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https://www.readbyqxmd.com/read/27871582/glucagon-induced-hypertensive-emergency-a-case-report
#1
Aron Legler, Richard K Kim, Nikhil Chawla
Glucagon is well acknowledged as a sphincter of Oddi relaxant for both diagnostic and therapeutic uses in choledocholithiasis, and an empiric treatment for β-blocker overdose. Although it has been implicated in inducing cardiovascular crises in patients with asymptomatic pheochromocytoma, adverse effects in other patient populations have not been characterized. This case report describes a patient with hypertension controlled on β blockers who, after glucagon administration during an intraoperative cholangiography, experienced hypertensive emergency despite adequate pain control...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27866432/maternal-cardiac-haemodynamics-in-severe-pre-eclampsia-complicated-by-acute-pulmonary-oedema-a-review
#2
I Bhorat, D P Naidoo, J Moodley
AIM: To establish alterations in maternal cardiac haemodynamics and function using electrocardiography and echocardiography in severe pre-eclampsia complicated by acute pulmonary oedema. METHODS: An extensive literature search including any research articles, randomised control trials, observational study, case report or expert or consensus statement pertaining to severe pre-eclampsia, eclampsia, hypertensive crises of pregnancy, pulmonary oedema, maternal cardiac haemodynamics, Holter monitoring and maternal echocardiography was done...
November 21, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27738531/pseudopheochromocytoma-associated-with-domestic-assault
#3
H M Le, G Carbutti, D Ilisei, E Bouccin, X Vandemergel
Pseudopheochromocytoma has a clinical presentation that is similar to pheochromocytoma. It manifests itself with paroxysmal hypertension crises, associated with various symptoms such as headaches, chest pain, nausea, palpitations, and dizziness. Patients are usually asymptomatic in between the crises. Unlike pheochromocytoma, there is no catecholamines overproduction in this pathology: hypertensive peaks are caused by a hyperactivation of the sympathetic nervous system, which is often triggered by a psychological trauma in the past...
2016: Case Reports in Cardiology
https://www.readbyqxmd.com/read/27696513/is-there-an-optimal-preoperative-management-strategy-for-phaeochromocytoma-paraganglioma
#4
B G Challis, R T Casey, H L Simpson, M Gurnell
Phaeochromocytomas and paragangliomas (PPGLs) are catecholamine secreting neuroendocrine tumours that predispose to haemodynamic instability. Currently, surgery is the only available curative treatment, but carries potential risks including hypertensive and hypotensive crises, cardiac arrhythmias, myocardial infarction and stroke, due to tumoral release of catecholamines during anaesthetic induction and tumour manipulation. The mortality associated with surgical resection of PPGL has significantly improved from 20-45% in the early 20(th) century(1) to 0-2...
October 3, 2016: Clinical Endocrinology
https://www.readbyqxmd.com/read/27671188/allgrove-syndrome-adrenal-insufficiency-with-hypertensive-encephalopathy
#5
Sommayya Aftab, Jaida Manzoor, Nabila Talat, Hafiz Sajid Khan, Maroof Subhanie, Nauman Abbas Khalid
Allgrove syndrome or triple-Asyndrome is a rare familial multisystem autosomal recessive disorder. It is characterised by triad of alacrima, achalasia and adrenal insufficiency due to adrenocorticotropin hormone (ACTH) resistance. If it is associated with autonomic dysfunction, it is termed as 4-Asyndrome. This syndrome is caused by a mutation in the Achalasia - Addisonism - Alacrima (AAAS) gene on chromosome 12q13 encoding the nuclear pore protein ALADIN. A5-year boy presented with history of fits and altered sensorium for one day...
