keyword
https://read.qxmd.com/read/38508875/-hypertensive-emergency-as-the-debut-of-paraneoplastic-cushing-syndrome
#1
E Rubio González, M de Valdenebro Recio, M I Galán Fernández
We present the case of a patient with a history of renal-vascular hypertension treated with stent one year previously, who attended the emergency room due to hypertensive emergency and dyspnea. Once the first suspicion of renal artery restenosis was ruled out with CT angiography, the study was completed, confirming the diagnosis of lung cancer through imaging and pathological anatomy. In the hormonal study, elevation of ACTH, hypercortisolism and analytical data of hyperaldosteronism were detected. With the final diagnosis of Cushing's syndrome secondary to ectopic production of ACTH, medical treatment was started, without being able to receive anything else due to the death of the patient after a few days...
March 19, 2024: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/38403566/hypertensive-emergency-secondary-to-atropine
#2
P R Carvalho, F Gonçalves, P Magalhães, J I Moreira
Atropine, a competitive antagonist of acetylcholine muscarinic receptors, is commonly used to treat severe bradycardia by blocking parasympathetic activity. We present a rare case of hypertensive emergency following atropine administration, with only one previous report in the literature. A 78-year-old woman with essential hypertension and hypercholesterolemia was admitted to the cardiac intensive care unit for non-ST segment elevation myocardial infarction. During coronary angiography, an occlusion of the right coronary artery was identified...
February 24, 2024: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/38293885/-intracranial-hypertension-syndrome-as-an-unusual-manifestation-of-sj%C3%A3-gren-s-syndrome-report-of-one-case
#3
JOURNAL ARTICLE
Dominga García, Cristián Labarca
Neurological manifestations such as polyneuropathy are reported in 8-49% of cases with Sjögren's Syndrome (SjS), but central nervous system involvement is seldom described. We report a 46-year-old woman with a history of SjS with distal renal tubular acidosis and autoimmune thyroiditis. She consulted in the emergency room for a five-days history of holocranial headache and explosive vomiting. Fundoscopy showed bilateral papilledema. Brain computed tomography (CT) without contrast showed diffuse encephalic edema, with effacement ofsulci and restriction ofperitruncal cisterns...
March 2023: Revista Médica de Chile
https://read.qxmd.com/read/36757787/relationship-of-the-t-wave-tpeak-tend-interval-with-conduction-system-disorders-in-arterial-hypertension
#4
JOURNAL ARTICLE
José C Candia, Osmar A Centurión, José F Alderete, Judith M Torales, Nelson J Aquino, Luis M Miño, Karina E Scavenius, Laura B García, Cristina Cáceres, Orlando J Sequeira, Christian O Chávez, Jorge E Martínez, Oscar A Lovera, E Javier Galeano
PURPOSE: The Tpeak-Tend interval of the T wave has emerged as a new electrocardiographic marker of increased transmural dispersion of ventricular repolarization. We aimed to determine the presence of cardiac conduction system disorders in patients with systemic arterial hypertension (SAH) who have altered Tpeak-Tend interval of the T wave. METHODS: The 67 patients with SAH were divided into two groups. Those with prolonged (≥ 77 ms) Tpeak-Tend intervals, 21 (31%) patients were in the study group...
2023: Archivos de Cardiología de México
https://read.qxmd.com/read/36284552/-hearts-in-the-americas-innovations-for-improving-hypertension-and-cardiovascular-disease-risk-management-in-primary-carehearts-nas-am%C3%A3-ricas-inova%C3%A3-%C3%A3%C2%B5es-para-melhorar-a-gest%C3%A3-o-do-risco-de-hipertens%C3%A3-o-e-de-doen%C3%A3-as-cardiovasculares-na-aten%C3%A3-%C3%A3-o-prim%C3%A3-ria
#5
Pedro Ordunez, Norm R C Campbell, Gloria P Giraldo Arcila, Sonia Y Angell, Cintia Lombardi, Jeffrey W Brettler, Yenny A Rodríguez Morales, Kenneth L Connell, Angelo Gamarra, Donald J DiPette, Andres Rosende, Marc G Jaffe, Libardo Rodríguez, Daniel J Piñeiro, Ramón Martínez, James E Sharman
Global Hearts is the flagship initiative of the World Health Organization to reduce the burden of cardiovascular diseases, the leading cause of death and disability worldwide. HEARTS in the Americas Initiative is the regional adaptation that envisions HEARTS as the model for cardiovascular disease risk management, including hypertension and diabetes, in primary health care in the Americas by 2025. This initiative is entering its sixth year of implementation and now includes 22 countries and 1 380 primary health care centers...
