keyword
https://read.qxmd.com/read/38154521/reclassification-of-adolescent-ambulatory-prehypertension-and-unclassified-blood-pressures-by-2022-american-heart-association-pediatric-ambulatory-blood-pressure-monitoring-guidelines
#21
JOURNAL ARTICLE
Taylor Hill-Horowitz, Kumail Merchant, Mahie Abdullah, Laura Castellanos-Reyes, Pamela Singer, Haripriya Dukkipati, Rachel Frank, Christine B Sethna, Abby Basalely
Objectives To describe the epidemiology of reclassification of prehypertensive and unclassified adolescents by 2022 American Heart Association (AHA) pediatric ambulatory blood pressure monitoring (ABPM) guidelines, and to evaluate the association of the new diagnostic categories with left ventricular hypertrophy (LVH). Study Design A single-center, retrospective review of ABPM reports from adolescents 13-21 years old, from 2015 through 2022, was performed. Adolescents with prehypertension or unclassified by 2014 guidelines were reclassified by 2022 definitions...
December 26, 2023: Journal of Pediatrics
https://read.qxmd.com/read/38136167/metabolipidomic-analysis-in-patients-with-obstructive-sleep-apnea-discloses-a-circulating-metabotype-of-non-dipping-blood-pressure
#22
JOURNAL ARTICLE
Lucía Pinilla, Iván D Benítez, Esther Gracia-Lavedan, Gerard Torres, Olga Mínguez, Rafaela Vaca, Mariona Jové, Joaquim Sol, Reinald Pamplona, Ferran Barbé, Manuel Sánchez-de-la-Torre
A non-dipping blood pressure (BP) pattern, which is frequently present in patients with obstructive sleep apnea (OSA), confers high cardiovascular risk. The mechanisms connecting these two conditions remain unclear. In the present study we performed a comprehensive analysis of the blood metabolipidome that aims to provide new insights into the molecular link between OSA and the dysregulation of circadian BP rhythmicity. This was an observational prospective longitudinal study involving adults with suspected OSA who were subjected to full polysomnography (PSG)...
November 27, 2023: Antioxidants (Basel, Switzerland)
https://read.qxmd.com/read/38125205/glucagon-like-peptide-1-receptor-agonist-and-sodium-glucose-cotransporter-2-inhibitor-use-among-adults-with-diabetes-mellitus-by-cardiovascular-kidney-disease-risk-national-health-and-nutrition-examination-surveys-2015-2020
#23
JOURNAL ARTICLE
Joshua A Jacobs, Alexander R Zheutlin, Catherine G Derington, Jordan B King, Ambarish Pandey, Adam P Bress
OBJECTIVE: Glucagon-like peptide-1 receptor agonists (GLP1-RAs) and sodium-glucose cotransporter 2 inhibitors (SGLT2Is) lower adverse cardiac and kidney events among high-risk patients with diabetes mellitus (DM) and are now guideline-recommended as first-line therapy alongside metformin. However, the adoption of these new treatments from 2015 to 2020 among the highest-risk adults with DM remains unclear. METHODS: We performed a cross-sectional analysis of the National Health and Nutrition Examination Surveys (NHANES) 2015-2020 to estimate the use of GLP1-RAs and SGLT2Is among adults with DM overall and by level of cardiovascular and kidney risk (CKR)...
March 2024: American journal of preventive cardiology
https://read.qxmd.com/read/38110597/the-association-of-ideal-cardiovascular-health-metrics-and-incident-hypertension-among-an-urban-population-of-iran-a-decade-follow-up-in-tehran-lipid-and-glucose-study
#24
JOURNAL ARTICLE
Fatemeh Rahmani, Samaneh Asgari, Fereidoun Azizi, Farzad Hadaegh
We aimed to determine the association between ideal cardiovascular health metrics (ICVHM) and the incidence of hypertension among Iranian adults. The study population included 5409 Iranian adults aged ≥20 years (2088 men) without hypertension (applying the 2017 American College of Cardiology (ACC)/American Heart Association (AHA) guideline) at baseline. The ICVHM was defined according to the AHA's 2020 impact goals, excluding total cholesterol was replaced by non-HDL cholesterol (non-HDL-C)...
