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Journal of Clinical Hypertension

Despina Karasavvidou, Pierre Boutouyrie, Rigas Kalaitzidis, Hakim Kettab, Kosmas Pappas, Dimitrios Stagikas, Nikolaos Antonakis, Dimitrios Tsalikakis, Moses Elisaf, Stephane Laurent
In the general population aortic stiffening, assessed by carotid femoral pulse wave velocity (cf-PWV), is associated with cognitive dysfunction (CO/DY). Data in chronic kidney disease (CKD) are limited. This study tests the hypothesis that large artery stiffness and microvascular damage in CKD patients are related to the damage of brain microcirculation reflected by impaired cognitive function. A cross-sectional study enrolled 151 patients (mean age 58.4 years; 64.5% males; 44 patients with CKD stage 1; 47 with stage 2; 25 with stage 3; and 35 with stage 4)...
July 14, 2018: Journal of Clinical Hypertension
Jamario Skeete, Kenneth Connell, Pedro Ordunez, Donald J DiPette
No abstract text is available yet for this article.
July 10, 2018: Journal of Clinical Hypertension
Marijana Tadic, Cesare Cuspidi, Branislava Ivanovic, Biljana Pencic, Guido Grassi, Vera Celic
The importance of right ventricular (RV) structure and function in cardiovascular and total morbidity and mortality has been confirmed previously. The purpose of this study was to evaluate the influence of gender on RV structure and function in untreated hypertensive patients. This cross-sectional study included 243 subjects who underwent 24-hour ambulatory blood pressure (BP) monitoring and comprehensive echocardiographic examination including strain evaluation. There was no difference in RV diameter between hypertensive and normotensive women and men...
July 9, 2018: Journal of Clinical Hypertension
Jean Jacques Noubiap, Jobert Richie Nansseu, Jan René Nkeck, Ulrich Flore Nyaga, Jean Joel Bigna
Data on masked hypertension (MH) and white-coat hypertension (WCH) in African populations are needed to estimate the true prevalence of hypertension in these populations because they have the highest burden of the disease. We conducted the first systematic review and meta-analysis that summarized available data on the prevalence of WCH and MH in Africa. We searched PubMed and Scopus to identify all the articles published on MH and WCH in populations living in Africa from inception to November 30, 2017. We reviewed each study for methodological quality...
July 9, 2018: Journal of Clinical Hypertension
Kenechukwu Mezue, Abhinav Goyal, Gregg S Pressman, Roy Matthew, Jay C Horrow, Janani Rangaswami
SPRINT (Systolic Blood Pressure Intervention Trial) highlighted the benefits of intensive targeted antihypertensive therapy but resulted in higher rates of treatment-related adverse events. Blood pressure (BP) variability has emerged as a significant predictor of outcomes over and above levels of BP. Using the SPRINT data set, we aimed to determine the relationship of BP variability with cardiovascular outcomes and side effects of antihypertensive therapy. The analyses included all participants randomized in SPRINT who reached the target systolic BP (SBP) for their respective groups (intensive < 120 mm Hg; standard < 140 mm Hg)...
July 9, 2018: Journal of Clinical Hypertension
José R Banegas, Luis M Ruilope
No abstract text is available yet for this article.
July 9, 2018: Journal of Clinical Hypertension
Paolo Balietti, Francesco Spannella, Federico Giulietti, Giulia Rosettani, Beatrice Bernardi, Guido Cocci, Anna R Bonfigli, Riccardo Sarzani
Blood pressure (BP) changes and risk factors associated with pulse pressure (PP) increase in elderly people have rarely been studied using ambulatory blood pressure monitoring (ABPM). The aim is to evaluate 10-year ambulatory blood pressure (ABP) changes in older hypertensives, focusing on PP and its associations with mortality. An observational study was conducted on 119 consecutive older treated hypertensives evaluated at baseline (T0) and after 10 years (T1). Treatment adherence was carefully assessed. The authors considered clinical parameters at T1 only in survivors (n = 87)...
July 7, 2018: Journal of Clinical Hypertension
D Edmund Anstey, Lisandro D Colantonio, Yuichiro Yano, John N Booth Iii, Paul Muntner
We calculated the prevalence of white coat hypertension (WCH) using out-of-clinic blood pressure (BP) in the daytime period; daytime and 24-hour periods; and daytime, 24-hour, and nighttime periods among 199 African Americans with clinic-measured systolic/diastolic BP ≥140/90 mm Hg in the Jackson Heart Study. Left ventricular mass index (LVMI) was measured among participants with WCH and 374 participants with sustained normotension (ie, non-hypertensive clinic, daytime, 24-hour, and nighttime BP). The prevalence of WCH was 29...
July 6, 2018: Journal of Clinical Hypertension
Daniel W Jones
No abstract text is available yet for this article.
July 1, 2018: Journal of Clinical Hypertension
Simone H Crouch, Lisa J Ware, Lebo F Gafane-Matemane, Herculina S Kruger, Tertia Van Zyl, Bianca Van der Westhuizen, Aletta E Schutte
Obesity and salt intake are both established factors contributing to cardiovascular disease development. Recently, studies found a controversial positive relationship between dietary salt and obesity. Therefore, the authors investigated whether obesity-related measures are associated with 24-hour urinary sodium in a healthy biethnic population. The study included 761 adults (20-30 years) with complete 24-hour urinary sodium, anthropometry, and bioelectrical impedance measurements. In single regression analyses all obesity-related measures related positively with 24-hour urinary sodium (P ≤ ...
