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Journal of Clinical Hypertension

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https://www.readbyqxmd.com/read/28736962/diagnosis-and-management-of-white-coat-hypertension-in-children-and-adolescents-a-midwest-pediatric-nephrology-consortium-study
#1
Yosuke Miyashita, Joseph T Flynn, Coral D Hanevold
Although the definition of white-coat hypertension (WCH) in children and adolescents is clearly defined, little is known about how this condition is actually approached clinically. To better understand the contemporary approach to the diagnosis and management of WCH in pediatric patients, the authors surveyed the membership of the Midwest Pediatric Nephrology Consortium. Seventy-four faculty pediatric nephrologists responded to the survey. The survey results demonstrated uniformity in diagnosing WCH, including ambulatory blood pressure monitoring use in 93% of the respondents and a 75% adherence rate according to the 2014 American Heart Association scientific statement on pediatric ambulatory blood pressure monitoring...
July 23, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28736895/independent-association-between-age-and-circadian-systolic-blood-pressure-patterns-in-adults-with-hypertension
#2
Ming Deng, Da-Wei Chen, Yi-Fei Dong, Peng Lu, Bi-Ming Zhan, Jian-Qing Xu, Xi-Xin Ji, Ping Li, Xiao-Shu Cheng
Previous studies indicate a preliminary association between age and circadian blood pressure (BP) variation. This association would be affected by confounding factors in real-world populations. The authors investigated whether this is a convincingly independent association in a real-world population of adults with hypertension. Clinical data and findings of 24-hour ambulatory BP monitoring were obtained from 297 consecutive adults with hypertension (60.19±0.77 years). BP dipping patterns were categorized based on the percentage of nocturnal BP drop...
July 23, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28721702/fragmented-qrs-a-marker-of-hypertensive-heart-disease
#3
Arya Mani
No abstract text is available yet for this article.
July 18, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28721700/blood-pressure-lowering-efficacy-of-indapamide-sr-amlodipine-combination-in-older-patients-with-hypertension-a-post-hoc-analysis-of-the-nestor-trial-natrilix-sr-vs-enalapril-in-hypertensive-type-2-diabetics-with-microalbuminuria
#4
Olivier Hanon, Laure Caillard, Edouard Chaussade, Intza Hernandorena, Clemence Boully
To examine the antihypertensive efficacy and safety of indapamide sustained-release (SR)/amlodipine compared with enalapril/amlodipine in patients 65 years and older with uncontrolled blood pressure (BP) on monotherapy, a post hoc analysis of the NESTOR trial (Natrilix SR vs Enalapril in Hypertensive Type 2 Diabetics With Microalbuminuria) was conducted. NESTOR randomized 570 patients (n=197, aged ≥65 years) with hypertension (systolic BP 140-180/diastolic BP <110 mm Hg) to indapamide SR 1.5 mg or enalapril 10 mg...
July 18, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28721699/bypass-of-confirmatory-tests-for-case-detection-of-primary-aldosteronism-in-leaner-patients
#5
Konstantinos Stavropoulos, Konstantinos P Imprialos, Michael Doumas
No abstract text is available yet for this article.
July 18, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28721698/risk-factors-for-preeclampsia-in-infertile-chinese-women-with-polycystic-ovary-syndrome-a-prospective-cohort-study-methodological-issues
#6
LETTER
Saeid Safiri, Erfan Ayubi
No abstract text is available yet for this article.
July 18, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28721696/usefulness-of-fragmented-qrs-in-hypertensive-patients-in-the-absence-of-left-ventricular-hypertrophy
#7
Mehmet Eyuboglu, Yavuz Karabag, Suleyman Karakoyun, Omer Senarslan, Zulkif Tanriverdi, Bahri Akdeniz
In the absence of left ventricular hypertrophy, importance of fragmented QRS complex (fQRS) in individuals with hypertension is unknown. The authors aimed to evaluate the relationship between blood pressure levels and fQRS in the absence of left ventricular hypertrophy. A total of 548 never-treated patients who underwent 24-hour ambulatory blood pressure monitoring were enrolled. The frequency of fQRS was significantly higher in patients with hypertension than normotension (36.4% vs 17.6%, P<.05). Multivariate logistic regression analysis revealed that systolic blood pressure is significantly associated with presence of fQRS on electrocardiography (odds ratio, 0...