December 18, 2023: Journal of Human Hypertension
https://read.qxmd.com/read/38084606/cumulative-diastolic-blood-pressure-burden-in-normal-systolic-blood-pressure-and-cardiovascular-disease
#25
JOURNAL ARTICLE
So Mi Jemma Cho, Hokyou Lee, Satoshi Koyama, Roger S Zou, Art Schuermans, Shriienidhie Ganesh, Whitney Hornsby, Michael C Honigberg, Pradeep Natarajan
BACKGROUND: The clinical significance of isolated diastolic hypertension defined by the 2017 American College of Cardiology/American Heart Association blood pressure (BP) guidelines remains inconsistent. We examined whether long-term diastolic burden predicts the first major adverse cardiovascular event in participants with sustained and untreated normal systolic BP. METHODS: The Mass General Brigham Biobank is a New England health care-based cohort recruited between 2010 and 2021...
December 12, 2023: Hypertension
https://read.qxmd.com/read/38043108/simple-memorable-formulas-for-screening-hypertension-in-children-based-on-the-new-american-academy-of-pediatrics-guideline
#26
JOURNAL ARTICLE
Afagh Hassanzadeh Rad, Jahangir Kamalpour, Behrad Badeli, Daniel Badeli, Hamidreza Badeli
INTRODUCTION: Hypertension (HTN), also known as high blood pressure (BP), is a major global risk factor for cardiovascular and kidney diseases. Although annual BP screenings for children over three years of age are recommended, underdiagnosis of HTN in children is common. To address this issue, the American Academy of Pediatrics updated its guideline for screening and managing high BP in children in 2017, which can be cumbersome to implement in clinical practice due to the numerous cut-off points and tables...
November 2023: Iranian Journal of Kidney Diseases
https://read.qxmd.com/read/37995117/careknowdo-a-multichannel-digital-and-telephone-support-program-for-people-with-chronic-kidney-disease-feasibility-randomized-controlled-trial
#27
JOURNAL ARTICLE
Riley Elizabeth Reston, Fergus J Caskey, Barnaby Hole, Udaya Udayaraj, John Weinman
BACKGROUND: Chronic kidney disease (CKD) is a common, progressive condition. Lifestyle changes and antihypertensive medication can slow the progression to end-stage kidney disease, which requires renal replacement therapy. However, adherence to these recommendations is often low. OBJECTIVE: The aim of CareKnowDo was to assess the feasibility of rolling out a digital self-management support and adherence program integrated with a patient-facing electronic health record, Patient View (PV)...
November 23, 2023: JMIR Formative Research
https://read.qxmd.com/read/37981265/the-2023-european-society-of-hypertension-guidelines-for-high-blood-pressure-what-s-new-on-diagnostic-and-therapetic-approaches
#28
EDITORIAL
Guido Grassi, Reinhold Kreutz, Giuseppe Mancia
No abstract text is available yet for this article.
November 17, 2023: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://read.qxmd.com/read/37978969/aga-clinical-practice-update-on-the-use-of-vasoactive-drugs-and-intravenous-albumin-in-cirrhosis-expert-review
#29
Guadalupe Garcia-Tsao, Juan G Abraldes, Nicole E Rich, Vincent Wai-Sun Wong
DESCRIPTION: Cirrhosis is a major cause of morbidity and mortality in the United States and worldwide. It consists of compensated, decompensated, and further decompensated stages; median survival is more than 15 years, 2 years, and 9 months for each stage, respectively. With each stage, there is progressive worsening of portal hypertension and the vasodilatory-hyperdynamic circulatory state, resulting in a progressive decrease in effective arterial blood volume and renal perfusion. Vasoconstrictors reduce portal pressure via splanchnic vasoconstriction and are used in the management of variceal hemorrhage...
November 17, 2023: Gastroenterology
https://read.qxmd.com/read/37975691/-arterial-hypertension-in-pediatrics-role-of-ambulatory-blood-pressure-monitoring-abpm
#30
JOURNAL ARTICLE
Claudia María González Celedón, Daniela Carrillo Verdugo, Maria Soledad Peredo Guerra, Paulina Salas Del Campo, Lillian Bolte Marholz, Maria Luisa Ceballos Osorio, Claudia Andrea Alarcon Ortiz
Hypertension is an important risk factor for cardiovascular disease. The prevalence of hypertension in children has risen in last years, secondary to the increase in overweight and obesity in pediatric population, among other factors. An adequate diagnosis and opportune treatment can prevent the development of organ damage. The American Academy of Pediatrics recommends the performance of Ambulatory Blood Pressure Monitorization in children with risk factors or suspected hypertension, in order to confirm the diagnosis and guide treatment...