2022: Pan American Journal of Public Health
https://read.qxmd.com/read/36165149/hypertension-in-the-hospitalized-patient-an-update
#6
REVIEW
Krishnam R Penmatsa, Pardhasaradhi Teki, Ankur Gupta
In-patient hypertension is a common problem seen in the hospital setting. Current evidence-based guidelines define and address management of hypertension in ambulatory care and hypertensive emergencies in the hospital setting. However, they lack guidance for the management of acute asymptomatic/non-emergent hypertension in the hospitalised patient. The risk-benefit of treating inpatient asymptomatic hypertension is largely unknown. In this narrative review, we discuss current evidence-based perspectives to address this clinical entity...
2021: Nefrología
https://read.qxmd.com/read/35940550/multiparametric-evaluation-of-right-ventricular-function-in-pulmonary-arterial-hypertension-associated-with-congenital-heart-disease
#7
JOURNAL ARTICLE
Emmanuelle Fournier, Maëlle Selegny, Myriam Amsallem, Francois Haddad, Sarah Cohen, Estibaliz Valdeolmillos, Jérôme Le Pavec, Marc Humbert, Marc-Antoine Isorni, Arshid Azarine, Olivier Sitbon, Xavier Jais, Laurent Savale, David Montani, Elie Fadel, Joy Zoghbi, Emre Belli, Sebastien Hascoët
INTRODUCTION AND OBJECTIVES: Outcome in patients with congenital heart diseases and pulmonary arterial hypertension (PAH) is closely related to right ventricular (RV) function. Two-dimensional echocardiographic parameters, such as strain imaging or RV end-systolic remodeling index (RVESRI) have emerged to quantify RV function. METHODS: We prospectively studied 30 patients aged 48±12 years with pretricuspid shunt and PAH and investigated the accuracy of multiple echocardiographic parameters of RV function (tricuspid annular plane systolic excursion, tricuspid annular peak systolic velocity, RV systolic-to-diastolic duration ratio, right atrial area, RV fractional area change, RV global longitudinal strain and RVESRI) to RV ejection fraction measured by cardiac magnetic resonance...
August 6, 2022: Revista Española de Cardiología
https://read.qxmd.com/read/35856968/-update-on-the-management-of-intracranial-hypertension-syndrome
#8
REVIEW
Lucas González-Johnson, Gustavo Zomosa, Bayron Valenzuela, Felipe Maldonado, Marcos Baabor, Carlos Romero
Elevated intracranial pressure (ICP) is a devastating complication, with great impact on neurological status and high morbidity and mortality. Intracranial hypertension (ICH) has multiple etiologies. The natural history of this condition can lead to brain death. The successful management of patients with elevated ICP (> 20-25 mmHg) requires fast and timely recognition, judicious use of invasive monitoring and therapies aimed to reversing its underlying cause. Therefore, it must be managed as a neurological emergency...
January 2022: Revista Médica de Chile
https://read.qxmd.com/read/35840428/is-it-necessary-to-perform-cardiovascular-screening-in-migrant-patients
#9
JOURNAL ARTICLE
Ricardo Roa-Chamorro, Pablo González-Bustos, Lucía Torres-Quintero
Migrant patients arriving in Spain often come from countries where there is no universal access to healthcare. Although the prevalence of arterial hypertension (HTN) is lower in West Africa than in Spain, there is a higher prevalence of masked HT due to the absence of health screening. Furthermore, patients with secondary hypertension may not be diagnosed. We present the case of a 36-year-old Senegalese man, with no known pathological history, resident for a year in Spain, who debuted with a hypertensive emergency...
July 12, 2022: Clínica e Investigación en Arteriosclerosis
https://read.qxmd.com/read/35588550/-optimizing-blood-pressure-control-through-telemedicine-in-primary-care-in-spain-iniciativa-%C3%A3-ptima-results-from-a-delphi-study
#10
Carmen Sánchez Peinador, Joan Torras Borrell, María José Castillo Moraga, María Isabel Egocheaga Cabello, Xiana Rodríguez Villalón, Miguel Turégano Yedro, Javier Gamarra Ortiz, Manuel Domínguez Sardiña, Vicente Pallarés Carratalá
AIM: Members of the working groups on hypertension or cardiovascular disease of the Spanish Societies of Primary Care Physicians (PCPs) [SEMERGEN], Family and Community Medicine [semFYC] and General and Family Physicians [SEMG], conducted a Delphi study to validate with a panel of PCPs with expertise in hypertension several recommendations to optimize teleconsultation in hypertensive patients. MATERIALS AND METHODS: Delphi study based on an online questionnaire with 59 recommendations based on the available evidence and the clinical experience of the authors...
