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https://www.readbyqxmd.com/read/29450967/carotid-atherosclerosis-and-the-association-between-nocturnal-blood-pressure-dipping-and-cardiovascular-events
#1
Praew Kotruchin, Satoshi Hoshide, Kazuomi Kario
The impact of a nondipping blood pressure (BP) pattern, defined as (awake systolic BP - sleep systolic BP)/awake systolic BP < 0.1, on cardiovascular events in populations with different degrees of carotid atherosclerosis is uncertain. The authors hypothesized that a nondipping BP pattern would show differential predictive power for cardiovascular events, including total cardiovascular death, sudden death, nonfatal cardiovascular events, and nonfatal stroke, between populations with and without carotid atherosclerosis...
February 16, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29440183/ambulatory-blood-pressure-and-long-term-risk-for-atrial-fibrillation
#2
Valérie Tikhonoff, Tatiana Kuznetsova, Lutgarde Thijs, Nicholas Cauwenberghs, Katarzyna Stolarz-Skrzypek, Jitka Seidlerová, Sofia Malyutina, Natasza Gilis-Malinowska, Ewa Swierblewska, Kalina Kawecka-Jaszcz, Jan Filipovský, Krzysztof Narkiewicz, Gregory Y H Lip, Edoardo Casiglia, Jan A Staessen
OBJECTIVE: Data on the contribution of ambulatory blood pressure (ABP) components to the risk of developing atrial fibrillation (AF) are limited. We prospectively tested the hypothesis that ABP may represent a potentially modifiable risk factor for the development of AF in a European population study. METHODS: We recorded daytime blood pressure (BP) in 3956 subjects randomly recruited from the general population in five European countries. Of these participants, 2776 (70...
February 9, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/29437895/blood-pressure-profile-1-year-after-severe-preeclampsia
#3
Laura Benschop, Johannes J Duvekot, Jorie Versmissen, Valeska van Broekhoven, Eric A P Steegers, Jeanine E Roeters van Lennep
Preeclampsia increases the long-term risk of cardiovascular disease, possibly through occurrence of hypertension after delivery, such as masked hypertension, night-time hypertension, and an adverse systolic night-to-day blood pressure (BP) ratio. These types of hypertension are often unnoticed and can only be detected with ambulatory BP monitoring (ABPM). We aimed to determine hypertension prevalence and 24-hour BP pattern with ABPM and office BP measurements in women 1 year after severe preeclampsia. This is a retrospective cohort study...
March 2018: Hypertension
https://www.readbyqxmd.com/read/29436195/impact-of-ambulatory-blood-pressure-on-early-cardiac-and-renal-dysfunction-in-hypertensive-patients-without-clinically-apparent-target-organ-damage
#4
Darae Kim, Chi Young Shim, Geu Ru Hong, Sungha Park, In Jeong Cho, Hyuk Jae Chang, Jong Won Ha, Namsik Chung
PURPOSE: Impaired left ventricular (LV) global longitudinal strain (GLS) and the presence of microalbuminuria indicate early cardiac and renal dysfunction. We aimed to determine the relationships among 24-h ambulatory blood pressure (BP) variables, LV GLS, and urine albumin creatinine ratio (UACR) in hypertensive patients. MATERIALS AND METHODS: A total of 130 hypertensive patients (mean age 53 years; 59 men) underwent 24-h ambulatory BP monitoring, measurements of peripheral and central BPs, and transthoracic echocardiography...
March 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29435868/ambulatory-blood-pressure-profiles-in-familial-dysautonomia
#5
Lior Goldberg, Bat-El Bar-Aluma, Alex Krauthammer, Ori Efrati, Yehonatan Sharabi
OBJECTIVE: Familial dysautonomia (FD) is a rare genetic disease that involves extreme blood pressure fluctuations secondary to afferent baroreflex failure. The diurnal blood pressure profile, including the average, variability, and day-night difference, may have implications for long-term end organ damage. The purpose of this study was to describe the circadian pattern of blood pressure in the FD population and relationships with renal and pulmonary function, use of medications, and overall disability...
