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Hypertensive crisis in elderly

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https://www.readbyqxmd.com/read/30008800/prevalence-of-non-communicable-diseases-and-access-to-care-among-non-camp-syrian-refugees-in-northern-jordan
#1
Manuela Rehr, Muhammad Shoaib, Sara Ellithy, Suhib Okour, Cono Ariti, Idriss Ait-Bouziad, Paul van den Bosch, Anais Deprade, Mohammad Altarawneh, Abdel Shafei, Sadeq Gabashneh, Annick Lenglet
Background: Tackling the high non-communicable disease (NCD) burden among Syrian refugees poses a challenge to humanitarian actors and host countries. Current response priorities are the identification and integration of key interventions for NCD care into humanitarian programs as well as sustainable financing. To provide evidence for effective NCD intervention planning, we conducted a cross-sectional survey among non-camp Syrian refugees in northern Jordan to investigate the burden and determinants for high NCDs prevalence and NCD multi-morbidities and assess the access to NCD care...
2018: Conflict and Health
https://www.readbyqxmd.com/read/29877669/arterial-hypertension-does-the-j-curve-exist-and-then
#2
Gian Francesco Mureddu
The concept that 'the lower the blood pressure (BP) achieved the better the outcome' rests on the demonstration of a direct relationship between BP and incident outcomes, down to levels of 115 mmHg of systolic BP (sBP) and 75 mmHg of diastolic BP (dBP) carried out in 1 million individuals from 61 cohorts recruited between 1950 and 1990 and followed for about 14 years. The alternative to the 'lower the better' concept is the hypothesis of a J-shaped relationship, according to which the benefits of reducing sBP or dBP to low values may be dangerous leading even to an increase in total mortality and/or in CV outcomes...
June 7, 2018: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/29050867/acute-type-a-aortic-dissection-in-a-patient-with-paraganglioma
#3
Andreia Dos Santos Borrego, Pedro Carrilho Ferreira, Fausto J Pinto
Acute aortic dissection is the most common acute aortic syndrome. It is more prevalent in males and in the elderly, and has a high mortality. Hypertension is the main risk factor. Diagnosis is based on clinical features, laboratory tests and imaging exams. Treatment is usually surgical, although in some cases an endovascular approach is an alternative. Paraganglioma is an uncommon neuroendocrine tumor. Most produce catecholamines, and so usually manifest with hypertensive crisis, palpitations, headache and sweating...
October 2017: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/28901251/case-report-severe-hematological-muscle-and-liver-toxicity-caused-by-drugs-and-artichoke-infusion-interaction-in-an-elderly-polymedicated-patient
#4
M G Campos, J Machado, M L Costa, S Lino, F Correia, F Maltez
BACKGROUND: Case report, in a patient with a history of diabetes and hypertension, treated with metformin, gliclazide, enalapril + hydrochlorothiazide, amlodipine, aspirin and diazepam, recently medicated for a gouty crisis with colchicine and clonixin without improvement. Believing it could help in the treatment of gouty crisis symptoms he took about 1.5 L of artichoke infusion (Cynara cardunculus). He felt better and did agriculture work but developed a distal muscle pain, severe anemia, standard biochemical liver cholestasis, increase of alkaline phosphatase and marked increase of inflammatory parameters (hyperleucocytosis) and enters in the emergency department at the hospital...
2018: Current Drug Safety
https://www.readbyqxmd.com/read/28219828/treating-cognitive-impairment-with-transcranial-low-level-laser-therapy
#5
REVIEW
Jack C de la Torre
This report examines the potential of low level laser therapy (LLLT) to alter brain cell function and neurometabolic pathways using red or near infrared (NIR) wavelengths transcranially for the prevention and treatment of cognitive impairment. Although laser therapy on human tissue has been used for a number of medical conditions since the late 1960s, it is only recently that several clinical studies have shown its value in raising neurometabolic energy levels that can improve cerebral hemodynamics and cognitive abilities in humans...
March 2017: Journal of Photochemistry and Photobiology. B, Biology
https://www.readbyqxmd.com/read/28091509/-outcomes-and-treatment-of-myasthenic-crisis
#6
S V Kotov, O P Sidorova
AIM: The analysis of fatal outcomes of myasthenic crisis in patients with myasthenia. MATERIAL AND METHODS: The data on 19 patients with myastheniccrisis admitted at the Moscow Regional Research and Clinical Institute («MONIKI») over 12 years (1997-2009) have been summarized. RESULTS AND CONCLUSION: There are more than 600 patients with myasthenia in the Moscow region, including 13% patients with onset after 60 years. Seventeen patients of 19 were in the intensive care unit...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/26031815/-clinical-and-ultrasonic-predictors-of-postoperative-complications-after-carotid-endarterectomy
#7
V I Shmyrev, E M Nosenko, M S Romanova, N S Nosenko, A A Kalinin, A G Evdokimov, A B Sakharov
For the period from 2007 to 2012 carotid endarterectomy was performed in 150 patients with cerebrovascular insufficiency I-IV degrees and atherosclerotic lesion of carotid arteries. Dynamic observation was performed by using of duplex scanning of brachiocephalic arteries, transcranial duplex scanning, multislice CT with contrast study of extracranial and intracranial arteries. Different degrees of vascular wall thickening of operated internal carotid artery including neo- and myointimal hyperplasia, restenosis and other complications were observed in 19 (12...
