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https://www.readbyqxmd.com/read/27754018/js-ksh-jsh-chl-01-1-cardio-metabolic-risks-in-hypertension-are-we-different-from-western-societies
#1
Hiroshi Itoh
Many hypertension guidelines have been published mainly from Western countries to standardize the management of hypertension all over the world, however, the significance of hypertension, along with other cardio-metabolic risks, such as obesity, diabetes or dyslipidemia should differ among different races. This paper compares the relevance of hypertension, one of the most important cardio-metabolic risk factors, in Asian and Western societies.1) Low target level of blood pressure control for diabetic hypertensives in JapanIn the Japanese Society of Hypertension Guidelines for the management of Hypertension (JSH2014), the target of blood pressure (BP) control in hypertensive patients with diabetes was set as < 130/80 mmHg...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27754001/db-02-3-strict-control-of-hypertension-in-the-elderly-with-diabetes-and-chronic-kidney-disease-pro
#2
Lawrence Appel
The identification of explicit blood pressure targets for clinical management remains controversial, particularly in older individuals with co-morbidities. Recommendations from the panel appointed to the Eighth Joint National Committee (JNC 8) and results of the SPRINT trial have rekindled interest in this issue. JNC8 recommended a higher (more relaxed) BP goal of < 150/90, instead of the traditional BP goal of <140/90, in persons aged 60+. In contrast, the recently completed SPRINT trial, which enrolled high risk patients without diabetes, documented that a lower (more stringent) SBP goal of <120 mmHg reduced total mortality and cardiovascular disease events compared to <140 mmHg...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27734656/cilnidipine-next-generation-calcium-channel-blocker
#3
Mukesh Madhukar Shete
Hypertension is one of the most common conditions seen in primary care and a major public health problem in India. It can lead to various complications if not detected early and treated appropriately. As per the latest Eighth Joint National Committee (JNC 8) the goal BP in most hypertensive patients age <60 years should be <140/90 mmHg and treatment can be started by selecting drugs from among 4 specific medication classes i.e. angiotensin converting enzyme inhibitor (ACEI) or angiotensin receptor blocker (ARB), calcium channel blocker (CCB) or diuretics...
April 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27678289/the-relationship-between-cognitive-functioning-and-the-jnc-8-guidelines-for-hypertension-in-older-adults
#4
Felicia C Goldstein, Ihab M Hajjar, Callie B Dunn, Allan I Levey, Whitney Wharton
BACKGROUND: Guidelines for hypertension treatment by the Eighth Joint National Committee (JNC-8) in 2014 recommended a target systolic blood pressure (BP) of <150/<90 mmHg in persons older than 60 years, in contrast to the 2003 JNC-7 recommendations of systolic BP <140 mmHg. This study evaluated the implications of raising the BP target on cognitive functioning and conversion from normal cognition to mild cognitive impairment (MCI). METHODS: This was a longitudinal study of individuals older than 60 years enrolled in the NIH-NIA Alzheimer's Disease Centers...
September 27, 2016: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/27642936/js-ksh-jsh-chl-01-1-cardio-metabolic-risks-in-hypertension-are-we-different-from-western-societies
#5
Hiroshi Itoh
Many hypertension guidelines have been published mainly from Western countries to standardize the management of hypertension all over the world, however, the significance of hypertension, along with other cardio-metabolic risks, such as obesity, diabetes or dyslipidemia should differ among different races. This paper compares the relevance of hypertension, one of the most important cardio-metabolic risk factors, in Asian and Western societies.1) Low target level of blood pressure control for diabetic hypertensives in JapanIn the Japanese Society of Hypertension Guidelines for the management of Hypertension (JSH2014), the target of blood pressure (BP) control in hypertensive patients with diabetes was set as < 130/80 mmHg...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27642912/db-02-3-strict-control-of-hypertension-in-the-elderly-with-diabetes-and-chronic-kidney-disease-pro
#6
Lawrence Appel
The identification of explicit blood pressure targets for clinical management remains controversial, particularly in older individuals with co-morbidities. Recommendations from the panel appointed to the Eighth Joint National Committee (JNC 8) and results of the SPRINT trial have rekindled interest in this issue. JNC8 recommended a higher (more relaxed) BP goal of < 150/90, instead of the traditional BP goal of <140/90, in persons aged 60+. In contrast, the recently completed SPRINT trial, which enrolled high risk patients without diabetes, documented that a lower (more stringent) SBP goal of <120 mmHg reduced total mortality and cardiovascular disease events compared to <140 mmHg...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27021293/is-60-the-new-80-in-hypertension
#7
Matthew C Pflederer, Raymond O Estacio, Mori J Krantz
Since the release of the "2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8)", much controversy has ensued over the appropriate systolic blood pressure goal for those over the age of 60 years. This guideline suggested liberalizing the target for this population to <150 mmHg, moving away from previous guidelines suggesting a target of <140 mmHg. While some national quality measures have accepted the new relaxed blood pressure goal, the American Heart Association and American College of Cardiology have not...