October 2023: Andes pediatrica: revista Chilena de pediatría
https://read.qxmd.com/read/37970724/2023-american-heart-association-and-american-academy-of-pediatrics-focused-update-on-neonatal-resuscitation-an-update-to-the-american-heart-association-guidelines-for-cardiopulmonary-resuscitation-and-emergency-cardiovascular-care
#31
REVIEW
Nicole K Yamada, Edgardo Szyld, Marya L Strand, Emer Finan, Jessica L Illuzzi, Beena D Kamath-Rayne, Vishal S Kapadia, Susan Niermeyer, Georg M Schmölzer, Amanda Williams, Gary M Weiner, Myra H Wyckoff, Henry C Lee
This 2023 focused update to the neonatal resuscitation guidelines is based on 4 systematic reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support Task Force. Systematic reviewers and content experts from this task force performed comprehensive reviews of the scientific literature on umbilical cord management in preterm, late preterm, and term newborn infants, and the optimal devices and interfaces used for administering positive-pressure ventilation during resuscitation of newborn infants...
November 16, 2023: Circulation
https://read.qxmd.com/read/37951795/approach-to-diagnosis-and-management-of-hypertension-a-comprehensive-and-combined-pediatric-and-adult-perspective
#32
REVIEW
Sabine Karam, Debbie L Cohen, Pauline Abou Jaoude, Janis Dionne, FangChao Linda Ding, Anika Garg, Elliot Koranteng Tannor, Rahul Chanchlani
The global prevalence of primary hypertension has been increasing both in children and in the adolescent and adult populations and can be attributed to changes in lifestyle factors with an obesity epidemic, increased salt consumption, and sedentary lifestyles. Childhood blood pressure is the strongest predictor of adult hypertension. Although hypertension in adults is associated strongly with an increased risk for cardiovascular disease, chronic kidney disease, and mortality, outcomes in children are defined less clearly...
July 2023: Seminars in Nephrology
https://read.qxmd.com/read/37929615/associations-between-end-tidal-carbon-dioxide-during-pediatric-cardiopulmonary-resuscitation-cpr-quality-and-survival
#33
JOURNAL ARTICLE
Ryan W Morgan, Ron W Reeder, Dieter Bender, Kellimarie K Cooper, Stuart H Friess, Kathryn Graham, Kathleen L Meert, Peter M Mourani, Robert Murray, Vinay M Nadkarni, C Nataraj, Chella A Palmer, Neeraj Srivastava, Bradley Tilford, Heather A Wolfe, Andrew R Yates, Robert A Berg, Robert M Sutton
Background: Supported by laboratory and clinical investigations of adult cardiopulmonary arrest, resuscitation guidelines recommend monitoring end-tidal carbon dioxide (ETCO2) as an indicator of CPR quality but note that "specific values to guide therapy have not been established in children." Methods: This prospective observational cohort study was an NHLBI-funded ancillary study of children in the ICU-RESUS citation trial (NCT02837497). Hospitalized children (≤18 years of age and ≥37 weeks post-gestational age) who received chest compressions of any duration for cardiopulmonary arrest, had an endotracheal or tracheostomy tube at the start of CPR, and had evaluable intra-arrest ETCO2 data were included...
November 6, 2023: Circulation
https://read.qxmd.com/read/37917855/risk-factors-for-and-risk-of-peripheral-artery-disease-in-swedish-individuals-with-type-2-diabetes-a-nationwide-register-based-study
#34
JOURNAL ARTICLE
Tarik Avdic, Hanne K Carlsen, Rikard Isaksson, Soffia Gudbjörnsdottir, Zacharias Mandalenakis, Stefan Franzén, Naveed Sattar, Joshua A Beckman, Darren K McGuire, Björn Eliasson
OBJECTIVE: To investigate to what extent having control of peripheral artery disease (PAD) risk factors is associated with the risk of incident PAD in individuals with type 2 diabetes. RESEARCH DESIGN AND METHODS: A total of 148,096 individuals with type 2 diabetes in the Swedish National Diabetes Register between 2005 and 2009 were included and matched with 320,066 controls on the basis of age, sex, and county. A few controls who developed type 2 diabetes after recruitment, during wash-in (<0...
November 2, 2023: Diabetes Care
https://read.qxmd.com/read/37893086/the-modulation-effect-of-a-fermented-bee-pollen-postbiotic-on-cardiovascular-microbiota-and-therapeutic-perspectives
#35
JOURNAL ARTICLE
Laura-Dorina Dinu, Florentina Gatea, Florentina Roaming Israel, Milena Lakicevic, Nebojša Dedović, Emanuel Vamanu
Hypertension is a frequent comorbidity in patients with heart failure; therefore, blood pressure management for these patients is widely recommended in medical guidelines. Bee pollen and postbiotics that contain inactivated probiotic cells and their metabolites have emerged as promising bioactive compounds sources, and their potential role in mitigating cardiovascular (CV) risks is currently being unveiled. Therefore, this preliminary study aimed to investigate the impact of a lactic-fermented bee pollen postbiotic (FBPP) on the CV microbiota via in vitro tests...
