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Aneurysm and ambulatory blood pressure monitoring

G Pannarale, C Moroni, M C Acconcia, G Pannitteri, G Truscelli, L Valente, P Gentile, F Lopreiato, R Licitra, M Tancredi, P E Puddu, M L Troccoli, P Cardelli, F Barillà, C Gaudio
OBJECTIVE: According to the JNC7 report, prehypertension category includes subjects with systolic blood pressure between 120 and 139 mmHg and/or diastolic blood pressure between 80 and 89 mmHg that would be at risk for developing hypertension and its untoward sequelae as myocardial infarction and cerebrovascular disease. Moreover, ambulatory blood pressure monitoring made it possible to detect subjects with masked hypertension, who are at risk of greater target organ damage than those with normal ambulatory or home blood pressure...
March 2017: European Review for Medical and Pharmacological Sciences
E Warchol-Celinska, K Hanus, P Talarowska, E Florczak, K Jozwik-Plebanek, M Januszewicz, I Michalowska, A Prejbisz, W Wojcik, H Janaszek-Sitkowska, M Makowiecka-Ciesla, L Stryczynski, M Protasiewicz, L Swiatlowski, A Niemirska, M Litwitn, T Przewlocki, M Szczerbo-Trojanowska, A Tykarski, A Januszewicz
OBJECTIVE: To present preliminary evaluation of vascular bed involvement and vascular complications in patients with fibromuscular dysplasia (FMD) enrolled to ARCADIA-POL registry. DESIGN AND METHOD: The first 84 patients (59F[70.2%], 25M[29.8%], mean age: 42.5 ± 14.8 years, range:18-72) with confirmed FMD in any vascular bed were enrolled in 2015 in ARCADIA-POL registry (instituted on the basis of as Polish-French collaboration). A standardized FMD data form was used for data collection...
September 2016: Journal of Hypertension
Xudong Guo, Bin Ge, Wenxing Wang
In order to detect endoleaks after endovascular aneurysm repair (EVAR), we developed an implantable micro-device based on wireless power transmission to measure aortic aneurysm sac pressure. The implantable micro-device is composed of a miniature wireless pressure sensor, an energy transmitting coil, a data recorder and a data processing platform. Power transmission without interconnecting wires is performed by a transmitting coil and a receiving coil. The coupling efficiency of wireless power transmission depends on the coupling coefficient between the transmitting coil and the receiving coil...
August 2013: Sheng Wu Yi Xue Gong Cheng Xue za Zhi, Journal of Biomedical Engineering, Shengwu Yixue Gongchengxue Zazhi
M H Zain-El, M Snincak, K Pahuli, Z Solarova, P Hrabcakova
OBJECTIVE: Morning hypertension is currently the blind spot in the clinical practice of hypertension, home 24-hour blood pressure measurement has been recommended in patients with a high clinic blood pressure and patients with target organ damage. AIM: To assess whether an increased early morning blood pressure surge, established via a single 24-hour blood pressure monitoring, in treated elderly hypertensive's is related to more prominent target organ damage. MATERIAL AND METHODS: 310 treated hypertensive patients randomly attended the out-patient clinic of our hypertension centre...
2013: Bratislavské Lekárske Listy
Roberto Manfredini, Benedetta Boari, Raffaella Salmi, Fabio Fabbian, Marco Pala, Ruana Tiseo, Francesco Portaluppi
The scientific literature clearly establishes the occurrence of cardiovascular (CV) accidents and myocardial ischemic episodes is unevenly distributed during the 24 h. Such temporal patterns result from corresponding temporal variation in pathophysiologic mechanisms and cyclic environmental triggers that elicit the onset of clinical events. Moreover, both the pharmacokinetics and pharmacodynamics of many, though not all, CV medications have been shown to be influenced by the circadian time of their administration, even though further studies are necessary to better clarify the mechanisms of such influence on different drug classes, drug molecules, and pharmaceutical preparations...
March 2013: Chronobiology International
Thais Almeida Lins Pedersen
BACKGROUND: Repaired aortic coarctation(CoA) is associated with high long-term cardiovascular mortality and morbidity. Persisting hypertension and left ventricular dysfunction are possibly associated with residual or recurrent aortic arch obstruction (ReCoA) and abnormal activation of vasoactive hormones. Furthermore, knowledge regarding these patients' functional health status late after repair is missing. STUDY SUBJECTS: A total of 133 adults who underwent surgical repair of CoA in childhood and youth (84 men) were examined in this observational cohort study...
April 2012: Danish Medical Journal
Pascal Delsart, Marco Midulla, Jonathan Sobocinski, Charles Achere, Stephan Haulon, Gonzague Claisse, Claire Mounier-Vehier
UNLABELLED: The chronic management of post-acute aortic dissection (AD) of the descending aorta (Type B) is based on optimal control of blood pressure (BP), with a target BP < 135/80 mmHg. The aim of our study was to determine and verify effective blood pressure control with an objective measurement method and to identify predicting factors. METHODS: We collected data from 26 patients hospitalized in the acute phase of a Type B AD between 2006 and 2009. Two groups were defined according to 24 hour BP monitoring results at follow-up...