August 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/26930050/uncontrolled-hypertension-and-its-determinants-in-patients-with-concomitant-type-2-diabetes-mellitus-t2dm-in-rural-south-africa
#8
Oladele Vincent Adeniyi, Parimalaranie Yogeswaran, Benjamin Longo-Mbenza, Daniel Ter Goon
BACKGROUND: Paucity of data on the prevalence, treatment and control of hypertension in individuals living with type 2 diabetes mellitus (T2DM) in the rural communities of South Africa may undermine efforts to reduce the morbidity and mortality associated with cardiovascular diseases. This study examines the socio-demographic and clinical determinants of uncontrolled hypertension among individuals living with T2DM in the rural communities of Mthatha, South Africa. METHODS: This cross-sectional study involved a serially selected sample of 265 individuals living with T2DM and hypertension at Mthatha General Hospital, Mthatha...
2016: PloS One
https://www.readbyqxmd.com/read/26893920/the-relationship-between-hypertension-and-sleep-duration-an-analysis-of-the-fifth-korea-national-health-and-nutrition-examination-survey-knhanes-v-3
#9
Hye-Rim Hwang, Jeong-Gyu Lee, Sangyeop Lee, Kwang Soo Cha, Jung Hyun Choi, Dong-Wook Jeong, Yu-Hyun Yi, Young-Hye Cho, Young-Jin Tak, Yun-Jin Kim
INTRODUCTION: Hypertension is a significant risk factor for cardiovascular disease (CVD). The majority of patients, however, cannot easily maintain a healthy blood pressure. Therefore, lifestyle modifications are important and may include getting enough sleep. The purpose of this study was to determine the relationship between sleep duration and hypertension, as defined by the Joint National Committee (JNC) 7 and JNC 8 guidelines. METHODS: We used the data from 6,365 individuals aged ≥ 18 years based on national data from a representative sample of the 5(th) Korea National Health and Nutrition Examination Survey V-3 in 2012...
2015: Clinical Hypertension
https://www.readbyqxmd.com/read/26742191/the-racial-cultural-and-social-makeup-of-hispanics-as-a-potential-profile-risk-for-intensifying-the-need-for-including-this-ethnic-group-in-clinical-trials
#10
Angel López-Candales, Jaime Aponte Rodríguez, David Harris
Hypertension not only is the most frequently listed cause of death worldwide; but also a well-recognized major risk factor for cardiovascular disease and stroke. Based on the latest published statistics published by the American Heart Association, hypertension is very prevalent and found in one of every 3 US adults. Furthermore, data from NHANES 2007 to 2010 claims that almost 6% of US adults have undiagnosed hypertension. Despite this staggering statistic, previous US guidelines for the prevention, detection, and treatment of hypertension (The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure 7 [JNC 7]), released in 2003, stated that; "unfortunately, sufficient numbers of Mexican Americans and other Hispanic Americans...
July 2015: Boletín de la Asociación Médica de Puerto Rico
https://www.readbyqxmd.com/read/26713289/eighth-joint-national-committee-jnc-8-guidelines-and-the-outpatient-management-of-hypertension-in-the-african-american-population
#11
Nicole Abel, Krysta Contino, Navjot Jain, Navjot Grewal, Elizabeth Grand, Iris Hagans, Krystal Hunter, Satyajeet Roy
BACKGROUND: Hypertension is a common medical disease, occurring in about one third of young adults and almost two thirds of individuals over the age of 60. With the release of the Eighth Joint National Committee on Prevention, Detection, Evaluation, and Treatment (JNC-8) guidelines, there have been major changes in blood pressure management in the various subgroups. AIM: Optimal blood pressure management and markers of end-organ damage in African-American adult patients were compared between patients who were managed according to the JNC-8 hypertension management guidelines and those who were treated with other regimens...
October 2015: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/26680558/assessment-of-blood-pressure-in-patients-with-hypertension-aged-60-79-years-before-and-after-the-publication-of-the-2014-eighth-joint-national-committee-report
#12
Cy W Fixen, Joseph J Saseen, Joseph P Vande Griend, Sunny A Linnebur
OBJECTIVES: In late 2013, the Joint National Committee (JNC 8) published hypertension treatment recommendations endorsing a goal blood pressure (BP) of < 150/90 mmHg starting at age 60 years. This was in contrast to other cardiovascular groups recommending age 80 years for this BP goal. This study examined mean BP in patients from age 60 years to 79 years with hypertension before and after publication of the JNC 8 recommendations. METHODS: This retrospective cohort study examined mean BP and number of antihypertensives for a period of 1 year before and after the release of the JNC 8 report...
