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https://www.readbyqxmd.com/read/29924011/clinical-inertia-in-the-pharmacological-management-of-hypertension-a-systematic-review-and-meta-analysis
#1
Tal Milman, Raed A Joundi, Naif M Alotaibi, Gustavo Saposnik
BACKGROUND: Clinical Inertia is defined as "failure of health care providers to initiate or intensify therapy according to current guidelines". This phenomenon is gaining increasing attention as a major cause of clinicians' failure to adequately manage hypertension, thus leading to an increased incidence of cardiovascular events. We performed a systematic review and meta-analysis of randomized controlled trials to determine whether interventions aimed at reducing clinical inertia in the pharmacological treatment of hypertension improve blood pressure (BP) control...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29915618/ambulatory-blood-pressure-monitoring-antihypertensive-therapy-and-the-risk-of-fall-injuries-in-elderly-hypertensive-patients
#2
Michael Jonas, Rasisa Kazarski, Gil Chernin
Background: Fall injuries are common among the elderly. The aim of this study was to investigate whether blood-pressure patterns, as measured by 24-h ambulatory blood pressure monitoring (ABPM), or intensification of antihypertensive therapy following the 24-h ABPM, may be associated with fall injuries in hypertensive elderly patients. Methods: In a retrospective study, community-based elderly patients (age ≥ 70 years) who were referred to 24-h ABPM were evaluated for fall injuries within one-year post-ABPM...
April 2018: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29914251/visfatin-levels-in-hormonally-inactive-adrenal-adenoma-and-their-association-with-metabolic-parameters
#3
Alp Atasoy, Evrim Çakır, Süleyman Ahbab, Yasemin Erdoğan Döventaş, Macit Koldaş, Esra Ataoğlu, Mustafa Yenigün
Background/aim: In parallel with increased frequency and higher quality of imaging techniques, the prevalence of adrenal adenoma has gradually increased. However, despite the growing incidence, the metabolic and tumorigenesis processes involved in its etiology are still unclear. Although visfatin has been reported to be associated with inflammation and tumorigenesis, its role in adrenal adenoma has not yet been investigated. Therefore, the present study was performed with an aim to evaluate visfatin levels and cardiometabolic risk factors in patients with adrenal adenoma...
June 14, 2018: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29909538/resistant-hypertension-time-to-consider-the-best-fifth-anti-hypertensive-treatment
#4
REVIEW
Andrea Pio-Abreu, Luciano F Drager
PURPOSE OF REVIEW: Resistant hypertension (RH) is a growing clinical condition worldwide associated with target-organ damage and poor prognosis compared to non-resistant counterparts. The purpose of this review is to perform a critical evaluation of preferable drug choices for managing RH highlighting the evidence that significant proportion of patients remained uncontrolled despite using four anti-hypertensive drugs. RECENT FINDINGS: Until recently, the fourth drug therapy was main derived from personal opinion or small interventional studies...
June 16, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29900674/antecedent-rest-may-not-be-necessary-for-automated-office-blood-pressure-at-lower-treatment-targets
#5
Tracey J F Colella, Anam Tahsinul, Hannah Gatto, Paul Oh, Martin G Myers
In SPRINT (Systolic Blood Pressure Intervention Trial), use of the Omron 907XL blood pressure (BP) monitor set at 5 minutes of antecedent rest to record BP produced an automated office BP value 7/6 mm Hg lower than awake ambulatory BP at 27 months. The authors studied the impact on automated office BP of setting the Omron 907XL to 0 minutes instead of 5 minutes of rest in patients with readings in the lower normal BP range, similar to on-treatment BP in the SPRINT intensive therapy group. Patients (n = 100) in cardiac rehabilitation were randomized to three BP readings at 1-minute intervals using an Omron 907XL BP device set for 5 or 0 minutes of antecedent rest...