2012: Vascular Health and Risk Management
H Benamer, Y Louvard, P Garot, T Unterseeh, T Hovasse, T Lefèvre, B Chevalier, M-C Morice
Arterial hypertension is a major healthcare issue affecting between 30 and 40% of the adult population in industrialized countries. Despite the availability of numerous pharmaceutical treatments, arterial hypertension often remains uncontrolled. A non-negligible percentage of patients are refractory to multiple-drug therapy, which exposes them to an increased risk of cardiovascular events. Percutaneous, renal denervation using a catheter connected to a low energy radiofrequency generator has proven effective in decreasing arterial pressure in patients resistant to medical therapy, by reducing afferent nerve activity...
December 2011: Annales de Cardiologie et D'angéiologie
Thais A L Pedersen, Kim Munk, Niels H Andersen, Erik Lundorf, Erling B Pedersen, Vibeke E Hjortdal, Kristian Emmertsen
OBJECTIVE: The objective of this study was to assess late morbidity after repair of aortic coarctation and its association with residual aortic arch obstruction. DESIGN AND SETTING: This is an observational cohort study of 133 patients who underwent surgical repair during 1965-1985. Echocardiography, bicycle exercise testing, 24-hour ambulatory blood pressure monitoring, and magnetic resonance imaging/computerized tomography scan of the thoracic aorta were performed...
November 2011: Congenital Heart Disease
Ripal T Gandhi, Barry T Katzen, Athanassios I Tsoukas, Philipp Geisbüsch
PURPOSE: To report on a case that demonstrates the use and current limits of abdominal aortic pressure sensor devices. CASE REPORT: An 83-year-old, high-risk patient underwent endovascular aortic repair (EVAR) of an infrarenal aortic aneurysm (maximum aneurysm diameter: 6.5 cm) with implantation of a pressure sensor device. At the end of the procedure and on the first postoperative day, the sensor detected persistent high pressures in the aneurysm sac, indicating an endoleak that could not be visualized on the intraoperative completion angiography but was confirmed on duplex ultrasound...
July 2011: Vascular and Endovascular Surgery
Kristian H Mortensen, Britta E Hjerrild, Kirstine Stochholm, Niels H Andersen, Keld Ejvind Sørensen, Erik Lundorf, Arne Hørlyck, Erik M Pedersen, Jens S Christiansen, Claus H Gravholt
BACKGROUND: The risk of aortic dissection is 100-fold increased in Turner syndrome (TS). Unfortunately, risk stratification is inadequate due to a lack of insight into the natural course of the syndrome-associated aortopathy. Therefore, this study aimed to prospectively assess aortic dimensions in TS. METHODS: Eighty adult TS patients were examined twice with a mean follow-up of 2.4 ± 0.4 years, and 67 healthy age and gender-matched controls were examined once...
2011: Journal of Cardiovascular Magnetic Resonance
Ross Milner, Paola De Rango, Fabio Verzini, Piergiorgio Cao
Few would argue with the need for long-term follow-up after endovascular repair of abdominal aortic aneurysms. A small risk of reintervention persists and the challenge remains to identify those patients that will require additional procedures to prevent subsequent complications. The ideal follow-up regimen remains elusive. Up until this point, most regimens have consisted of radiologic imaging, with either computed tomography (CT) scans or ultrasonography to identify continued aneurysm perfusion (endoleaks) and document sac dynamics, either shrinkage, growth, or stability...
February 2011: Journal of Vascular Surgery
P Iqbal, Louise Stevenson
Introduction. 24-hour ambulatory blood pressure monitoring (ABPM) plays an important role in assessing cardiovascular prognosis, through presence or absence of ABPM-related prognostic features. Objectives. To study relationship between 24-hour ABPM and cardiovascular outcomes in patients from Chesterfield Royal Hospital. Material and Methods. Over 12 months from the 1st of August 2002, 1187 individuals had 24-hour ABPM performed. Cardiovascular outcomes were studied in a subset (297) of the original cohort, made up by every 4th consecutive subject...
2010: International Journal of Hypertension
Chern-En Chiang, Tzung-Dau Wang, Yi-Heng Li, Tsung-Hsien Lin, Kuo-Liong Chien, Hung-I Yeh, Kou-Gi Shyu, Wei-Chuen Tsai, Ting-Hsing Chao, Juey-Jen Hwang, Fu-Tien Chiang, Jyh-Hong Chen
Hypertension is one of the most important risk factors for atherosclerosis-related mortality and morbidity. In this document, the Hypertension Committee of the Taiwan Society of Cardiology provides new guidelines for hypertension management. The key messages are as follows. (1) The life-time risk for hypertension is 90%. (2) Both the increase in the prevalence rate and the relative risk of hypertension for causing cardiovascular events are higher in Asians than in Caucasians. (3) The control rate has been improved significantly in Taiwan from 2...
