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Integrated Blood Pressure Control

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https://www.readbyqxmd.com/read/29922085/the-effect-of-passive-leg-raising-maneuver-on-hemodynamic-stability-during-anesthesia-induction-for-adult-cardiac-surgery
#1
Solmaz Fakhari, Eissa Bilehjani, Haleh Farzin, Hojjat Pourfathi, Mohsen Chalabianlou
Introduction: Some cardiac patients do not tolerate the intravenous fluid load commonly administered before anesthesia induction. This study investigated preinduction passive leg-raising maneuver (PLRM) as an alternative method to fluid loading before cardiac anesthesia. Methods and materials: During a 6-month period, 120 adult elective heart surgery patients were enrolled in this study and allocated into 2 groups: PLRM group vs control group (n=60). Anesthesia was induced using midazolam, fentanyl, and cisatracurium...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29872338/morning-blood-pressure-surge-pathophysiology-clinical-relevance-and-therapeutic-aspects
#2
REVIEW
Grzegorz Bilo, Andrea Grillo, Valentina Guida, Gianfranco Parati
Morning hours are the period of the day characterized by the highest incidence of major cardiovascular events including myocardial infarction, sudden death or stroke. They are also characterized by important neurohormonal changes, in particular, the activation of sympathetic nervous system which usually leads to a rapid increase in blood pressure (BP), known as morning blood pressure surge (MBPS). It was hypothesized that excessive MBPS may be causally involved in the pathogenesis of cardiovascular events occurring in the morning by inducing hemodynamic stress...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29720880/blood-pressure-control-status-and-associated-factors-among-adult-hypertensive-patients-on-outpatient-follow-up-at-university-of-gondar-referral-hospital-northwest-ethiopia-a-retrospective-follow-up-study
#3
Yaregal Animut, Alemu Takele Assefa, Dereseh Gezie Lemma
Background: Large segments of the hypertensive population in the world are either untreated or inadequately treated. The incidence of heart failure and mortality from cardiovascular complications of hypertension is high among patients with uncontrolled blood pressure (BP). But BP control status of hypertensive patients has not been investigated in the study area. The study aimed to assess BP control status and determinant factors among adult hypertensive patients on antihypertensive medication attending outpatient follow-up at University of Gondar Referral Hospital, northwest Ethiopia...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29713195/an-integrated-program-with-home-blood-pressure-monitoring-and-village-health-volunteers-for-treating-poorly-controlled-hypertension-at-the-primary-care-level-in-an-urban-community-of-thailand
#4
Sawitree Visanuyothin, Samlee Plianbangchang, Ratana Somrongthong
Purpose: Hypertension (HT) is accountable for death in half of the patients suffering from heart disease and stroke. Many treatment strategies have been used, but little research exists on an integrated program with home blood pressure monitoring (HBPM) and village health volunteers (VHVs) in an urban area of Thailand. The present study aims to determine the effectiveness of the integrated program, HBPM, and VHVs in supporting the target population. Patients and methods: This quasi-experiment was conducted from July to November 2017...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29379316/masked-hypertension-and-cardiovascular-outcomes-an-updated-systematic-review-and-meta-analysis
#5
REVIEW
Mohan Palla, Hamidreza Saber, Sanjana Konda, Alexandros Briasoulis
Background: As many as one-third of individuals with normal office blood pressure (BP) are diagnosed with masked hypertension (HTN) based on ambulatory BP measurements (ABPM). Masked HTN is associated with higher risk of sustained HTN (SH) and increased cardiovascular morbidity. Methods: The present study was designed to systematically review cohort studies and assess the effects of masked HTN compared to normotension and SH on cardiovascular events and all-cause mortality...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29296095/free-radical-scavenging-reverses-fructose-induced-salt-sensitive-hypertension
#6
Zachary P Zenner, Kevin L Gordish, William H Beierwaltes
We have previously reported that a moderate dietary supplementation of 20% fructose but not glucose leads to a salt-sensitive hypertension related to increased proximal sodium-hydrogen exchanger activity and increased renal sodium retention. We also found that while high salt increased renal nitric oxide formation, this was retarded in the presence of fructose intake. We hypothesized that at least part of the pathway leading to fructose-induced salt-sensitive hypertension could be due to fructose-induced formation of reactive oxygen species and inappropriate stimulation of renin secretion, all of which would contribute to an increase in blood pressure...