June 14, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29899374/role-and-prognostic-value-of-individual-ambulatory-blood-pressure-components-in-chronic-kidney-disease
#6
Fabio Angeli, Giorgio Gentile, Monica Trapasso, Paolo Verdecchia, Gianpaolo Reboldi
Hypertension is a key risk factor for chronic kidney disease (CKD), but can also be a detrimental consequence of established CKD. Unsurprisingly, the majority of subjects with abnormal creatinine in the general population are also hypertensive, with a huge toll on national health care systems worldwide due to a staggering increase in the risk of cardiovascular complications and end-stage renal disease requiring renal replacement therapy. In this setting, a comprehensive and careful assessment of the whole 24-h blood pressure (BP) profile could be of paramount importance in ensuring a timely diagnosis of hypertension and an optimal therapeutic control...
June 13, 2018: Journal of Human Hypertension
https://www.readbyqxmd.com/read/29895522/repeat-antenatal-betamethasone-and-cardiometabolic-outcomes
#7
Robert D Cartwright, Jane E Harding, Caroline A Crowther, Wayne S Cutfield, Malcolm R Battin, Stuart R Dalziel, Christopher J D McKinlay
BACKGROUND: Repeat dose(s) of antenatal betamethasone are recommended for women at <32 weeks with ongoing risk of preterm birth. However, there is concern that use of repeat dose(s) in fetal growth restriction (FGR) may increase the risk of later cardiometabolic disease. METHODS: We undertook secondary analysis of data from the Australasian Collaborative Trial of Repeat Doses of Corticosteroids Midchildhood Outcome Study to determine if FGR influences the effect of repeat betamethasone on growth and cardiometabolic function...
June 12, 2018: Pediatrics
https://www.readbyqxmd.com/read/29894314/validation-of-the-beneware-model-abp-021-ambulatory-blood-pressure-monitor-according-to-the-revised-2010-european-society-of-hypertension-international-protocol
#8
Telmo Pereira, João Guimarães
OBJECTIVES: This study aimed to evaluate the accuracy of the Beneware model ABP-021 oscillometric blood pressure monitor in the general population according to the European Society of Hypertension International Protocol (ESH-IP). The accuracy of the device was assessed in relation to various clinical variables, including age, sex, BMI, and arm circumference. METHODS: Thirty-three individuals (18 men and 15 women), with a mean age of 36±14 years (age range: 20-68 years), were studied according to the recommendations of the ESH-IP...
June 11, 2018: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/29891749/blood-pressure-measurement-and-left-ventricular-mass-index-in-hemodialysis-patients-comparison-of-several-methods
#9
Amir Ahmad Nassiri, Legha Lotfollahi, Neda Behzadnia, Ilad Alavi Darazam, Monir Sadat Hakemi, Azam Rahimzadeh Kalaleh, Monir Kamalkhani
INTRODUCTION: Systemic arterial hypertension is prevalent in end-stage renal disease and is closely associated with left ventricular hypertrophy (LVH). Blood pressure (BP) behavior is unique in this population, and it is not clear which BP measurement should be used for treatment guidance. We aimed to evaluate the association of several methods of BP measurement with left ventricular mass index (LVMI) as hypertensive end-organ damage. MATERIALS AND METHODS: Patients on maintenance hemodialysis, 3 or 4 times per week for at least 3 months, were enrolled...
May 2018: Iranian Journal of Kidney Diseases
https://www.readbyqxmd.com/read/29884913/hypertension-in-pediatric-dialysis-patients-etiology-evaluation-and-management
#10
REVIEW
Raj Munshi, Joseph T Flynn
PURPOSE OF REVIEW: Review epidemiology, pathophysiology, and management of hypertension in the pediatric dialysis population. RECENT FINDINGS: Interdialytic blood pressure measurement, especially with ambulatory blood pressure monitoring, is the gold standard to assess for hypertension. Tools to assess dry weight aid in achievement of euvolemia, the primary therapy for management of hypertension. Persistent hypertension should be treated with antihypertensive medications and potentially with native nephrectomies...