July 2022: Atencion Primaria
https://read.qxmd.com/read/34238673/-malignant-hypertension-and-pheochromocytoma-a-case-report
#11
R Bury, J Leon Roman, A Casteras, A Vergara, B Biagetti, C García-Carro, E Cordero-Vazquez, I Hernández Hernández, I Agraz, M J Soler
Malignant arterial hypertension is defined by extremely high levels of pressure associated with organ damage. It is a cause of hypertensive emergency and is defined by the coexistence of high blood pressure and bilateral retinal haemorrhage or exudates (grade III hypertensive retinopathy), with or without papilloedema (grade IV hypertensive retinopathy) currently associated with organ damage such as renal or cardiac failure. Around 1% of malignant arterial hypertension is secondary to endocrinological causes, including the most common: pheochromocytoma, which is classically characterized by the triad: headache, sweating and palpitations...
October 2021: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/34221380/step-by-step-guide-to-setting-up-a-kidney-replacement-therapy-registry-the-challenge-of-a-national-kidney-replacement-therapy-registry
#12
REVIEW
Guillermo Rosa-Diez, María Carlota González-Bedat, Rosario Luxardo, María Laura Ceretta, Alejandro Ferreiro-Fuentes
Chronic kidney disease (CKD) has become one of the most important public health problems worldwide. Analysis, and understanding, of this global/national/regional reality would benefit from renal registry databases. The implementation of a CKD registry (including all categories) is difficult to achieve, given its high cost. On the other hand, patients with end-stage kidney disease (ESKD) are easily accessible and constitute the most severe subgroup in terms of comorbidities and healthcare costs. A kidney replacement therapy registry (KRTR) is defined as the systematic and continuous collection of a population-based data set from ESKD patients treated by dialysis/kidney transplant...
July 2021: Clinical Kidney Journal
https://read.qxmd.com/read/34088476/safety-in-dermatologic-procedures-hypertensive-crises-and-potentially-fatal-arrhythmias
#13
JOURNAL ARTICLE
P Rodríguez-Jiménez, R Sampedro-Ruiz, I Imaz, P Chicharro
As dermatologic surgeons often have to perform long surgeries with local anesthetic only, they should be familiar with the fundamentals of how to manage 2 potentially serious complications: Hypertensive crises and intraoperative arrhythmias. Hypertensive crises can be classified as 1) hypertensive urgencies, characterized by a significant spike in blood pressure (>180/110 mmHg) without target-organ dysfunction or 2) hypertensive emergencies, characterized by a blood pressure above 180/110 mmHg with progressive target-organ damage...
June 2021: Actas Dermo-sifiliográficas
https://read.qxmd.com/read/34074571/hypertension-in-the-hospitalized-patient-an-update
#14
REVIEW
Krishnam R Penmatsa, Pardhasaradhi Teki, Ankur Gupta
In-patient hypertension is a common problem seen in the hospital setting. Current evidence-based guidelines define and address management of hypertension in ambulatory care and hypertensive emergencies in the hospital setting. However, they lack guidance for the management of acute asymptomatic/non-emergent hypertension in the hospitalised patient. The risk-benefit of treating inpatient asymptomatic hypertension is largely unknown. In this narrative review, we discuss current evidence-based perspectives to address this clinical entity...
May 29, 2021: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://read.qxmd.com/read/33863691/-blood-pressure-measurement-campaign-may-measurement-month-from-community-pharmacies-in-2018-analysis-of-screening-in-spain
#15
JOURNAL ARTICLE
I Mera-Gallego, A Molinero, J A Fornos-Pérez, S Tous-Trepat, N F Andrés-Rodríguez, R Prats-Mas, E Rodilla, T Gijón-Conde, L M Ruilope-Urioste
INTRODUCTION: Within the international project May Measurement Month, in Spain, the community pharmacy is where the greatest number of measurements are carried out and where the population can be made aware of the importance of regular blood pressure measurement. OBJECTIV: To ascertain the situation of the Spanish population's blood pressure and dissemination of the importance of its regular measurement through the community pharmacies. METHODS: Cross-sectional descriptive study carried out in Spanish community pharmacies during the month of May 2018, among pharmacy users of legal age...
April 13, 2021: Hipertensión y Riesgo Vascular
https://read.qxmd.com/read/33515529/safety-in-dermatologic-procedures-hypertensive-crises-and-potentially-fatal-arrhythmias
#16
JOURNAL ARTICLE
P Rodríguez-Jiménez, R Sampedro-Ruiz, I Imaz, P Chicharro
As dermatologic surgeons often have to perform long surgeries with local anesthetic only, they should be familiar with the fundamentals of how to manage 2 potentially serious complications: hypertensive crises and intraoperative arrhythmias. Hypertensive crises can be classified as 1) hypertensive urgencies, characterized by a significant spike in blood pressure (BP) (>180/110 mm Hg) without target-organ dysfunction or 2) hypertensive emergencies, characterized by a BP above 180/110 mm Hg with progressive target-organ damage...