July 1, 2018: Journal of Clinical Hypertension
Staffan Björck, Karin Manhem, Annika Rosengren, Samuel Adamsson Eryd, Soffia Gudbjörnsdottir, Stefan Franzén
No abstract text is available yet for this article.
June 26, 2018: Journal of Clinical Hypertension
Niki Katsiki, Konstantinos Tsioufis, Dilek Ural, Massimo Volpe
There is an unmet need to prevent cardiovascular disease and chronic kidney disease development and progression worldwide. Losartan, the first angiotensin receptor blocker, was shown to exert significant cardioprotective and renoprotective effects in the LIFE (Losartan Intervention for Endpoint Reduction in Hypertension) and RENAAL (Reduction of Endpoints in NIDDM With the Angiotensin II Antagonist Losartan) trials. Losartan significantly prevented stroke and decreased serum uric acid levels and the rates of new-onset diabetes mellitus and atrial fibrillation...
June 15, 2018: Journal of Clinical Hypertension
Tracey J F Colella, Anam Tahsinul, Hannah Gatto, Paul Oh, Martin G Myers
In SPRINT (Systolic Blood Pressure Intervention Trial), use of the Omron 907XL blood pressure (BP) monitor set at 5 minutes of antecedent rest to record BP produced an automated office BP value 7/6 mm Hg lower than awake ambulatory BP at 27 months. The authors studied the impact on automated office BP of setting the Omron 907XL to 0 minutes instead of 5 minutes of rest in patients with readings in the lower normal BP range, similar to on-treatment BP in the SPRINT intensive therapy group. Patients (n = 100) in cardiac rehabilitation were randomized to three BP readings at 1-minute intervals using an Omron 907XL BP device set for 5 or 0 minutes of antecedent rest...
June 14, 2018: Journal of Clinical Hypertension
Daniela Anker, Valérie Santschi, Arnaud Chiolero
No abstract text is available yet for this article.
June 14, 2018: Journal of Clinical Hypertension
Prasanna Santhanam, Rexford S Ahima
No abstract text is available yet for this article.
June 12, 2018: Journal of Clinical Hypertension
Maral Myanganbayar, Uurtsaikh Baatarsuren, Guanmin Chen, Roberta Bosurgi, Geoffrey So, Norm R C Campbell, Nasantogtokh Erdenebileg, Khulan Ganbaatar, Purevjargal Magsarjav, Manduukhai Batsukh, Tsatsralgerel Munkherdene, Tsolmon Unurjargal, Myagmartseren Dashtseren, Namkhaidorj Tserengombo, Batbold Batsukh, Andreas Bungert, Naranbaatar Dashdorj, Naranjargal Dashdorj
We examined the knowledge, attitudes, and practices of primary care doctors in Ulaanbaatar, Mongolia using a recently developed World Hypertension League survey. The survey was administered as part of a quality assurance initiative to enhance hypertension control. A total of 577 surveys were distributed and 467 were completed (81% response rate). The respondents had an average age of 35 years and 90.1% were female. Knowledge of hypertension epidemiology was low (13.5% of questions answered correctly); 31% of clinical practice questions had correct answers and confidence in performing specific tasks to improve hypertension control had 63...
June 12, 2018: Journal of Clinical Hypertension
Xiaolong Zhao, Huajun Xu, Jianyin Zou, Yingjun Qian, Hongliang Yi, Jian Guan, Shankai Yin
Numerous studies have observed a relationship between obstructive sleep apnea and hypertension, but the effects of metabolic syndrome on hypertension, and their interaction with obstructive sleep apnea, remain unclear. For this study, a total of 2972 patients were recruited from the Shanghai Sleep Health Study. Data from overnight polysomnography parameters, serum lipids, fasting blood glucose, blood pressure, and anthropometric measurements were collected. The authors then explored the independent associations and multiplicative and additive interactions of predictors of metabolic syndrome with hypertension...
June 12, 2018: Journal of Clinical Hypertension
Eoin O'Brien, Bruce S Alpert, George S Stergiou
Hypertension is now recognized as a major global cause of morbidity and death. All decisions relating to the epidemiology, diagnosis, and management of hypertension are dependent on being able to measure blood pressure accurately. Scientists have developed protocols to assess the accuracy of blood pressure-measuring devices, but little attention has been given to informing users which devices are accurate and inaccurate. This article identifies a recipient audience of researchers, clinicians, and scientists, the public, healthcare executives and administrators, and consumer and regulatory bodies, and discusses how best to communicate the results of device accuracy to these groups with the aim of improving the accurate measurement of blood pressure...
July 2018: Journal of Clinical Hypertension
George S Stergiou, Eamon Dolan, Anastasios Kollias, Neil R Poulter, Andrew Shennan, Jan A Staessen, Zhen-Yu Zhang, Michael A Weber
According to the established validation protocols, a typical validation study of a blood pressure (BP) monitor includes general population adults with normal or elevated BP. It is recognized, however, that the automated (oscillometric) BP monitors may have different accuracy or uses in some special populations compared with adults in the general population. Thus, an automated BP monitor with proven accuracy in a general population of adults may not be accurate in a special population, and therefore separate validation is needed...
July 2018: Journal of Clinical Hypertension
Gianfranco Parati, George S Stergiou, Eamon Dolan, Grzegorz Bilo
Blood pressure variability is an entity that characterizes the continuous and dynamic fluctuations that occur in blood pressure levels throughout a lifetime. This phenomenon has a complex and yet not fully understood physiological background and can be evaluated over time spans ranging from seconds to years. The present paper provides a short overview of methodological aspects, clinical relevance, and potential therapeutic interventions related to the management of blood pressure variability.
July 2018: Journal of Clinical Hypertension
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