September 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27651807/formulation-and-in-vitro-evaluation-of-a-fast-disintegrating-sustained-dual-release-bucoadhesive-bilayer-tablet-of-captopril-for-treatment-of-hypertension-crises
#6
Sahar Abbasi, Gholamhossein Yousefi, Ali Asghar Ansari, Soliman Mohammadi-Samani
Hypertension crisis is one of the main health problems and its effective treatment is of high importance. For this purpose, fast-disintegrating and sustained release formulations of captopril, as a drug of choice, were prepared using conventional mucoadhesive polymers hydroxypropyl methylcellulose (HPMC), sodium carboxymethyl cellulose (Na-CMC), hydroxypropyl cellulose (HPC), Carbopol 934 (CP934) and sodium alginate (Na-alg). The optimum sustained release formulations were selected based on mean dissolution time (MDT)...
July 2016: Research in Pharmaceutical Sciences
https://www.readbyqxmd.com/read/27520796/survival-and-organ-involvement-in-patients-with-limited-cutaneous-systemic-sclerosis-and-anti-topoisomerase-i-antibodies-determined-by-skin-subtype-or-auto-antibody-subtype-a-long-term-follow-up-study
#7
Pim Kranenburg, Wieneke M T van den Hombergh, Hanneke K A Knaapen-Hans, Frank H J van den Hoogen, Jaap Fransen, Madelon C Vonk
OBJECTIVE: LcSSc is associated with ACAs and a mild course, whereas dcSSc is associated with anti-topoisomerase antibodies (ATAs) and a more severe course. However, ATAs are also present in lcSSc. Little is known about survival and organ involvement in this subgroup. The aim of this study is to determine whether survival and organ involvement of lcSSc ATA-positive patients differs from lcSSc ATA-negative or dcSSc ATA-positive patients. Furthermore, transition from lcSSc to dcSSc was evaluated...
November 2016: Rheumatology
https://www.readbyqxmd.com/read/27508815/-op-7a-06-treating-hypertensive-crises-between-guidelines-and-real-world-an-anti-hypertensive-role-of-anti-anxiety-drugs
#8
M Gabba, F Salinaro, R Mussinelli, M Boldrini, A Raimondi, C Belotti, A Maggi, T Perrone, M A Bressan, S Perlini
OBJECTIVE: Current ESH Guidelines are extensively devoted to diagnosis, management and follow-up of arterial hypertension in the "chronic" setting, whereas less attention is given to the acute management of hypertensive crises, a group of potentially life-threatening complications. Moreover, epidemiological data concerning hypertensive crises are limited. DESIGN AND METHOD: During 2014, 457 consecutive patients with an initial systolic blood pressure (SBP) >170 mmHg and/or diastolic blood pressure (DBP) >110 mmHg were enrolled after being admitted to an Emergency Department (ED) serving a population of more than 50000 inhabitants, RESULTS: : Hypertensive crises represented 0...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27485695/spinal-cord-infarction-in-hemoglobin-sc-disease-as-an-amusement-park-accident
#9
Ryan Eid, Ashok Raj, Darren Farber, Vinay Puri, Salvatore Bertolone
Spinal cord infarction (SCI) is extremely rare in children, and only 2 other reports have described the occurrence of SCI in patients with hemoglobin SC disease (HbSC). Amusement park accidents are serious injuries. Patients with preexisting conditions, such as hypertension, cardiac disease, and recent back or neck injuries, may be at an increased risk. We report the case of a 12-year-old girl with HbSC with a past history of only 2 admissions for pain crises, who presented to the emergency department with symptoms of SCI after riding a roller coaster...
September 2016: Pediatrics
https://www.readbyqxmd.com/read/27384214/nursing-care-for-women-with-pre-eclampsia-and-or-eclampsia-integrative-review
#10
Maria Beatriz Guimarães Ferreira, Caroline Freitas Silveira, Sueli Riul da Silva, Delvane José de Souza, Mariana Torreglosa Ruiz
OBJECTIVE: To analyze the available evidence in the literature on nursing care for women with pre-eclampsia and/or eclampsia. METHODS: Integrative review searching for primary studies in the databases PubMed, CINAHL, LILACS and SciELO. RESULTS: The sample size consisted of 17 primary studies published between January 2000 and December 2014, grouped into four categories: standardizing blood pressure measurement technique; training with simulation; instruments for standardization of care and quality of care The main nursing actions were: physical examination, early detection of signs of pre-eclampsia/eclampsia, monitoring of laboratory tests, fetal assessment, qualification and training of professionals...
