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High Blood Pressure Classification

Konrad Pieszko, Jarosław Hiczkiewicz, Paweł Budzianowski, Janusz Rzeźniczak, Jan Budzianowski, Jerzy Błaszczyński, Roman Słowiński, Paweł Burchardt
BACKGROUND: Increased systemic and local inflammation play a vital role in the pathophysiology of acute coronary syndrome. This study aimed to assess the usefulness of selected machine learning methods and hematological markers of inflammation in predicting short-term outcomes of acute coronary syndrome (ACS). METHODS: We analyzed the predictive importance of laboratory and clinical features in 6769 hospitalizations of patients with ACS. Two binary classifications were considered: significant coronary lesion (SCL) or lack of SCL, and in-hospital death or survival...
December 3, 2018: Journal of Translational Medicine
Cesare Cuspidi, Carla Sala, Marijana Tadic, Guido Grassi
An increasing attention has been devoted in the last two decades to masked hypertension (MH), a condition characterized by the fact that classification of a normal blood pressure (BP) status by office measurements is not confirmed by home and/or ambulatory BP monitoring (ABPM).MH definition (i.e. normal office BP, but high out-of-office BP) should be restricted to untreated subjects (true MH) whereas masked uncontrolled hypertension (MUCH) reserved to treated patients previously classified as hypertensives, presenting normal office BP and high ABPM or home values...
December 3, 2018: American Journal of Hypertension
Jorinde Aw Polderman, Violet Farhang-Razi, Susan Van Dieren, Peter Kranke, J Hans DeVries, Markus W Hollmann, Benedikt Preckel, Jeroen Hermanides
BACKGROUND: In the perioperative period, dexamethasone is widely and effectively used for prophylaxis of postoperative nausea and vomiting (PONV), for pain management, and to facilitate early discharge after ambulatory surgery.Long-term treatment with steroids has many side effects, such as adrenal insufficiency, increased infection risk, hyperglycaemia, high blood pressure, osteoporosis, and development of diabetes mellitus. However, whether a single steroid load during surgery has negative effects during the postoperative period has not yet been studied...
November 23, 2018: Cochrane Database of Systematic Reviews
Ian Howard, Bernard Pillay, Nicholas Castle, Loua Al Shaikh, Robert Owen, David Williams
BACKGROUND: Emergency Care has previously been identified as an area of significant concern regarding the prevalence of Adverse Events (AEs). However, the majority of this focus has been on the in-hospital setting, with little understanding of the identification and incidence of AEs in the prehospital environment. METHOD: The early development and testing of Emergency Medical Services (EMS) specific triggers for the identification of AEs and Harm has been previously described...
November 26, 2018: BMC Emergency Medicine
Rosanna Coppo
The search of personalized treatment for a subject with immunoglobulin A nephropathy (IgAN) is appealing since the individual long-term outcome is highly variable in spite of common mild clinical signs such as microscopic haematuria, moderate proteinuria and slightly reduced glomerular filtration rate (GFR). The only risk factor considered by the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines to target corticosteroid/immunosuppressive treatment in IgAN is proteinuria persistently >1 g/day despite 3-6 months of optimized supportive care...
November 26, 2018: Nephrology, Dialysis, Transplantation
Pei Xiao, Tao Huang, Yinkun Yan, Xiaoyuan Zhao, Haibo Li, Jie Mi
BACKGROUND AND AIMS: Considerable attention is given nowadays to the presence of cardiovascular diseases risk factors in children. The current blood lipid classification system for Chinese children was based on the United States National Cholesterol Education Program (NCEP) cutpoints, which did not take the age, gender and race differences into consideration. This study aimed to develop gender- and age-specific lipid cutpoints for dyslipidemia screening in Chinese children and compare the ability of new cutpoints and NCEP pediatric cutpoints to predict obesity and unfavorable blood pressure (BP) levels...
November 10, 2018: Atherosclerosis
Yuki Miyake, Eri Eguchi, Hiroshi Ito, Kazufumi Nakamura, Tatsuo Ito, Kenjiro Nagaoka, Noriyoshi Ogino, Keiki Ogino
The purpose of this study was to investigate the relationship between occupational dysfunction and metabolic syndrome (MetS) and its component factors in community-dwelling Japanese adults (N = 1,514). Self-reported lifestyle behaviors, Classification and Assessment of Occupational Dysfunction (CAOD) scores, and metabolic traits were measured. CAOD levels were divided into tertiles (low, moderate, and high), and their associations with MetS and its components were evaluated through logistic regression analysis...
