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Hiram Singh, Sawlani K, Atam V, Usmani K, Chaudhary Sc
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
Moo-Yong Rhee, Sun-Woong Kim, Eun-Hee Choi, Ji-Hyun Kim, Deuk-Young Nah, Sung-Joon Shin, Namyi Gu
BACKGROUND AND OBJECTIVES: We estimated the prevalence of hypertension and hypertension subtypes in a large semi-urban city in Korea, using 24-hour ambulatory blood pressure monitoring (ABPM) in a randomly selected sample population. SUBJECTS AND METHODS: A random sample (aged 20-65 years) from a city with an adult population of approximately 600000 was selected by using a list-assisted random digit dialing method. The 24-hour ABPM and conventional blood pressure measurement (CBPM) of these individuals were obtained...
September 2016: Korean Circulation Journal
E Vichayanrat, D A Low, V Iodice, E Stuebner, E M Hagen, C J Mathias
BACKGROUND AND PURPOSE: Twenty-four-hour ambulatory blood pressure and heart rate monitoring (24-h ABPM) can provide vital information on circadian blood pressure (BP) profiles, which are commonly abnormal in Parkinson's disease with and without autonomic failure (PD + AF and PD) and multiple system atrophy (MSA). Twenty-four-hour ABPM has not been directly compared between these disorders regarding cardiovascular autonomic function. Our aim was to determine the usefulness of 24-h ABPM with diary compared to head-up tilting (HUT) in diagnosing orthostatic hypotension (OH) in these patients...
October 7, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
Nabil Naser, Alen Dzubur, Azra Durak, Mehmed Kulic, Nura Naser
INTRODUCTION: The term masked hypertension (MH) should be used for untreated individuals who have normal office blood pressure but elevated ambulatory blood pressure. For treated patients, this condition should be termed masked uncontrolled hypertension (MUCH). RESEARCH OBJECTIVES: Masked uncontrolled hypertension (MUCH) has gone unrecognized because few studies have used 24-h ABPM to determine the prevalence of suboptimal BP control in seemingly well-treated patients, and there are few such studies in large cohorts of treated patients attending usual clinical practice...
July 27, 2016: Medical Archives
L M Ruilope, C Nowack, G L Bakris
No abstract text is available yet for this article.
July 2016: Journal of the American Society of Hypertension: JASH
Kazuomi Kario, Satoshi Hoshide
OBJECTIVE: It has been long believed that there is a close association between hypertension and atrial fibrillation (AF). However, there have been few studies on the impact of antihypertensive medication in hypertensives with AF. To investigate whether the timing of the antihypertensive drug administration influences blood pressure (BP) level and biomarkers to hypertensives with AF. DESIGN AND METHOD: The present study was a multicentered, prospective, randomized, open-labelled clinical trial to investigate the difference in the effect of telmisartan/amlodipine combination tablets on BP levels and BP variability using ambulatory BP monitoring (ABPM) and home BP between the morning administration and the bedtime administration in hypertensives with paroxysmal AF...
September 2016: Journal of Hypertension
Chang-Yun Yoon, Youn Kyung Kee, Young Eun Kwon, Jung Tak Park, Seung Hyeok Han, Shin-Wook Kang, Hyeon Chang Kim, Sungha Park, Tae-Hyun Yoo
OBJECTIVE: Regarding that lack of evidences about the role of SES predicting cardiovascular risks, we investigated the association between SES and parameters in ABPM in prospective cohort registry. DESIGN AND METHOD: The data was retrieved from the Cardiovascular and Metabolic Disease Etiology Research Center - High Risk Cohort (CMERC-HI, NCT02003781). Total 1,333 patients implementing ABPM were initially screened, then 9 patients with incomplete data and 178 patients with end-stage renal disease were excluded...
September 2016: Journal of Hypertension
Michael Bursztyn, Iddo Z Ben-Dov
OBJECTIVE: To examine relationships of extreme dipping with all-cause mortality. DESIGN AND METHOD: We analyzed our database of 4842 subjects referred for ambulatory blood pressure (BP) monitoring (ABPM); 2851 treated and 1991 untreated subjects. The normal dip was defined for as 10% reduction in systolic BP (SBP) during sleep compared with the awake period. Non-dipping was defined as a decrease < 10% but ≥ 10%. Dipping beyond 20% was considered extreme...