June 8, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29878974/the-influence-of-sex-on-left-ventricular-strain-in-hypertensive-population
#11
Marijana Tadic, Cesare Cuspidi, Vera Celic, Branislava Ivanovic, Biljana Pencic, Guido Grassi
OBJECTIVE: The aim of this study was to evaluate the influence of sex on left ventricular mechanics in hypertensive individuals. METHODS: This cross-sectional study included 171 untreated hypertensive patients and 112 normotensive controls who underwent a 24-h ambulatory blood pressure monitoring and comprehensive echocardiographic examination including strain assessment. RESULTS: Hypertensive women and men had significantly lower left ventricular global longitudinal and circumferential strains than their normotensive counterparts...
June 6, 2018: Journal of Hypertension
https://www.readbyqxmd.com/read/29875006/ambulatory-blood-pressure-monitoring-in-type-2-diabetes-mellitus-a-cross-sectional-study
#12
Florence Gunawan, Hui Yi Ng, Christopher Gilfillan, Mahesan Anpalahan
BACKGROUND: Ambulatory blood pressure (ABP) monitoring in type 2 diabetes (T2DM) is not yet routine in clinical practice. OBJECTIVES: To quantify abnormal ABP patterns and their associations with diabetic complications, and to assess the reliability of office blood pressure (OBP) for assessing BP in T2DM. METHODS: In a cross-sectional study, eligible patients with T2DM underwent OBP and 24- hour ABP measurements under standardized conditions and screening for diabetic complications...
June 6, 2018: Current Hypertension Reviews
https://www.readbyqxmd.com/read/29873523/improving-ambulatory-blood-pressure-monitoring-knowledge-in-nurses-and-doctors-impact-of-a-training-intervention
#13
Artur Dalfó-Pibernat, Antoni Dalfó Baqué, Francisco Javier Pelegrina Rodríguez, Olatz Garin, Xavier Duran, Mercè Cladellas Capdevila, Josep Comin Colet
INTRODUCTION: Ambulatory blood pressure monitoring (ABPM) is fundamental to diagnosing and monitoring arterial hypertension (HTN), yet it is not known how effective training could be in improving knowledge of ABPM. PURPOSE: The purpose of this study was to evaluate ABPM knowledge before and after a training activity. METHODOLOGY: A before-and-after intervention study of 116 professionals. Data was collected on age, sex, occupational category, work setting, and work experience...
June 1, 2018: European Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29871785/importance-of-ambulatory-blood-pressure-monitoring-in-the-diagnosis-and-prognosis-of-pediatric-arterial-hypertension
#14
REVIEW
Helena Andrade, António Pires, Natália Noronha, Maria Emanuel Amaral, Lisete Lopes, Paula Martins, António Marinho da Silva, Eduardo Castela
In pediatric age, the prevalence of high blood pressure (BP) has increased progressively, with obesity being responsible. Despite this, the dominant etiology in this age group is renal and / or cardiovascular pathology. Ambulatory blood pressure monitoring (ABPM) is the method of choice for the diagnosis of hypertension, especially in children at high cardiovascular risk. Its use is limited to children from 5 years of age. Choosing adequated cuff size is the key to getting correct blood pressure ABPM has as main indication the confirmation of the diagnosis of hypertension...
June 2, 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
https://www.readbyqxmd.com/read/29863319/hypertension-update-resistant-hypertension
#15
Anthony J Viera
Resistant hypertension is a blood pressure (BP) level that remains above the goal level despite adherence to at least three appropriately dosed antihypertensive drugs of different classes, one of which is a diuretic. Evaluation of suspected resistant hypertension starts with confirming adherence to the drug regimen. White coat hypertension should be ruled out with out-of-office BP level measurements, ideally using 24-hour ambulatory BP monitoring. Obesity, significant alcohol intake, and interfering drugs and other substances can contribute to resistant hypertension...