November 17, 2018: International Journal of Environmental Research and Public Health
Mohsen Nabian, Yu Yin, Jolie Wormwood, Karen S Quigley, Lisa F Barrett, Sarah Ostadabbas
Electrocardiogram, electrodermal activity, electromyogram, continuous blood pressure, and impedance cardiography are among the most commonly used peripheral physiological signals (biosignals) in psychological studies and healthcare applications, including health tracking, sleep quality assessment, disease early-detection/diagnosis, and understanding human emotional and affective phenomena. This paper presents the development of a biosignal-specific processing toolbox (Bio-SP tool) for preprocessing and feature extraction of these physiological signals according to the state-of-the-art studies reported in the scientific literature and feedback received from the field experts...
2018: IEEE Journal of Translational Engineering in Health and Medicine
Moein Enayati, Marjorie Skubic, James M Keller, Mihail Popescu, Nasibeh Zanjirani Farahani
Sleep posture has been shown to be important in monitoring health conditions such as congestive heart failure (CHF), sleep apnea, pressure ulcers, and even blood pressure abnormalities. In this paper, we investigate the use of four hydraulic bed transducers placed underneath the mattress to classify different sleep postures. For classification, we employed a simple neural network. Different combinations of parameters were studied to determine the best configuration. Data were collected on four major postures from 58 subjects...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Oliver Matz, Andre Arndt, Jens Litmathe, Manuel Dafotakis, Frank Block
INTRODUCTION: The aim of this study was to compare possible risk factors for the most common forms of spontaneous intracerebral hemorrhage (ICH), namely hypertensive and cerebral amyloid angiopathy (CAA) associated ICH. METHODS: Retrospectively, different parameters and factors were compared in patients with hypertensive ICH (n = 141) and patients with a CAAassociated ICH (n = 95). These included age, INR value and blood pressure at admission, cardiovascular risk factors as well as pre-medication...
November 12, 2018: Fortschritte der Neurologie-Psychiatrie
Joung Sik Son, Seulggie Choi, Kyuwoong Kim, Sung Min Kim, Daein Choi, Gyeongsil Lee, Su-Min Jeong, Seong Yong Park, Yeon-Yong Kim, Jae-Moon Yun, Sang Min Park
Importance: Among young adults, the association of the 2017 American College of Cardiology/American Heart Association (ACC/AHA) High Blood Pressure Clinical Practice Guidelines with risk of cardiovascular disease (CVD) later in life is uncertain. Objective: To determine the association of blood pressure categories before age 40 years with risk of CVD later in life. Design, Setting, and Participants: This population-based cohort study from the Korean National Health Insurance Service consisted of 2 488 101 adults aged 20 through 39 years with blood pressure measurements taken twice from 2002 through 2005...
November 6, 2018: JAMA: the Journal of the American Medical Association
Eivind Aadland, Sigmund Alfred Anderssen, Lars Bo Andersen, Geir Kåre Resaland, Elin Kolle, Jostein Steene-Johannessen
Aerobic fitness is an apparent candidate for screening children and youth for poor cardiometabolic health and future risk of cardiovascular disease (CVD). Yet, age- and sex-specific cut points for children and youth determined using a maximal protocol and directly measured peak oxygen consumption (VO2peak ) does not exist. We used a nationally representative sample of 1462 Norwegian children and youth (788 boys and 674 girls aged 8.7-10.4 years and 14.7-16.7 years) who in 2005-2006 performed a maximal cycle ergometer test with direct measurement of VO2peak , along with measurement of several other risk factors for CVD (systolic blood pressure, waist circumference:height ratio, total:high density lipoprotein cholesterol ratio, triglycerides, Homeostasis Model Assessment for Insulin Resistance)...
October 30, 2018: Scandinavian Journal of Medicine & Science in Sports
Manuel Romero-Saldaña, Pedro Tauler, Manuel Vaquero-Abellán, Angel-Arturo López-González, Francisco-José Fuentes-Jiménez, Antoni Aguiló, Carlos Álvarez-Fernández, Guillermo Molina-Recio, Miquel Bennasar-Veny
OBJECTIVES: A non-invasive method for the early detection of metabolic syndrome (NIM-MetS) using only waist-to-height ratio (WHtR) and blood pressure (BP) has recently been published, with fixed cut-off values for gender and age. The aim of this study was to validate this method in a large sample of Spanish workers. DESIGN: A diagnostic test accuracy to assess the validity of the method was performed. SETTING: Occupational health services...