2015: Khirurgiia
https://www.readbyqxmd.com/read/24589956/is-nasal-packing-required-in-epistaxis
#8
M Sahan, H Beydilli, M Deveer, S Derin, L Sahan, N Cullu
OBJECTIVE: To demonstrate the efficacy of identification of bleeding source with nasal endoscopy and cauterization (bipolar or radiofrequency) without nasal packing in adults with posterior epistaxis unable to be treated with nasal packing. MATERIALS AND METHODS: The average age of patients was 56.16 ± 12.6 (38-72) years, and female-male ratio was 1/5. The average systolic blood pressure was found to be 150 ± 30, while diastolic blood pressure was 90 ± 20 mmHg...
2014: La Clinica Terapeutica
https://www.readbyqxmd.com/read/24048104/scleroderma-renal-crisis-in-an-elderly-patient-with-overlap-syndrome
#9
Federico Zazzetti, Mariano Adolfo Rivero, Hugo Armando Laborde, Alejandro Iotti, Juan Carlos Barreira
No abstract text is available yet for this article.
October 2013: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/23817839/anti-hypertensive-treatment-in-pheochromocytoma-and-paraganglioma-current-management-and-therapeutic-features
#10
REVIEW
Alberto Mazza, Michela Armigliato, Maria Cristina Marzola, Laura Schiavon, Domenico Montemurro, Giorgio Vescovo, Marco Zuin, Sotirios Chondrogiannis, Roberta Ravenni, Giuseppe Opocher, Patrick M Colletti, Domenico Rubello
Pheochromocytoma (PH) and paraganglioma (PG) are neuroendocrine neoplasms arising from chromaffin cells of the adrenal medulla and the sympathetic ganglia, respectively. Although are unusual cause of hypertension (HT) accounting for at most 0.1-0.2 % of cases, they may lead to severe and potentially lethal hypertensive crisis due to the effects of the released catecholamines. However, both PH and PG may be asymptomatic as ~30 % of subjects are normotensive or have orthostatic hypotension and in these cases the 24 h ambulatory blood pressure (BP) monitoring is an important toll to diagnose and treat HT...
April 2014: Endocrine
https://www.readbyqxmd.com/read/23458390/risk-of-acute-postoperative-hypertension-after-topical-photodynamic-therapy-for-non-melanoma-skin-cancer
#11
Riccardo G Borroni, Andrea Carugno, Nicolò Rivetti, Eloisa Arbustini, Valeria Brazzelli
BACKGROUND: Topical photodynamic therapy with methyl aminolevulinate (MAL-PDT) is a non-surgical treatment for actinic keratoses, Bowen's disease and basal cell carcinoma. MAL-PDT is particularly useful in elderly patients, who often present co-morbidities and/or in whom surgical excision could be contraindicated. MAL-PDT is generally well tolerated; the most frequent acute adverse events include pain and burning sensation localized to the treatment area. We describe our observation of the occurrence of acute postoperative hypertension (APH) and hypertensive crisis, after a MAL-PDT...
April 2013: Photodermatology, Photoimmunology & Photomedicine
https://www.readbyqxmd.com/read/23243502/cardiovascular-risk-factors-promote-brain-hypoperfusion-leading-to-cognitive-decline-and-dementia
#12
Jack C de la Torre
Heart disease is the major leading cause of death and disability in the world. Mainly affecting the elderly population, heart disease and its main outcome, cardiovascular disease, have become an important risk factor in the development of cognitive decline and Alzheimer's disease (AD). This paper examines the evidence linking chronic brain hypoperfusion induced by a variety of cardiovascular deficits in the development of cognitive impairment preceding AD. The evidence indicates a strong association between AD and cardiovascular risk factors, including ApoE(4), atrial fibrillation, thrombotic events, hypertension, hypotension, heart failure, high serum markers of inflammation, coronary artery disease, low cardiac index, and valvular pathology...
2012: Cardiovascular Psychiatry and Neurology
https://www.readbyqxmd.com/read/23130528/-cognitive-impairment-in-elderly-patients-with-acute-hypertensive-encephalopathy
#13
V M Baev, D B Kozlov
Acute hypertensive encephalopathy in elderly patients appears reversible mild cognitive impairment. The erythrocyte sedimentation rate and blood creatinine measured during a hypertensive crisis are predictors of decline of visual-spatial orientation after two weeks of treatment.
2012: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/22700075/emergency-double-balloon-enteroscopy-a-feasible-and-promising-diagnostic-as-well-as-possible-therapeutic-option-in-recurrent-midgut-bleeding
#14
Philip Büschel, Klaus Mönkemüller, Uwe von Falkenhausen, Lucia C Fry, Peter Malfertheiner, Hans Lippert, Frank Meyer
Gastrointestinal (GI) tract bleeding, in particular originating within the long segment of the small intestine, remains a diagnostic and therapeutic challenge. The authors describe the potential utility of emergency double balloon enteroscopy (DBE) for small bowel bleeding. An elderly woman was admitted because of a hypertensive crisis to the medical department of a regional hospital. Her medical history was significant for non-steroidal anti-inflammatory drug (NSAID) abuse. While in hospital she had massive obscure GI bleeding...