April 2016: Therapeutic Advances in Cardiovascular Disease
https://www.readbyqxmd.com/read/26542515/clinical-application-and-potential-effects-of-2014-hypertension-guidelines-on-incident-cardiovascular-events
#13
Min Jung Ko, Chan Mi Park, Yun Jung Kim, Shin Hee Kang, Duk-Woo Park
BACKGROUND: The applicability to real-world hypertensive patients and the potential effects on future cardiovascular events of the 2014 hypertension guidelines of the Eighth Joint National Committee (JNC-8) remain to be determined. METHODS: Using the Korean National Health and Nutrition Examination Survey of 2008 to 2012 (n = 30,697), we estimated the proportion of Korean adults eligible for hypertension therapy under the 2014 JNC-8 and previous JNC-7 guidelines and the changes affected by the 2014 guidelines...
November 2015: American Heart Journal
https://www.readbyqxmd.com/read/26426621/relationship-of-blood-pressure-with-mortality-and-cardiovascular-events-among-hypertensive-patients-aged-%C3%A2-60-years-in-rural-areas-of-china-a-strobe-compliant-study
#14
Liqiang Zheng, Jue Li, Zhaoqing Sun, Xingang Zhang, Dayi Hu, Yingxian Sun
The Eighth Joint National Committee (JNC-8) panel recently recommended a systolic blood pressure (BP) threshold of ≥ 150 mmHg for the initiation of drug therapy and a therapeutic target of <150/90 mmHg in patients ≥ 60 years of age. However, results from some post-hoc analysis of randomized controlled trials and observational studies did not support these recommendations. In the prospective cohort study, 5006 eligible hypertensive patients aged ≥ 60 years from rural areas of China were enrolled for the present analysis...
September 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26234374/diabetes-and-hypertension-a-comparative-review-of-current-guidelines
#15
REVIEW
Michael J Cryer, Tariq Horani, Donald J DiPette
Cardiovascular disease plays a major role in the morbidity and mortality of patients with diabetes mellitus. In turn, hypertension is a major risk factor for cardiovascular disease, and its prevalence is increased in diabetes mellitus. Therefore, the detection and management of elevated blood pressure (BP) is a critical component of the comprehensive clinical management of diabetics. Despite significant advances in our understanding of the pathogenesis and treatment of hypertension, there continues to be debate regarding the pharmacologic treatment of hypertension, especially in high-risk groups such as in patients with diabetes mellitus with and without chronic kidney disease (CKD)...
February 2016: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/26175633/a-review-of-the-jnc-8-blood-pressure-guideline
#16
Eduardo Hernandez-Vila
No abstract text is available yet for this article.
June 2015: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/26098188/-blood-pressure-limits-the-lower-the-better
#17
REVIEW
Gregor Leibundgut
Arterial hypertension is a widespread risk factor for cardiovascular disease. The benefit of a consistent drug therapy is proportionally associated with the degree of blood pressure reduction. By extrapolating the data, the assumption arose “the lower the better” and was widely accepted. However, several studies found an increase in morbidity and mortality with an excessive reduction of blood pressure (J-curve). This seems to affect mainly cardiac risk, and only at lower blood pressures<60 mmHg also the cerebral risk...
June 2015: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/26081967/blood-pressure-goals-and-targets-in-the-elderly
#18
Wilbert S Aronow
The American College of Cardiology (ACC)/American Heart Association (AHA) 2011 expert consensus document on hypertension in the elderly recommends that the blood pressure be reduced to less than 140/90 mmHg in adults aged 60-79 years and the systolic blood pressure to 140 to 145 mmHg if tolerated in adults aged 80 years and older. I strongly support these guidelines based on clinical trial data, especially from the Systolic Hypertension in the Elderly trial and from the Hypertension in the Very Elderly trial (HYVET)...
July 2015: Current Treatment Options in Cardiovascular Medicine
https://www.readbyqxmd.com/read/26059787/clinical-diagnosis-and-management-of-hypertension-compared-with-the-joint-national-committee-8-panelists-recommendations
#19
MULTICENTER STUDY
David Snipelisky, Oral Waldo, M Caroline Burton
BACKGROUND: The panelists of the Joint National Committee recently published new recommendations for the management of hypertension. Our study aims to evaluate how current practice compares. HYPOTHESIS: Current practice likely deviates from the recent JNC 8 panelists' recommendations. METHODS: A survey was sent to cardiology providers at 3 academic medical centers: Mayo Clinic, Jacksonville, Florida; Mayo Clinic, Scottsdale, Arizona; and Mayo Clinic, Rochester, Minnesota...
June 2015: Clinical Cardiology
https://www.readbyqxmd.com/read/26042879/2014-guideline-for-the-management-of-high-blood-pressure-eighth-joint-national-committee-take-home-messages
#20
REVIEW
Umar Farooq, Sunita G Ray
The JNC 8 guidelines focus on 3 highest-ranked clinical questions that include BP thresholds for starting therapy, specific BP goals, and risks and benefits of specific antihypertensive drugs. Only randomized controlled trial data were used and JNC 8 panel did not include observational studies, systematic reviews, or meta-analyses. The investigators also suggested that benefit of lowering BP to less than 140/90 is not clear. Lifestyle modifications were considered very important for all patients with hypertension...
July 2015: Medical Clinics of North America
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