October 2010: Journal of the Formosan Medical Association, Taiwan Yi Zhi
Nobuyoshi Kawaharada, Toshiro Ito, Tetsuya Koyanagi, Ryo Harada, Hideki Hyodoh, Yoshihiko Kurimoto, Atsushi Watanabe, Tetsuya Higami
Open repair of aortic aneurysm causes spinal cord perfusion pressure to decrease due to the steal phenomenon from the bleeding of intercostal arteries and cross-clamping of the aorta. We attempted to perfuse the intercostal arteries for preoperative detection of the artery of Adamkiewicz using newly developed catheters. Fifteen patients underwent selective spinal perfusion with our original catheter as spinal protection during the procedure of distal descending thoracic aneurysm (DTA) or thoracoabdominal aortic aneurysm (TAAA) repair...
June 2010: Interactive Cardiovascular and Thoracic Surgery
Cyrus J Parsa, Mani A Daneshmand, Brian Lima, Keki Balsara, Richard L McCann, G Chad Hughes
BACKGROUND: The goal of thoracic endovascular aneurysm repair (TEVAR) is to exclude and depressurize the aneurysm sac. Type I and III endovascular leaks (EL) transmit systemic pressure and represent treatment failures. The significance of type II EL is more controversial. Remote pressure sensing is a novel nonradiographic technology for EL detection and monitoring. However, little experience exists with regard to use in the thoracic aorta. We present our experience with the EndoSure wireless pressure measurement system (CardioMEMS, Atlanta, GA) for monitoring aneurysm sac pulse pressure (ASP) after TEVAR...
February 2010: Annals of Thoracic Surgery
Julie Staals, Robert J van Oostenbrugge, Iris L H Knottnerus, Rob P W Rouhl, Léon H G Henskens, Jan Lodder
BACKGROUND AND PURPOSE: Hypertension is an important risk factor for brain microbleeds (BMBs) in lacunar stroke patients. However, beyond the qualitative label "hypertension," little is known about the association with ambulatory blood pressure (BP) levels. METHODS: In 123 first-ever lacunar stroke patients we performed 24-hour ambulatory BP monitoring after the acute stroke-phase. We counted BMBs on T2*-weighted gradient-echo MR images. Because a different etiology for BMBs according to location has been suggested, we distinguished between BMBs in deep and lobar location...
October 2009: Stroke; a Journal of Cerebral Circulation
Michiya Igase
Our anti-aging center (AAC) began providing health check-up services to local citizens in western Japan in February 2006, with the mission of promoting 'successful' aging through the employment of anti-aging check-ups, termed 'anti-aging dock' in Japan, using evidence-based 'anti-aging dock' strategies designed to diagnose atherosclerosis based on personal data. Clinical test items routinely received by most patients are as follows: 1) general physical measurement, 2) blood tests and urine analysis, 3) brain MRI/MRA, 4) carotid ultrasound imaging, 5) visceral fat area (VFA) estimation by abdominal CT, 6) brachial ankle pulse wave velocity (baPWV), 7) bone mineral density measurement, 8) stabilometer testing, 9) cognitive function testing, and 10) optional tests, including ambulatory blood pressure monitoring (ABPM)...
July 2009: Nihon Rinsho. Japanese Journal of Clinical Medicine
Hanno Hoppe, Jocelyn A Segall, Timothy K Liem, Gregory J Landry, John A Kaufman
The purpose of this single-center study was to report our initial experience with an implantable remote pressure sensor for aneurysm sac pressure measurement in patients post-endovascular aneurysm repair (EVAR) including short-term follow-up. A pressure sensor (EndoSure, Atlanta, GA) was implanted in 12 patients treated with different commercially available aortic endografts for EVAR. Pressure was read pre- and post-EVAR in the operating room. One-month follow-up (30 days+/-6 days) was performed including sac pressure readings and IV contrast CT scans...
May 2008: European Radiology
Koji Kurosawa, Hiroki Ohta, Makoto Sumi, Takao Ohki
The purpose of endovascular aortic aneurysm repair is to depressurize the sac and to protect it from rupture. However, none of the imaging modality currently used during the follow-up period including CTA, MRA and duplex ultrasound can measure sac pressure. Noninvasive sac pressure monitoring using implantable sensors has the potential to provide a safe, reliable, cost-effective alternative for post-EVAR surveillance. The technology is compatible with all types of imaging, all types of implants, and allows clinicians to obtain physiologic data to supplement their assessment of the aneurysm repair...
June 2007: Seminars in Vascular Surgery
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