January 27, 2021: Actas Dermo-sifiliográficas
https://read.qxmd.com/read/32117468/-lancet-commission-on-hypertension-group-position-statement-on-the-global-improvement-of-accuracy-standards-for-devices-that-measure-blood-pressureposicionamento-do-grupo-da-lancet-commission-on-hypertension-sobre-a-melhoria-global-dos-padr%C3%A3%C2%B5es-de-acur%C3%A3-cia
#17
JOURNAL ARTICLE
James E Sharman, Eoin O'Brien, Bruce Alpert, Aletta E Schutte, Christian Delles, Michael Hecht Olsen, Roland Asmar, Neil Atkins, Eduardo Barbosa, David Calhoun, Norm R C Campbell, John Chalmers, Ivor Benjamin, Garry Jennings, Stéphane Laurent, Pierre Boutouyrie, Patricio Lopez-Jaramillo, Richard J McManus, Anastasia S Mihailidou, Pedro Ordunez, Raj Padwal, Paolo Palatini, Gianfranco Parati, Neil Poulter, Michael K Rakotz, Clive Rosendorff, Francesca Saladini, Angelo Scuteri, Weimar Sebba Barroso, Myeong-Chan Cho, Ki-Chul Sung, Raymond R Townsend, Ji-Guang Wang, Tine Willum Hansen, Gregory Wozniak, George Stergiou
The Lancet Commission on Hypertension identified that a key action to address the worldwide burden of high blood pressure (BP) was to improve the quality of BP measurements by using BP devices that have been validated for accuracy. Currently, there are over 3 000 commercially available BP devices, but many do not have published data on accuracy testing according to established scientific standards. This problem is enabled through weak or absent regulations that allow clearance of devices for commercial use without formal validation...
2020: Pan American Journal of Public Health
https://read.qxmd.com/read/29733063/adrenergic-signaling-molecular-complexes
#18
REVIEW
Rocío Alcántara-Hernández, Aurelio Hernández-Méndez
Adrenaline and noradrenaline bind to membrane receptors of the superfamily of G protein-coupled receptors (GPCR) in target cells, where they modulate physiological responses such as metabolism, vasoconstriction, vasodilation and proliferation. Alteration in their function is associated with conditions such as hypertension, benign prostatic hyperplasia and cardiac hypertrophy. In response to adrenaline, receptors form signaling complexes, which enables adrenergic action to be specific, rapid and efficient. These signaling complexes or signalosomes are composed of kinases, phosphatases, and adapter and scaffold proteins, which together modulate the receptor function...
2018: Gaceta Médica de México
https://read.qxmd.com/read/27988223/mexican-registry-of-pulmonary-hypertension-remehip
#19
MULTICENTER STUDY
Julio Sandoval Zarate, Carlos Jerjes-Sanchez, Alicia Ramirez-Rivera, Tomas Pulido Zamudio, Pedro Gutierrez-Fajardo, Jose Elizalde Gonzalez, Mario Seoane Garcia De Leon, Miguel Beltran Gamez, Francisco Moreno Hoyos Abril, Rodolfo Parra Michel, Humberto Garcia Aguilar
OBJECTIVE: REMEHIP is a prospective, multicentre registry on pulmonary hypertension. The main objective will be to identify the clinical profile, medical care, therapeutic trends and outcomes in adult and pediatric Mexican patients with well-characterized pulmonary hypertension. METHODS: REMEHIP a multicenter registry began in 2015 with a planned recruitment time of 12 months and a 4-year follow-up. The study population will comprise a longitudinal cohort study, collecting data on patients with prevalent and incident pulmonary hypertension...
2017: Archivos de Cardiología de México
https://read.qxmd.com/read/18928127/-clinical-guidelines-for-detection-prevention-diagnosis-and-treatment-of-systemic-arterial-hypertension-in-mexico-2008
#20
JOURNAL ARTICLE
Martín Rosas, Gustavo Pastelín, Gilberto Vargas-Alarcón, Jesús Martínez-Reding, Catalina Lomelí, Celso Mendoza-González, José Antonio Lorenzo, Arturo Méndez, Martha Franco, Laura Gabriela Sánchez-Lozada, Juan Verdejo, Noé Sánchez, Rocío Ruiz, Sergio Mario Férez-Santander, Fause Attie
The multidisciplinary Institutional Committee of experts in Systemic Arterial Hypertension from the National Institute of Cardiology "Ignacio Chávez" presents its update (2008) of "Guidelines and Recommendations" for the early detection, control, treatment and prevention of Hypertension. The boarding tries to be simple and realistic for all that physicians whom have to face the hypertensive population in their clinical practice. The information is based in the most recent scientific evidence. These guides are principally directed to hypertensive population of emergent countries like Mexico...
2008: Archivos de Cardiología de México
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