October 5, 2023: Biomedicines
https://read.qxmd.com/read/37867051/impact-of-updated-hypertension-guideline-on-eligibility-for-an-employee-wellness-program
#36
JOURNAL ARTICLE
Sarah Oprinovich, Kendall D Guthrie
BACKGROUND: Pharmacists reduce overall healthcare spending in employee wellness programs (EWP). Employers implementing disease state management in an EWP must define the eligibility criteria. Clinical practice guidelines establish diagnostic criteria; therefore, updated guidelines have the potential to change the number of eligible beneficiaries in an EWP. No studies have analyzed the effects of using updated guideline-recommended criteria on the change in eligibility, enrollment, and indirectly, workload for program practitioners which may impact program administration cost...
October 18, 2023: Research in Social & Administrative Pharmacy: RSAP
https://read.qxmd.com/read/37834951/significance-of-hypocapnia-in-the-risk-assessment-of-patients-with-pulmonary-hypertension
#37
JOURNAL ARTICLE
Maria Aetou, Lora Wahab, Michael Dreher, Ayham Daher
Blood gas analysis is part of the diagnostic work-up for pulmonary hypertension (PH). Although some studies have found that the partial pressure of carbon dioxide (PaCO2 ) is an independent marker of mortality in individuals with pulmonary arterial hypertension (PH Group 1), there is a lack of data regarding the significance of PaCO2 in individuals with different types of PH based on the new 2022 definitions. Therefore, this study analyzed data from 157 individuals who were undergoing PH work-up, including right heart catheterization, using PH definitions from the 2022 European Society of Cardiology/European Respiratory Society guidelines...
September 30, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37827963/-nephroprotection-general-principles-and-application-to-the-patients-with-cancers%C3%A2-%C3%A2-when-nephroprotection-is-essential-for-oncological-care-plan
#38
REVIEW
Matthieu Bainaud, Melanie Try, Mohamad Zaidan
Nephroprotection is a set of recommendations that aim to prevent the risks of acute and/or chronic renal failure and to limit the progression of renal failure towards an end stage. Nephroprotection is not limited to nephrology and applies to all patients at risk of renal failure. Cancer patients are particularly at risk of developing intrinsic and extrinsic renal failure, as well as the toxicity of specific treatments. However, they are poorly included in nephroprotection studies. Thus, current guidelines have not been adapted to these pathologies and oncology-specific comorbidities, such as malnutrition or prognosis, are often not taken into account...
October 10, 2023: Bulletin du Cancer
https://read.qxmd.com/read/37802822/-interpretation-and-review-of-clinical-practice-guidelines-for-management-of-hypertension-in-china-2020-edition-and-exploration-of-traditional-chinese-medicine-for-antihypertensive-treatment
#39
JOURNAL ARTICLE
Xiao-Ya Wang, Peng-Qian Wang, Xing-Jiang Xiong
Hypertension is the most important risk factor for cardiovascular disease-related deaths among urban and rural residents, and it has become a significant global public health issue. In October 2022, the Clinical Practice Guidelines for the Management of Hypertension in China(hereinafter referred to as the Practice Guidelines) were jointly released by the National Cardiovascular Center and other academic organizations. The Practice Guidelines sparked extensive discussions as they clearly lowered the diagnostic criteria for hypertension, raised the blood pressure targets for elderly patients, and proposed changes in the timing of early medication intervention...
September 2023: Zhongguo Zhong Yao za Zhi, Zhongguo Zhongyao Zazhi, China Journal of Chinese Materia Medica
https://read.qxmd.com/read/37775290/endovascular-ultrasound-renal-denervation-to-lower-blood-pressure-in-young-hypertensive-women-planning-pregnancy-study-protocol-for-a-multicentre-randomised-blinded-and-sham-controlled-proof-of-concept-study
#40
JOURNAL ARTICLE
Philippe Gosse, Loïc Sentilhes, Romain Boulestreau, Julien Doublet, Julie Gaudissard, Michel Azizi, Antoine Cremer
INTRODUCTION: A major issue confronting clinicians treating hypertension in pregnancy is the limited number of pharmacological options. Endovascular catheter-based renal denervation (RDN) is a new method to lower blood pressure (BP) in patients with hypertension by reducing the activity of the renal sympathetic nervous system. Drugs that affect this system are safe in pregnant women. So there is reasonable evidence that RDN performed before pregnancy should not have deleterious effects for the fetus...
September 29, 2023: BMJ Open
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