February 12, 2018: Clinical Autonomic Research: Official Journal of the Clinical Autonomic Research Society
https://www.readbyqxmd.com/read/29433578/resistant-hypertension-on-treatment-reshypot-sequential-nephron-blockade-compared-to-dual-blockade-of-the-renin-angiotensin-aldosterone-system-plus-bisoprolol-in-the-treatment-of-resistant-arterial-hypertension-study-protocol-for-a-randomized-controlled-trial
#6
Elizabeth do Espirito Santo Cestário, Letícia Aparecida Barufi Fernandes, Luiz Tadeu Giollo-Júnior, Jéssica Rodrigues Roma Uyemura, Camila Suemi Sato Matarucco, Manoel Idelfonso Paz Landim, Luciana Neves Cosenso-Martin, Lúcia Helena Bonalume Tácito, Heitor Moreno, José Fernando Vilela-Martin, Juan Carlos Yugar-Toledo
BACKGROUND: Resistant hypertension is characterized when the blood pressure (BP) remains above the recommended goal after taking three antihypertensive drugs with synergistic actions at their maximum recommended tolerated doses, preferably including a diuretic. Identifying the contribution of intravascular volume and serum renin in maintaining BP levels could help tailor more effective hypertension treatment, whether acting on the control of intravascular volume or sodium balance, or acting on the effects of the renin-angiotensin-aldosterone system (RAAS) on the kidney...
February 12, 2018: Trials
https://www.readbyqxmd.com/read/29426831/cardiovascular-risk-factors-and-subclinical-organ-damage-after-hematopoietic-stem-cell-transplantation-in-pediatric-age
#7
Bianca Borchert-Mörlins, Nima Memaran, Martin Sauer, Britta Maecker-Kolhoff, Karl-Walter Sykora, Ricarda Blöte, Elena Bauer, Bernhard M W Schmidt, Anette Melk, Rita Beier
Advances in allogeneic hematopoietic stem cell transplantation (HSCT) in malignant and non-malignant diseases result in more long-term survivors, in whom cardiovascular (CV) disease is one leading non-cancer cause of death. This study aimed to evaluate risk factors and subclinical CV organ damage in survivors after HSCT in pediatric age. We enrolled 64 children in a cross-sectional approach 3.3 ± 3.1 years after HSCT. Anthropometric data, laboratory values, office and 24-h ambulatory blood pressure monitoring (ABPM) were evaluated, showing a high prevalence of obesity, hypertension and dyslipidemia...
February 9, 2018: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/29423914/hypertension-new-perspective-on-its-definition-and-clinical-management-by-bedtime-therapy-substantially-reduces-cardiovascular-disease-risk
#8
REVIEW
Ramón C Hermida, Diana E Ayala, José R Fernández, Artemio Mojón, Michael H Smolensky
Diagnosis of hypertension - elevated blood pressure (BP) associated with increased cardiovascular disease (CVD) risk - and its management for decades have been based primarily on single time-of-day office BP measurements (OBPM) assumed representative of systolic (SBP) and diastolic BP (DBP) during the entire 24h span. Around-the-clock ambulatory blood pressure monitoring (ABPM), however, reveals BP undergoes 24h patterning characterized in normotensives and uncomplicated hypertensives by striking morning-time rise, two daytime peaks - one ~2-3h after awakening and the other early evening, small mid-afternoon nadir, and 10-20% decline (BP dipping) of the asleep BP mean relative to the wake-time BP mean...
February 9, 2018: European Journal of Clinical Investigation
https://www.readbyqxmd.com/read/29420079/increased-masked-hypertension-prevalence-in-patients-with-obesity
#9
Selçuk Özkan, Naim Ata, Bunyamin Yavuz
OBJECTIVES: Masked hypertension is associated with an increased risk for cardiovascular conditions. The aim of the study was to evaluate the relationship obesity parameters, including body weight, waist circumference, and body mass index. METHODS: The study group consisted of 251 consecutive outpatient subjects without overt hypertension. Subjects were classified according to BMI. After a complete medical history and laboratory examination, patients' height, weight, waist circumference heart rate, and office blood pressure were recorded...
February 8, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/29420076/circadian-and-short-term-blood-pressure-abnormalities-after-liver-transplantation
#10
Ewa Hryniewiecka, Tomasz Pilecki, Krzysztof Zieniewicz, Leszek Paczek
Liver transplantation remains the only therapeutic method in end-stage liver disease. Cardiovascular system diseases, including arterial hypertension, are considered one of the main risk factors increasing mortality in this population. The aim of the study was the evaluation of circadian blood pressure patterns in liver transplant recipients. In a group of 107 liver transplant recipients, a 24-hour ambulatory blood pressure monitoring (ABPM) was performed. The ABPM revealed arterial hypertension in 88.79% and unsatisfactory blood pressure (BP) control in 71...