2011: BMJ Case Reports
https://www.readbyqxmd.com/read/22532813/the-frequency-of-prescription-of-immediate-release-nifedipine-for-elderly-patients-in-germany-utilization-analysis-of-a-substance-on-the-priscus-list-of-potentially-inappropriate-medications
#15
Ingrid Schubert, Rebecca Hein, Sascha Abbas, Petra Thürmann
BACKGROUND: Immediate-release nifedipine is on the PRISCUS list of drugs that should not be given to elderly patients. We studied the use of this calcium-channel blocker under real-life conditions. METHODS: In 2009, we carried out a cross-sectional study based on the Statutory Health Insurance Sample AOK Hesse/KV Hesse with a sample size of 260 672 insurees. We used an anatomic-therapeutic-chemical classification (C08) to identify prescriptions for calcium-channel blockers...
March 2012: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/19431240/-vertebrobasilar-transient-ischemic-attacks-in-young-and-middle-aged-patients
#16
N N Beliavskiĭ, S A Likhachev, T N Varenik, V Demarin
A complex clinical, neurological, laboratory, ultrasound and neuroimaging examination of 70 patients, aged 31-59 years, suffering from vertebrobasilar transient ischemic attack (TIA) was carried out in order to determine clinical and pathogenetic peculiarities of the disease in young and middle aged patients. The hemodynamically significant atherosclerotic lesion of the large cerebral arteries (LCA) as a cause of TIA was observed more rarely in the young and middle age groups than in elderly and aged people...
2008: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/17878652/ace-inhibitor-induced-acute-renal-failure-in-a-patient-with-progressive-systemic-sclerosis-ischemic-nephropathy-mimicking-pss-renal-crisis
#17
Miho Shinohara, Naoki Washida, Atsuo Tanaka, Satoshi Ueda, Takashi Kuwahara, Hirohisa Kojima
A 79-year-old woman with progressive systemic sclerosis (PSS) presented with acute pulmonary edema, hypertension and renal failure. Administration of angiotensin-converting enzyme (ACE) inhibitor under suspicion of PSS renal crisis resulted in worsening of the renal function, which necessitated hemodialysis. Magnetic resonance arteriogram (MRA) demonstrated stenosis of the right renal artery, and ischemic nephropathy was diagnosed. Renal function improved after the discontinuation of ACE inhibitor. ACE inhibitor/angiotensin II receptor blocker (ARB), which is recommended for PSS renal crisis, should be avoided in ischemic nephropathy...
2007: Internal Medicine
https://www.readbyqxmd.com/read/17409584/funduscopic-examination-has-limited-benefit-for-management-of-hypertension
#18
Mehmet Rami Helvaci, Fatih Ozcura, Hasan Kaya, Atilla Yalcin
Hypertension (HT) increases the risks of major cardiovascular events and affects a majority of elderly populations. Thus, blood pressure control is the mainstay for prevention of cardiovascular diseases. However, there is only a limited number of parameters for management of HT. This study was performed on consecutive patients between the ages of 35 and 70 years with normotension (NT) and HT in order to determine the possible consequences of HT on retinal vasculature and to avoid debility-induced weight loss...
March 2007: International Heart Journal
https://www.readbyqxmd.com/read/16945216/how-do-heart-disease-and-stroke-become-risk-factors-for-alzheimer-s-disease
#19
REVIEW
Jack C de la Torre
BACKGROUND: Heart disease and stroke are two of the major leading causes of death and disability in the world. Mainly affecting the elderly population, heart disease and stroke are important risk factors for Alzheimer's disease (AD). METHODS: This review examines the evidence linking chronic brain hypoperfusion (CBH) produced by several types of heart disease and stroke on the development of AD. RESULTS: The evidence indicates a strong association between such risk factors as coronary artery bypass surgery (CABG), atrial fibrillation, aortic/mitral valve damage, hypertension, hypotension, congestive heart failure, cerebrovascular-carotid atherosclerosis, and transient ischemic attacks in producing CBH...
September 2006: Neurological Research
https://www.readbyqxmd.com/read/16342013/-primary-diagnosis-of-an-interrupted-aortic-arch-in-a-65-year-old-woman-with-hypertension
#20
J M Maier, N Scheffold, J Cyran
HISTORY AND PHYSICAL EXAMINATION: A 65-year-old woman presented in a hypertensive crisis and with angina pectoris. She had a history of hypertension for several years and medication included five different antihypertensive drugs. On physical examination a faint systolic murmur was heard. Weak femoral pulses were felt, but not the arterial pulses distal to the groin. INVESTIGATIONS: An attempt to perform coronary arteriography failed because it was impossible to pass the catheter across the aortic arch...
December 16, 2005: Deutsche Medizinische Wochenschrift
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