April 2016: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/27375596/bioactive-molecules-released-in-food-by-lactic-acid-bacteria-encrypted-peptides-and-biogenic-amines
#11
REVIEW
Enrica Pessione, Simona Cirrincione
Lactic acid bacteria (LAB) can produce a huge amount of bioactive compounds. Since their elective habitat is food, especially dairy but also vegetal food, it is frequent to find bioactive molecules in fermented products. Sometimes these compounds can have adverse effects on human health such as biogenic amines (tyramine and histamine), causing allergies, hypertensive crises, and headache. However, some LAB products also display benefits for the consumers. In the present review article, the main nitrogen compounds produced by LAB are considered...
2016: Frontiers in Microbiology
https://www.readbyqxmd.com/read/27315192/predicting-intracranial-pressure-and-brain-tissue-oxygen-crises-in-patients-with-severe-traumatic-brain-injury
#12
Risa B Myers, Christos Lazaridis, Christopher M Jermaine, Claudia S Robertson, Craig G Rusin
OBJECTIVES: To develop computer algorithms that can recognize physiologic patterns in traumatic brain injury patients that occur in advance of intracranial pressure and partial brain tissue oxygenation crises. The automated early detection of crisis precursors can provide clinicians with time to intervene in order to prevent or mitigate secondary brain injury. DESIGN: A retrospective study was conducted from prospectively collected physiologic data. intracranial pressure, and partial brain tissue oxygenation crisis events were defined as intracranial pressure of greater than or equal to 20 mm Hg lasting at least 15 minutes and partial brain tissue oxygenation value of less than 10 mm Hg for at least 10 minutes, respectively...
September 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27311172/-pheochromocytoma-and-pregnancy-a-case-report
#13
Ana Laura Merlos-Gutiérrez, Manuel Martínez-García, Andrés Pérez-Martínez, Sareni Chávez-Martínez, José Antonio Sereno-Coló
BACKGROUND: Pheochromocytoma is a tumor originating in the chromaffin cells. These tumors secrete catecholamines which act on target organs and cause hypertensive crises. They are rare during pregnancy, and a differential diagnosis must be carried out mainly with pregnancy-induced hypertension. CLINIC CASE: A 22-year-old patient in week 11.5 of pregnancy presented at the Hospital General Dr. Miguel Silva in Morelia, Michoacán with hypertension that had existed for more than two years with poor adherence to treatment...
November 2015: Ginecología y Obstetricia de México
https://www.readbyqxmd.com/read/27290972/development-of-effective-prophylaxis-against-intraoperative-carcinoid-crisis
#14
Eugene A Woltering, Anne E Wright, Melissa A Stevens, Yi-Zarn Wang, John P Boudreaux, Gregg Mamikunian, James M Riopelle, Alan D Kaye
STUDY OBJECTIVE: The prophylactic use of a preoperative, intraoperative, and postoperative high-dose continuous octreotide acetate infusion was evaluated for its ability to minimize the incidence of carcinoid crises during neuroendocrine tumor (NET) cytoreductive surgeries. DESIGN: A retrospective study was approved by the institutional review boards at Ochsner Medical Center-Kenner and Louisiana State University Health Sciences Center. SETTING: Ochsner Medical Center-Kenner operating room and multispecialty NET clinic...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27284845/-cardiovascular-complications-of-hypertensive-crisis
#15
Martín Rosas-Peralta, Gabriela Borrayo-Sánchez, Alejandra Madrid-Miller, Erick Ramírez-Arias, Gilberto Pérez-Rodríguez
It is inexorable that a proportion of patients with systemic arterial hypertension will develop a hypertensive crisis at some point in their lives. The hypertensive crises can be divided in hypertensive patients with emergency or hypertensive emergency, according to the presence or absence of acute end-organ damage. In this review, we discuss the cardiovascular hypertensive emergencies, including acute coronary syndrome, congestive heart failure, aortic dissection and sympathomimetic hypertensive crises (those caused by cocaine use included)...