October 21, 2018: BMJ Open
M A Cherniavskiĭ, A G Edemskiĭ, Iu A Kudaev, A M Cherniavskiĭ
Analysed herein are the results of pulmonary endarterectomy (PEA) performed in a total of 169 patients presenting with chronic thromboembolic pulmonary hypertension (CTEPH) at the National Medical Research Centre named after Academician E.N. Meshalkin over the period from 2004 to 2014. Pulmonary endarterectomy was carried out according to the standard technique in the conditions of assisted circulation with the use of hypothermia and circulatory arrest. The duration of follow up of patients after surgical treatment amounted to 10 years...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
Jakob Grauslund, Nis Andersen, Jens Andresen, Per Flesner, Per Haamann, Steffen Heegaard, Michael Larsen, Caroline Schmidt Laugesen, Katja Schielke, Jesper Skov, Toke Bek
PURPOSE: Diabetic retinopathy (DR) is among the leading causes of visual loss in the working-age population. It is generally accepted that screening of DR is cost-effective and can detect DR before it becomes sight-threatening to allow timely treatment. METHODS: A group of retinal specialists was formed by the Danish Ophthalmological Society with the aim to formulate contemporary evidence-based guidelines for screening of DR in order to implement these in the Danish screening system...
December 2018: Acta Ophthalmologica
Stella Stabouli, Thomaitsa Nika, Konstantinos Kollios, Christina Antza, Ioannis Doundoulakis, Vasilios Kotsis
OBJECTIVE: We assessed the performance of the simplified American Academy Pediatrics (AAP) 2017 guideline table and a simplified table based on the Fourth Report blood pressure (BP) reference tables for high BP screening compared with the European Society Hypertension 2016 guideline diagnostic thresholds. METHODS: We obtained data from a cross-sectional, school-based screening study in north Greece during 2013-2016. BP was measured by mercury sphygmomanometer. The simple tables' performance for high BP was assessed by receiver operator characteristic curve analysis, area under the curve (AUC), sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV)...
October 10, 2018: Journal of Hypertension
Procolo Di Bonito, Giuliana Valerio, Lucia Pacifico, Claudio Chiesa, Cecilia Invitti, Anita Morandi, Maria Rosaria Licenziati, Melania Manco, Emanuele Miraglia Del Giudice, Marco Giorgio Baroni, Sandro Loche, Gianluca Tornese, Francesca Franco, Claudio Maffeis, Giovanni de Simone
OBJECTIVES: The aim of this study was to compare the impact of the European Society of Hypertension Guidelines 2016 (ESHG2016) and the American Academy of Pediatrics Guidelines 2017 (AAPG2017) on the screening of hypertension and classification of abnormal left ventricular geometry (ALVG) in overweight/obese youth. METHODS: This study included 6137 overweight/obese youth; 437 had echocardiographic assessment. Hypertension was defined using either ESHG2016 or AAPG2017...
October 6, 2018: Journal of Hypertension
Zhonghai Wei, Jian Bai, Qing Dai, Han Wu, Shuaihua Qiao, Biao Xu, Lian Wang
BACKGROUND: Shock index(SI) is a conventional predictive marker for haemodynamic state. Its breakpoint varies by different conditions according to previous studies. The current study was performed to evaluate the capability of SI in prediction of cardiogenic shock(CS) developed during primary percutaneous coronary intervention (pPCI). METHODS: Total 870 patients of ST segment elevation myocardial infarction(STEMI) who were haemodynamic stable before pPCI were involved in the study...
October 1, 2018: BMC Cardiovascular Disorders
Javier Gómez Sánchez, José Rubio López, Beatriz Pérez Cabrera, Benito Mirón Pozo
The congenital dilation of the bile duct is an infrequent pathology in western countries and is associated with the female sex. It is usually diagnosed clinically with complementary tests and evaluated at an early age and also appears frequently in adults. These dilatations are grouped into five types according to Todani's classification, including type Ic (Figure 1). The treatment of choice for dilatations of the biliary duct Todani type I is the complete excision of the biliary tract due to the susceptibility of malignant degeneration...
October 4, 2018: Revista Española de Enfermedades Digestivas
Andrew Y Powers, Mauricio B Pinto, Ashley M Aldridge, Oliver Y Tang, Jia-Shu Chen, Rebecca L Berube, Cody Doberstein, Jordan M Fox, Joseph A Carnevale, Wael F Asaad
PURPOSE: Traumatic subdural hemorrhage (SDH) is associated with high mortality, yet many patients are not managed surgically. We sought to understand what factors might be associated with SDH enlargement to contribute to the triage of these conservatively managed patients. MATERIALS AND METHODS: A consecutive series of 117 patients admitted to our institution's level 1 trauma center for SDH between January 1, 2010 and December 31, 2010 were evaluated. Volumetric measurement of SDHs was performed on initial and follow-up head computed tomography (CT) scans with recording of initial midline shift and classification by location...
September 14, 2018: Journal of Critical Care
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