2018: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29238217/effects-of-voluntary-exercise-on-blood-pressure-angiotensin-ii-aldosterone-and-renal-function-in-two-kidney-one-clip-hypertensive-rats
#7
Brian M Waldman, Robert A Augustyniak, Haiping Chen, Noreen F Rossi
Spontaneous dynamic exercise promotes sympathoinhibition and decreases arterial pressure in two-kidney, one-clip (2K-1C) hypertensive rats. Renal sympathetic nerves stimulate renin secretion and increase renal tubular sodium reabsorption. We hypothesized that daily voluntary wheel running exercise by 2K-1C rats will decrease mean arterial pressure (MAP), plasma angiotensin II (Ang II), and aldosterone as well as normalize urinary sodium and potassium excretion independent of changes in glomerular filtration rate (GFR)...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29200886/monitoring-and-management-of-hypertension-with-obesity-in-adolescents
#8
REVIEW
Bonita Falkner
Largely due to the childhood obesity epidemic, there has been an increase in the prevalence of hypertension in children and adolescents. Obesity associated hypertension is the most common hypertension phenotype among adolescents. Approximately 30% of obese adolescents have elevated blood pressure (BP) or hypertension. Updated definitions of elevated BP and hypertension in adolescents are now similar to definitions of BP status in adults. For adolescents ≥13 years of age, elevated BP is 120 to 129/<80 mm Hg...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/29075138/quality-improvement-project-for-managing-elevated-blood-pressure-in-a-primary-care-setting
#9
Stephanie M Thomas, Holly B Cassells
Elevated blood pressure (BP) and prehypertension increase the risk of cardiovascular diseases, a national health concern. This article presents a quality improvement project implemented within a primary care setting that aimed at lowering cardiovascular risk by improving the identification, treatment, and follow-up of patients with elevated BP. This project was designed and implemented to address the identified deficiencies contributing to poor identification and follow-up of patients with elevated BP. The intervention was multi-pronged and comprised a staff educational program, introduction of a new method for measuring BP using the BpTRU™ device, and patient educational intervention...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/28894390/preeclampsia-and-cardiovascular-disease-interconnected-paths-that-enable-detection-of-the-subclinical-stages-of-obstetric-and-cardiovascular-diseases
#10
REVIEW
Gloria Valdés
The potent and now longstanding evidence of the association between placentation-related disorders and cardiovascular disease should be translated into clinical practice in order to introduce a preventive approach to future obstetric and cardiovascular diseases. The purpose of this review is to integrate cardiovascular risk/disease and obstetric complications, which are linked by endothelial dysfunction, as windows of opportunity for improving women's health. Questionnaires adaptable to local practices are proposed to incorporate cardiovascular and obstetrical indexes into two stages of a woman's lifetime...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/28860856/serum-magnesium-and-calcium-in-preeclampsia-a-comparative-study-at-the-korle-bu-teaching-hospital-ghana
#11
Ebenezer Owusu Darkwa, Charles Antwi-Boasiako, Robert Djagbletey, Christian Owoo, Samuel Obed, Daniel Sottie
BACKGROUND: A large percentage (16% of maternal mortality in developed countries, compared to 9% in developing countries), is due to hypertensive disorders in pregnancy. The etiology of preeclampsia remains unknown, with poorly understood pathophysiology. Magnesium and calcium play an important role in vascular smooth muscle function and therefore a possible role in the development of preeclampsia. AIM: We aimed to compare serum magnesium and total calcium levels of preeclamptic and normal pregnant women at the Korle-Bu Teaching Hospital in Ghana...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/28670137/medication-adherence-and-its-associated-factors-among-hypertensive-patients-attending-the-debre-tabor-general-hospital-northwest-ethiopia
#12
Destaw Fetene Teshome, Kindie Bantie Bekele, Yohannes Ayanaw Habitu, Abebaw Addis Gelagay
BACKGROUND: Medication adherence is an important predictor of optimal blood pressure control; hence, it significantly reduces the risk of cardiovascular disease (CVD) and associated deaths. However, studies on medication adherence and its associated factors are scarce. Thus, this study aimed to assess adherence to antihypertensive medications and identify associated factors at Debre Tabor General Hospital, northwest Ethiopia. METHODS: A hospital-based cross-sectional study was conducted...