2016: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/27189722/recurrent-hypertensive-crises-in-an-endoscopist-a-possible-occupational-link
#16
Michael Kram, Rebecca Voaklander, Jerome H Siegel
No abstract text is available yet for this article.
May 18, 2016: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/27184290/rescue-baroreflex-activation-therapy-after-stanford-b-aortic-dissection-due-to-therapy-refractory-hypertension
#17
Kay F Weipert, Astrid Most, Oliver Dörr, Inga Helmig, Meshal Elzien, Gabriele Krombach, Christian W Hamm, Damir Erkapic, Joern Schmitt
Clinical trials have demonstrated significant and durable reduction in arterial pressure from baroreflex activation therapy (BAT) in patients with resistant arterial hypertension. There is a lack of data, however, concerning the use of BAT in a rescue approach during therapy-refractory hypertensive crisis resulting in life-threatening end-organ damage. Here, we describe the first case in which BAT was applied as a rescue procedure in an intensive care setting after ineffective maximum medical treatment. A 34-year-old male patient presented with Stanford B aortic dissection and hypertensive crisis...
June 2016: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/27172724/-hypertensive-crisis-modern-view-of-the-problem-and-optimization-of-diagnostic-and-therapeutic-modalities
#18
E V Kryukov, N P Potekhin, A N Fursov, V A Chernetsov, S A Chernov, E G Zakharova
The data collected by Burdenko Military Hospital indicate that in the 1980s hypertensive crisis (HC) occurred in roughly 30% of the patients with AH. This value fell down to 16% by 2012, with a rise in the number of uncomplicated crises from 46 to 62%. Analysis of the causes behind these changes showed that half of the patients simply experienced an elevated arterial pressure with minimal clinical symptoms. The decrease in the number of complicated cases from 54 to 39% is doubtful bearing in mind that ICD-10 gives the status of nosological entities to complications of hypertensive crisis (stroke, myocardial infarction, etc...
2016: Klinicheskaia Meditsina
https://www.readbyqxmd.com/read/27138307/use-of-inhaled-nitric-oxide-in-pediatric-cardiac-intensive-care-unit
#19
Erkut Öztürk, Sertaç Haydin, İbrahim Cansaran Tanıdır, İsa Özyılmaz, Yakup Ergül, Ersin Erek, Alper Güzeltaş, Ender Ödemiş, İhsan Bakır
OBJECTIVE: Experience with administration of inhaled nitric oxide (iNO) in pediatric cardiac intensive care unit was retrospectively reviewed. METHODS: Data from 32 pediatric patients treated with iNO between 2011 and 2012 were collected. Patients were divided into 3 groups: Group I comprised postoperative patients, Group II comprised newborns with persistent pulmonary hypertension (PPH), and Group III comprised patients with primary pulmonary hypertension (PH) or Eisenmenger's syndrome...
April 2016: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/27125072/assessment-of-adverse-drug-reactions-as-cardiovascular-risk-factors
#20
Cristina Maria Gavrilescu, Maura G Felea, Roxana Barbu, Odetta Duma, Maria Mădălina Bodescu, Maria Midilina Bodescul, Rodica Ghiuru, C Boerescu, Crânguţa Paraschiv
UNLABELLED: A wide range of pharmaceutical substances can induce side-effects expressed as cardiovascular changes or events, adding to other risk factors or worsening preexisting cardiovascular diseases. AIM: Continuous study focused on iatrogenic conditions representing cardiovascular risk factors. METHODS: We developed a descriptive study of patients admitted to the Iasi Vth Internal Medicine and Geriatrics-Gerontology Clinic between 1998-2013, focusing on iatrogenic conditions representing cardiovascular risk factors...
January 2016: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
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