treatment-questionnaire-survey
#13
LETTER
Tomoyuki Kawada
No abstract text is available yet for this article.
August 30, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28849629/antialbuminuric-effect-of-eplerenone-in-comparison-to-thiazide-diuretics-in-patients-with-hypertension
#14
Toshiki Sawai, Kaoru Dohi, Naoki Fujimoto, Setsuya Okubo, Naoki Isaka, Takehiko Ichikawa, Katsutoshi Makino, Shinya Okamoto, Sukenari Koyabu, Tetsuya Kitamura, Toru Ogura, Tomomi Yamada, Satoshi Tamaru, Masakatsu Nishikawa, Mashio Nakamura, Masaaki Ito
This study investigated the effects and safety of eplerenone or thiazide diuretics in patients with hypertension and albuminuria (pretreatment urinary albumin/creatinine ratio ≥10 mg/gCr) treated with an angiotensin II receptor blocker. The primary end point was the mean percent change in the urinary albumin/creatinine ratio from baseline to 48 weeks. An efficacy analysis was performed in 195 patients (98 in the eplerenone group and 97 in the thiazide group). Systolic and diastolic blood pressures at 48 weeks were similar in the two groups...
August 28, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834205/role-of-ambulatory-blood-pressure-monitoring-for-the-management-of-hypertension-in-asian-populations
#15
REVIEW
Satoshi Hoshide, Hao-Min Cheng, Qifang Huang, Sungha Park, Chang-Gyu Park, Chen-Huan Chen, Ji-Gwang Wang, Kazuomi Kario
Out-of-clinic blood pressure (BP) measurement, eg, ambulatory BP monitoring, has a strong association with target organ damage and is a powerful predictor of cardiovascular events compared with clinic BP measurement. Ambulatory BP monitoring can detect masked hypertension or various BP parameters in addition to average 24-hour BP level. Short-term BP variability assessed by standard deviation or average real variability, diminished nocturnal BP fall, nocturnal hypertension, and morning BP surge assessed by ambulatory BP monitoring have all been associated with target organ damage and cardiovascular prognosis...
August 22, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834144/differential-associations-of-systolic-and-diastolic-time-rate-of-blood-pressure-variation-with-carotid-atherosclerosis-and-plaque-echogenicity
#16
Athanasios Kolyviras, Efstathios Manios, Georgios Georgiopoulos, Fotios Michas, Thomas Gustavsson, Efthimia Papadopoulou, Laina Ageliki, John Kanakakis, Christos Papamichael, Georgios Stergiou, Nikolaos Zakopoulos, Kimon Stamatelopoulos
In the current study, the authors sought to assess whether the time rate of systolic and diastolic blood pressure variation is associated with advanced subclinical stages of carotid atherosclerosis and plaque echogenicity assessed by gray scale median. The authors recruited 237 consecutive patients with normotension and hypertension who underwent 24-hour ambulatory blood pressure monitoring and carotid artery ultrasonography. There was an independent association between low 24-hour systolic time rate and increased echogenicity of carotid plaques (adjusted odds ratio for highest vs lower tertiles of gray scale median, 0...
August 22, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834202/hypothesis-on-a-relationship-between-hyperaldosteronism-inflammation-somatic-mutations-and-autoimmunity
#17
EDITORIAL
Decio Armanini, Alessandra Andrisani, Gabriella Donà, Luciana Bordin, Guido Ambrosini, Chiara Sabbadin
No abstract text is available yet for this article.
August 20, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834200/relationship-of-renin-angiotensin-system-polymorphisms-with-ambulatory-and-central-blood-pressure-in-patients-with-hypertension
#18
Weizhong Han, Ningling Sun, Lianghua Chen, Shiliang Jiang, Yunchao Chen, Min Li, Hongbo Tian, Ke Zhang, Xiao Han
This study was conducted to explore whether the renin C-5312T, angiotensin II type 1 receptor A1166C, and angiotensin-converting enzyme I/D polymorphisms were associated with ambulatory blood pressure (BP) and central hemodynamics in an untreated hypertensive population. A total of 471 participants with no previous treatment for raised BP were eligible for the study. Ambulatory and central BP were measured. DD carriers had the highest daytime systolic/diastolic BP, nighttime systolic BP, 24-hour systolic BP, and 24-hour diastolic BP values, whereas carriers of DD had higher central systolic BP and augmentation index compared with those with the II genotype...
August 20, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834170/response-to-the-letter-entitled-obstructive-sleep-apnea-excessive-daytime-sleepiness-and-adherence-to-antihypertensive-treatment-questionnaire-survey
#19
LETTER
Camila Gosenheimer Righi, Denis Martinez, Sandro Cadaval Gonçalves, Miguel Gus, Leila Beltrami Moreira, Sandra C Fuchs, Flavio Danni Fuchs
No abstract text is available yet for this article.
August 20, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28834128/plasma-parathyroid-hormone-and-cardiovascular-disease-in-treatment-naive-patients-with-primary-hyperparathyroidism-the-epath-trial
#20
Julia Wetzel, Stefan Pilz, Martin R Grübler, Astrid Fahrleitner-Pammer, Hans P Dimai, Dirk von Lewinski, Ewald Kolesnik, Sabine Perl, Christian Trummer, Verena Schwetz, Andreas Meinitzer, Evgeny Belyavskiy, Jakob Völkl, Cristiana Catena, Vincent Brandenburg, Winfried März, Burkert Pieske, Helmut Brussee, Andreas Tomaschitz, Nicolas D Verheyen
Patients with primary hyperparathyroidism are at increased risk for high blood pressure, vascular stiffening, and left ventricular hypertrophy, but previous studies have failed to demonstrate the direct associations with circulating parathyroid hormone (PTH) levels. The authors investigated cross-sectional relationships between PTH and 24-hour pulse wave velocity, nocturnal systolic blood pressure, and left ventricular mass index in patients with primary hyperparathyroidism who were treatment-naive with cinacalcet, renin-angiotensin-aldosterone-system inhibitors, and thiazide or loop diuretics...
August 20, 2017: Journal of Clinical Hypertension
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