February 8, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/29406327/validation-of-the-ihealth-ambulatory-blood-pressure-monitor-in-adults-according-to-the-american-national-standards-institute-association-for-the-advancement-of-medical-instrumentation-international-organization-for-standardization-standard
#11
Anastasios Kollias, Angeliki Ntineri, Konstantinos G Kyriakoulis, Emelina Stambolliu, George S Stergiou
OBJECTIVE: To assess the accuracy of the iHealth oscillometric ambulatory blood pressure (BP) monitor in adults according to the American National Standards Institute/Association for the Advancement of Medical Instrumentation/International Organization for Standardization (ANSI/AAMI/ISO) 81060-2:2013 standard. METHODS: Adults were recruited to fulfil the age, sex, BP and cuff distribution criteria of the ANSI/AAMI/ISO standard using the same-arm sequential BP measurement method...
February 5, 2018: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/29404785/implementing-abpm-into-clinical-practice
#12
Alan L Hinderliter, Raven A Voora, Anthony J Viera
PURPOSE OF REVIEW: To review the data supporting the use of ambulatory blood pressure monitoring (ABPM), and to provide practical guidance for practitioners who are establishing an ambulatory monitoring service. RECENT FINDINGS: ABPM results more accurately reflect the risk of cardiovascular events than do office measurements of blood pressure. Moreover, many patients with high blood pressure in the office have normal blood pressure on ABPM-a pattern known as white coat hypertension-and have a prognosis similar to individuals who are normotensive in both settings...
February 5, 2018: Current Hypertension Reports
https://www.readbyqxmd.com/read/29393699/clinical-implications-of-combined-glucose-intolerance-in-treatment-na%C3%A3-ve-hypertensive-patients
#13
Beom-June Kwon, Dae-Won Kim, Mahn-Won Park, Sung-Ho Her, Ha Wook Park, Kiyuk Chang, Wook-Sung Chung, Ki-Bae Seung, Tai-Ho Rho
BACKGROUND: This study is the first study to evaluate clinical significance of combined glucose intolerance (CGI) in treatment-naïve hypertensive patients. METHODS: We compared the results of demographic, anthropometric, clinical, laboratory examinations, echocardiography, arterial stiffness, central blood pressure (BP) and ambulatory BP monitoring (ABPM) between the groups according to fasting blood sugar (FBS), postprandial 2 hour blood glucose (PP2) and gender in treatment-naïve hypertensive patients...
February 2, 2018: Clinical and Experimental Hypertension: CHE
https://www.readbyqxmd.com/read/29390325/evaluation-of-tolerance-to-ambulatory-blood-pressure-monitoring-analysis-of-dipping-profile-in-a-large-cohort-of-hypertensive-patients
#14
Gino Iannucci, Luigi Petramala, Giuseppe La Torre, Barbara Barbaro, Clara Balsano, Pietro Giacomo Curatulo, Francesco Amadei, Marino Paroli, Antonio Concistrè, Claudio Letizia
Ambulatory blood pressure monitoring (ABPM) is a helpful tool to comprehensively identify and diagnose arterial hypertension. Moreover, it allows to better identify alterations in the circadian BP profile, as the nocturnal "nondipping" status, characterized by a lack of the physiological 10% night BP reduction and associated with a greater risk of target organ damage. However, ABPM has some limitations such as restricted availability, discomfort, particularly at night, cost implications, and reproducibility...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29384984/improving-the-accuracy-of-blood-pressure-measurement-the-influence-of-the-european-society-of-hypertension-international-protocol-esh-ip-for-the-validation-of-blood-pressure-measuring-devices-and-future-perspectives
#15
George S Stergiou, Roland Asmar, Martin Myers, Paolo Palatini, Gianfranco Parati, Andrew Shennan, Jiguang Wang, Eoin O'Brien
INTRODUCTION: The European Society of Hypertension (ESH) International Protocol (ESH-IP) for the validation of blood pressure (BP) measuring devices was published in 2002, with the main objective of simplifying the validation procedures, so that more BP monitors would be subjected to independent validation. This article provides an overview of the international impact of the ESH-IP and of the lessons learned from its use, to be able to justify further developments in validation protocols...