2017: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27785095/consumption-of-nattokinase-is-associated-with-reduced-blood-pressure-and-von-willebrand-factor-a-cardiovascular-risk-marker-results-from-a-randomized-double-blind-placebo-controlled-multicenter-north-american-clinical-trial
#13
Gitte S Jensen, Miki Lenninger, Michael P Ero, Kathleen F Benson
OBJECTIVE: The objective of this study is to evaluate the effects of consumption of nattokinase on hypertension in a North American hypertensive population with associated genetic, dietary, and lifestyle factors. This is in extension of, and contrast to, previous studies on Asian populations. MATERIALS AND METHODS: A randomized, double-blind, placebo-controlled, parallel-arm clinical study was performed to evaluate nattokinase (NSK-SD), a fermented soy extract nattō from which vitamin K2 has been removed...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27555797/current-best-practice-in-the-management-of-hypertensive-disorders-in-pregnancy
#14
REVIEW
Rosemary Townsend, Patrick O'Brien, Asma Khalil
Preeclampsia is a potentially serious complication of pregnancy with increasing significance worldwide. Preeclampsia is the cause of 9%-26% of global maternal mortality and a significant proportion of preterm delivery, and maternal and neonatal morbidity. Incidence is increasing in keeping with the increase in obesity, maternal age, and women with medical comorbidities entering pregnancy. Recent developments in the understanding of the pathophysiology of preeclampsia have opened new avenues for prevention, screening, and management of this condition...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27175094/lercanidipine-enalapril-combination-in-the-management-of-obesity-related-hypertension
#15
REVIEW
Guido Grassi
Obesity-related hypertension represents a condition frequently observed in current clinical practice characterized by a complex pathophysiological background and a very high cardiovascular risk profile, particularly in severely obese individuals. This explains, on the one hand, the difficulty in reducing elevated blood pressure values in this pathological state and, on the other, the need to achieve this goal in a relatively short-time period to prevent the occurrence of fatal and nonfatal cardiovascular events...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27103841/personalized-medicine-and-treatment-approaches-in-hypertension-current-perspectives
#16
REVIEW
James Brian Byrd
In the US, hypertension affects one in three adults. Current guideline-based treatment of hypertension involves little diagnostic testing. A more personalized approach to the treatment of hypertension might be of use. Several methods of personalized treatment have been proposed and vetted to varying degrees. The purpose of this narrative review is to discuss the rationale for personalized therapy in hypertension, barriers to its development and implementation, some influential examples of proposed personalization measures, and a view of future efforts...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27051314/evaluation-and-treatment-of-hypertensive-crises-in-children
#17
REVIEW
Deborah R Stein, Michael A Ferguson
Hypertensive crises in children are medical emergencies that must be identified, evaluated, and treated promptly and appropriately to prevent end-organ injury and even death. Treatment in the acute setting typically includes continuous intravenous antihypertensive medications with monitoring in the intensive care unit setting. Medications commonly used to treat severe hypertension have been poorly studied in children. Dosing guidelines are available, although few pediatric-specific trials have been conducted to facilitate evidence-based therapy...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/27051313/effectiveness-of-continuous-positive-airway-pressure-in-lowering-blood-pressure-in-patients-with-obstructive-sleep-apnea-a-critical-review-of-the-literature
#18
REVIEW
Fernanda Fatureto-Borges, Geraldo Lorenzi-Filho, Luciano F Drager
Obstructive sleep apnea (OSA) is an extremely common comorbid condition in patients with hypertension, with a prevalence of ~50%. There is growing evidence suggesting that OSA is a secondary cause of hypertension, associated with both poor blood pressure (BP) control and target organ damage in patients with hypertension. The application of continuous positive airway pressure (CPAP) during sleep is the gold standard treatment of moderate- to-severe OSA and very effective in abolishing obstructive respiratory events...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/26955291/probiotics-and-blood-pressure-current-insights
#19
REVIEW
Aditya Upadrasta, Ratna Sudha Madempudi
Gut microbiota play a significant role in host metabolic processes, and recent metagenomic surveys have revealed that they are involved in host immune modulation and influence host development and physiology (organ development). Initially, probiotics are identified as potential therapeutics to treat gastrointestinal disorders and to revitalize the disturbed gut ecosystem. Currently, studies are exploring the potential for expanded uses of probiotics for improving the health conditions in metabolic disorders that increase the risk of developing cardiovascular diseases such as hypertension...
2016: Integrated Blood Pressure Control
https://www.readbyqxmd.com/read/26869812/chronic-resveratrol-reverses-a-mild-angiotensin-ii-induced-pressor-effect-in-a-rat-model
#20
Kevin L Gordish, William H Beierwaltes
Resveratrol is reported to reduce blood pressure in animal models of hypertension, but the mechanisms are unknown. We have shown that resveratrol infusion increases sodium excretion. We hypothesized that chronic ingestion of resveratrol would reduce angiotensin II (Ang II)-induced increases in blood pressure by decreasing oxidative stress and by also decreasing sodium reabsorption through a nitric oxide-dependent mechanism. We infused rats with vehicle or 80 μg Ang II/d over 4 weeks. Vehicle or Ang II-infused rats were individually housed, pair fed, and placed on a diet of normal chow or normal chow plus 146 mg resveratrol/d...
2016: Integrated Blood Pressure Control
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