July 18, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28681550/comparison-of-long-term-safety-of-fixed-dose-combinations-azilsartan-medoxomil-chlorthalidone-vs-olmesartan-medoxomil-hydrochlorothiazide
#8
Joel M Neutel, William C Cushman, Eric Lloyd, Bruce Barger, Alison Handley
This 52-week, randomized, open-label study evaluated long-term safety/tolerability of fixed-dose combination azilsartan medoxomil/chlorthalidone (AZL-M/CLD) vs fixed-dose combination olmesartan medoxomil/hydrochlorothiazide (OLM/HCTZ) in patients with essential hypertension (stage 2; clinic systolic blood pressure 160-190 mm Hg). Initial AZL-M/CLD 40/12.5 mg/d (n=418) or OLM/HCTZ 20/12.5 mg/d (n=419) could be uptitrated during weeks 4 to 52 (AZL-M/CLD to 80/25 mg; OLM/HCTZ to 40/25 mg [United States] or 20/25 mg [Europe]) to meet blood pressure targets...
July 6, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28681519/blood-pressure-control-and-mortality-in-us-and-foreign-born-blacks-in-new-york-city
#9
Joyce Gyamfi, Mark Butler, Stephen K Williams, Charles Agyemang, Lloyd Gyamfi, Azizi Seixas, Grace Melinda Zinsou, Sripal Bangalore, Nirav R Shah, Gbenga Ogedegbe
This retrospective cohort study compared blood pressure (BP) control (BP <140/90 mm Hg) and all-cause mortality between US- and foreign-born blacks. We used data from a clinical data warehouse of 41 868 patients with hypertension who received care in a New York City public healthcare system between 2004 and 2009, defining BP control as the last recorded BP measurement and mean BP control. Poisson regression demonstrated that Caribbean-born blacks had lower BP control for the last BP measurement compared with US- and West African-born blacks, respectively (49% vs 54% and 57%; P<...
July 6, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28664551/the-impact-of-voluntary-targets-on-the-sodium-content-of-processed-foods-in-brazil-2011-2013
#10
Eduardo A F Nilson, Ana M Spaniol, Vivian S S Gonçalves, Michele L Oliveira, Norm Campbell, Mary L'Abbé, Patricia C Jaime
Brazilians consume excessive dietary sodium (4700 mg/d); hence, the reduction of dietary sodium intake has been a Brazilian government priority. A set of strategies has been implemented that includes food and nutrition education initiatives and the reduction in the sodium content of processed foods and foods consumed out of the households. Since 2011, the Ministry of Health has selected priority food categories that contribute to over 90% of sodium intake from processed foods and have set biannual voluntary targets for sodium reduction with food industries to encourage food reformulation...
June 29, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28664546/diet-independent-relevance-of-serum-uric-acid-for-blood-pressure-in-a-representative-population-sample
#11
Danika Krupp, Jonas Esche, Gert Bm Mensink, Hannelore K Neuhauser, Thomas Remer
A direct relationship between serum uric acid and blood pressure (BP) has been reported, but the possible confounding impact of diet on this association is unclear. The authors performed a cross-sectional analysis in the representative German Health Interview and Examination Survey for Adults (n=6788, aged 18-79 years). In adjusted regression models considering dietary factors, each 1-mg/dL higher uric acid value was associated with a 1.10-mm Hg (P=.0002) and a 0.60-mm Hg (P=.04) higher systolic BP among participants younger than 50 years and participants 50 years and older, respectively...
June 29, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28646567/severe-menses-associated-hypertension-successfully-treated-with-gonadotropin-releasing-hormone-agonist
#12
Luke J Laffin, Munnam S Jafar, George L Bakris
A case of a 32-year-old nulliparous white woman referred for a 5-year history of severe hypertension, hypokalemia, and resultant systolic dysfunction is presented. She additionally had a left ventricular ejection fraction of 30% including left ventricular dilation and normal left ventricular mass index, as measured by cardiac magnetic resonance imaging when she initially presented to us. Her history revealed that her severe hypertension episodes were monthly and would occur around the catamenial (menses-associated) time...
June 23, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28646514/incidental-pulmonary-arterial-dilatation-and-coronary-calcifications-in-patients-with-hypertension-and-normal-findings-on-myocardial-perfusion-technetium-99m-sestamibi-single-photon-emission-computed-tomography
#13
LETTER
Prasanna Santhanam, Charles Marcus, Lilja B Solnes, Brian G Kral, Mehrbod S Javadi, Steven P Rowe
No abstract text is available yet for this article.