March 2018: Journal of Hypertension
https://www.readbyqxmd.com/read/29382258/school-burnout-and-heart-rate-variability-risk-of-cardiovascular-disease-and-hypertension-in-young-adult-females
#16
Ross W May, Gregory S Seibert, Marcos A Sanchez-Gonzalez, Frank D Fincham
Emerging research documents the relationship between school burnout and some indicators of increased cardiovascular risk. Indicators of cardiovascular functioning assessed via ambulatory blood pressure and heart rate variability (HRV) have not been thoroughly explored in this research domain. Therefore, the current study examined relationships between school burnout and indicators of cardiac functioning via 24 h ambulatory blood pressure (BP) and electrocardiogram monitoring in a sample of young adult female undergraduates (N = 88)...
January 30, 2018: Stress: the International Journal on the Biology of Stress
https://www.readbyqxmd.com/read/29380409/morning-surge-in-blood-pressure-using-a-random-effects-multiple-component-cosinor-model
#17
J M Madden, L D Browne, X Li, P M Kearney, A P Fitzgerald
Blood pressure (BP) fluctuates throughout the day. The pattern it follows represents one of the most important circadian rhythms in the human body. For example, morning BP surge has been suggested as a potential risk factor for cardiovascular events occurring in the morning, but the accurate quantification of this phenomenon remains a challenge. Here, we outline a novel method to quantify morning surge. We demonstrate how the most commonly used method to model 24-hour BP, the single cosinor approach, can be extended to a multiple-component cosinor random-effects model...
January 29, 2018: Statistics in Medicine
https://www.readbyqxmd.com/read/29373321/whole-blood-viscosity-and-cerebral-blood-flow-velocities-in-obese-hypertensive-or-obese-normotensive-adolescents
#18
Meltem Akcaboy, Bijen Nazliel, Tayfun Goktas, Serdar Kula, Bülent Celik, Necla Buyan
BACKGROUND: Obesity affects all major organ systems and leads to increased morbidity and mortality. Whole blood viscosity is an important independent regulator of cerebral blood flow. The aim of the present study was to evaluate the effect of whole blood viscosity on cerebral artery blood flow velocities using transcranial Doppler ultrasound in pediatric patients with obesity compared to healthy controls and analyze the effect of whole blood viscosity and blood pressure status to the cerebral artery blood flow velocities...
January 26, 2018: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/29370470/association-of-betaine-with-blood-pressure-in-dialysis-patients
#19
Lulu Wang, Mingming Zhao, Wenjin Liu, Xiurong Li, Hong Chu, Youwei Bai, Zhuxing Sun, Chaoqing Gao, Lemin Zheng, Junwei Yang
Mechanisms underlying elevated blood pressure in dialysis patients are complex as a variety of non-traditional factors are involved. We sought to explore the association of circulating betaine, a compound widely distributed in food, with blood pressure in dialysis patients. We used baseline data of an ongoing cohort study involving patients on hemodialysis. Plasma betaine was measured by high performance liquid chromatography in 327 subjects. Blood pressure level was determined by intradialytic ambulatory blood pressure monitoring...
January 25, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/29370469/central-blood-pressure-variability-is-increased-in-hypertensive-patients-with-target-organ-damage
#20
Alejandro de la Sierra, Julia Pareja, Sergi Yun, Eva Acosta, Francesco Aiello, Anna Oliveras, Susana Vázquez, Pedro Armario, Pedro Blanch, Cristina Sierra, Francesca Calero, Patricia Fernández-Llama
We aimed to evaluate the association of aortic and brachial short-term blood pressure variability (BPV) with the presence of target organ damage (TOD) in hypertensive patients. One-hundred seventy-eight patients, aged 57 ± 12 years, 33% women were studied. TOD was defined by the presence of left ventricular hypertrophy on echocardiogram, microalbuminuria, reduced glomerular filtration rate, or increased aortic pulse wave velocity. Aortic and brachial BPV was assessed by 24-hour ambulatory BP monitoring (Mobil-O-Graph)...
January 25, 2018: Journal of Clinical Hypertension
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