June 2018: FP Essentials
https://www.readbyqxmd.com/read/29863317/hypertension-update-current-guidelines
#16
Anthony J Viera
Hypertension affects at least 1 in 3 American adults and is a major contributor to premature mortality. Current guidelines recommend screening all adults for hypertension. Ambulatory blood pressure (BP) monitoring should be used to confirm the diagnosis of hypertension for most adults before starting antihypertensive drugs. Ambulatory BP monitoring is the preferred method but home BP monitoring is an acceptable alternative. Management of hypertension substantially reduces the risk of heart failure, stroke, and myocardial infarction...
June 2018: FP Essentials
https://www.readbyqxmd.com/read/29860818/-effect-of-maximum-blood-pressure-fluctuation-on-prognosis-of-patients-with-acute-ischemic-stroke-within-24-hours-after-hospital-admission
#17
H Wang, Y Tang, Y Zhang, K Xu, J B Zhao
Objective: To investigate the relationship between the maximum blood pressure fluctuation within 24 hours after admission and the prognosis at discharge. Methods: The patients with ischemic stroke admitted in Department of Neurology of the First Affiliated Hospital of Harbin Medical University within 24 hours after onset were consecutively selected from April 2016 to March 2017. The patients were grouped according to the diagnostic criteria of hypertension. Ambulatory blood pressure of the patients within 24 hours after admission were measured with bedside monitors and baseline data were collected...
May 10, 2018: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/29859478/association-of-sleep-disordered-breathing-with-severe-chronic-vascular-disease-in-patients-with-type-2-diabetes
#18
Stefan Stadler, Shabnam Jalili, Andreas Schreib, Bettina Jung, Florian Zeman, Carsten A Böger, Iris M Heid, Michael Arzt
BACKGROUND: Severe chronic vascular disease (CVD) is a major cause of co-morbidity and mortality in patients with type 2 diabetes (DM2). Sleep-disordered breathing (SDB) has been linked to CVD in the general population due to enhanced sympathetic activation, oxidative stress, endothelial dysfunction, and hypertension; however data for DM2 patients is scarce. Therefore, the aim of the present analysis to assess whether SDB is associated with CVD in patients with DM2, independent of other known associated factors...
May 14, 2018: Sleep Medicine
https://www.readbyqxmd.com/read/29851520/soluble-endothelial-protein-c-is-associated-with-blood-pressure-variability-and-salt-consumption-but-not-mean-blood-pressure-in-patients-with-newly-diagnosed-primary-hypertension
#19
Gülsüm Özkan, Sonat Pınar Kara, Çiğdem Fidan, Savaş Güzel, Şükrü Ulusoy
BACKGROUND: Hypertension is a widespread disease involving frequent thrombotic complications. Blood pressure variability (BPV) has recently been shown to be associated with end-organ damage and cardiovascular events. However, the pathogenesis of the relation between BPV and cardiovascular events has not yet been explained. Soluble endothelial protein C (sEPCR) exhibits a procoagulant effect by reducing the anticoagulant and anti-inflammatory effects of protein C and activated protein C...
May 31, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/29850550/early-detection-of-undiagnosed-hypertension-based-on-occupational-screening-in-the-hotel-and-restaurant-industry
#20
Reingard Seibt, Bettina Hunger, Lisa Stieler, Regina Stoll, Steffi Kreuzfeld
Blood pressure is the most important, modifiable risk factor for cardiovascular diseases. Lifestyle factors and also workload are the main, potential risk factors for the development of hypertension. This study focused on the early detection of unknown hypertension by screening employees in the hotel and restaurant industry (HRI). 148 HRI employees without hypertension (mean age: 34 years, men: 45%) self-measured their blood pressure during rest and for 24 hours of a normal workday. Individuals with a resting blood pressure ≥ 135/85 mmHg were classified as hypertensive...
2018: BioMed Research International
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