June 23, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28612447/obesity-and-the-diagnostic-accuracy-for-primary-aldosteronism
#14
Amit Tirosh, Fady Hannah-Shmouni, Charalampos Lyssikatos, Elena Belyavskaya, Mihail Zilbermint, Smita B Abraham, Maya B Lodish, Constantine A Stratakis
The effects of body mass index on the diagnostic accuracy of primary aldosteronism (PA) are inconsistent and yet important considering the high prevalence and frequent co-occurrence of obesity and hypertension. The current study included 59 adult patients who underwent a stepwise evaluation for PA, using aldosterone to renin ratio for case detection and plasma aldosterone concentration after saline suppression test and/or 24-hour urinary aldosterone after oral sodium loading for case confirmation. Body mass index had a quadratic (U-shaped) correlation with plasma aldosterone concentration, plasma renin activity, aldosterone to renin ratio, and plasma aldosterone concentration after saline suppression test...
June 13, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28612347/association-between-duration-of-oral-contraceptive-use-and-risk-of-hypertension-a-meta-analysis
#15
Hui Liu, Jie Yao, Weijing Wang, Dongfeng Zhang
A meta-analysis was conducted to evaluate the association between duration of oral contraceptive use and risk of hypertension. Relevant studies published in English or Chinese were identified by a search of PubMed, Web of Science, Wanfang Database, and China National Knowledge Infrastructure to January 2017. Seventeen articles containing 24 studies with 270,284 participants were included in this meta-analysis. The pooled relative risk of hypertension for the highest vs lowest category of oral contraceptive duration was 1...
June 13, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28589557/does-a-blood-pressure-j-curve-exist-for-patients-with-chronic-kidney-disease
#16
REVIEW
Nicolás Roberto Robles, Roman Hernandez-Gallego, Francesco Fici, Guido Grassi
Aggressive reduction of blood pressure may increase cardiovascular events (the J-curve phenomenon) in certain populations. In this regard, most studies in patients with chronic kidney disease have shown a J curve for cardiovascular morbidity and mortality, and this phenomenon persists after adjusting for confounding factors. Since there is no evidence that a straighter blood pressure target (<130/70 mm Hg) could improve renal outcomes, the increased cardiovascular risk associated with extreme blood pressure reduction should be seen as undesirable...
June 7, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28573826/relationship-between-parental-hypertension-and-cardiometabolic-risk-factors-in-adolescents-methodological-issues
#17
LETTER
Saeid Safiri, Erfan Ayubi
No abstract text is available yet for this article.
June 1, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28560834/advanced-statistical-methodologies-to-address-inherent-study-limitations-author-response-to-ayubi-and-saeid
#18
LETTER
Marios K Georgakis, Athanasios D Protogerou, Eleni I Kalogirou, Dimitrios Tousoulis, Eleni Th Petridou
No abstract text is available yet for this article.
May 30, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28560799/blood-pressure-management-and-guideline-adherence-in-hypertensive-emergencies-and-urgencies-a-comparison-between-telemedically-supported-and-conventional-out-of-hospital-care
#19
Jörg C Brokmann, Rolf Rossaint, Michael Müller, Christina Fitzner, Luigi Villa, Stefan K Beckers, Sebastian Bergrath
Prehospital hypertensive emergencies and urgencies are common, but evidence is lacking. Telemedically supported hypertensive emergencies and urgencies were prospectively collected (April 2014-March 2015) and compared retrospectively with a historical control group of on-scene physician care in the emergency medical service of Aachen, Germany. Blood pressure management and guideline adherence were evaluated. Telemedical (n=159) vs conventional (n=172) cases: blood pressure reductions of 35±24 mm Hg vs 44±23 mm Hg revealed a group effect adjusted for baseline differences (P=...
May 30, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28560786/medication-compliance-and-clinical-outcomes-of-fixed-dose-combinations-vs-free-combinations-of-an-angiotensin-ii-receptor-blocker-and-a-calcium-channel-blocker-in-hypertension-treatment
#20
Ying-Chang Tung, Yu-Chang Huang, Lung-Sheng Wu, Chee-Jen Chang, Pao-Hsien Chu
Using the National Health Insurance Research Database of Taiwan, the authors identified 1136 patients taking fixed-dose combination and 4544 patients taking free combinations of an angiotensin II receptor blocker and a dihydropyridine calcium channel blocker from January 2009 to December 2012. At a mean follow-up of 2.1 years, the fixed-dose combination was associated with improved medication adherence and persistence and better survival free from major adverse cardiac events and hospitalization for heart failure compared with the free combination regimens...
May 30, 2017: Journal of Clinical Hypertension
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