September 2016: Journal of Hypertension
Yonit Marcus, Arnon Haran, Gabi Shefer, Naftali Stern
OBJECTIVE: We have previously noted morning/late-morning hypotension (M/LM) in some hypertensive subjects. Here we intended to establish its prevalence in relation to daytime blood pressure (BP) in general. DESIGN AND METHOD: Daytime hypotension was defined as systolic BP<110mmHg or ≥25% lower than the mean 3 first awake recordings provided that it was also < 85% of the mean 24 h systolic-BP. We evaluated 781 ABPM (Spacelabs 90207/902017A) recordings from 179 subjects with normal BP and 602 hypertensive subjects...
September 2016: Journal of Hypertension
Neil Poulter, Aisha Anjum, Mary Cross, Emanuela Falaschetti, Christos Savopoulos, Ilias Kanellos, Matyas Szigeti, Simon Thom, Apostolos Hatzitolios
OBJECTIVE: Some data suggest that nocturnal rather than daytime dosing of antihypertensive agents may have beneficial effects on consequent cardiovascular outcomes. This trial was designed to evaluate whether ABPM levels differ by timing of drug dosing, as a possible explanation for these observations. DESIGN AND METHOD: 103 male or female patients aged 18-80 years with "controlled" hypertension (≤150/≤90 mmHg) for at least three months on stable therapy of ≥1 antihypertensive agent were recruited from two centres; London and Thessaloniki...
September 2016: Journal of Hypertension
Mari Mori, Miki Sagara, Fnshi Xu, Young Hyo Lim, Bo Youl Choi, Bee Keun Kim, Yong Gu Lee, Mi Kyung Kim, Yukio Yamori, Jinho Shin
OBJECTIVE: HASH(0x376dca8) OBJECTIVE: It is now established that "dippers" whose blood pressure (BP) falls at night have lower cardiovascular risks than nondippers without nocturnal BP fall. Our previous study on the middle-aged general population in Korea indicated increased 24-hour urinary (24U) sodium excretion was associated with increased nighttime BPs. Therefore, we further analyzed the association of salt intakes estimated by 24U analysis with dipping in nocturnal BP and heart rate...
September 2016: Journal of Hypertension
Ami Kwon, Woo-Baek Chung, Tae-Hoon Kim, Suk Min Suh, Eun Ho Chu, Sung-Won Jang, GeeHee Kim, Sang Hyun Ihm
OBJECTIVE: There are many reports about white coat hypertension (WCH), still the clinical significance and pathophysiology of WCH is ambiguous. The aim of this study was to find out the difference of RAAS activity in WCH compared with the essential hypertension (EH) group, which could suggest the role of RAAS activity in the development of WCH. DESIGN AND METHOD: Never treated hypertension patients who visited 8 hospitals of The Catholic University of Korea from January 2011 through July 2012 were enrolled...
September 2016: Journal of Hypertension
Jolanta Malyszko, Dominika Musialowska, Edyta Zbroch, Ewa Koc-Zorawska, Jacek Malyszko
OBJECTIVE: Endocan, human endothelial cell-specific molecule, which is expressed by the vascular endothelium may play role in endothelium-dependent inflammatory process leading to the development of hypertension.The aim of the study was to estimate endocan concentration in 121 patients with primary hypertension and proper renal function as also in healthy individuals from the control group and to estimate endocan levels in subgroups with proper blood pressure control and without. DESIGN AND METHOD: The endocan concentration was estimated in 121 hypertensive patients (median age 56 min-19, max-85)...
September 2016: Journal of Hypertension
Kyoung Im Cho, Eun A Cho, Jung Ho Heo, Hyun Su Kim, Sung Il Im, Tae Joon Cha
OBJECTIVE: Increased sympathetic activity is one of the proposed mechanisms underlying exaggerated blood pressure (BP) response to exercise (EBPR). Heart rate recovery (HRR) is a simple non-invasive measurement analyzing autonomic nervous dysfunction, and has been shown to predict cardiovascular disease mortality. We aimed to the association between HRR and EBPR in patients with hypertension according to the circadian pattern and white coat hypertension. DESIGN AND METHOD: A total of 409 consecutive patients who simultaneously underwent Treadmill test and 24-hours ambulatory BP monitoring (ABPM) were included to this cross-sectional case-control study...
September 2016: Journal of Hypertension
Federico Giulietti, Francesco Spannella, Elisabetta Borioni, Francesca Elena Lombardi, Laura Landi, Emma Espinosa, Riccardo Sarzani
OBJECTIVE: ACE inhibitors and angiotensin receptor blockers (ARB) modulate the renin-angiotensin system (RAS) leading to an increase in plasma renin activity (PRA) together with a reduction of plasma aldosterone concentration (PAC), likely proportional to the pharmacological effect. AIM: to evaluate the efficacy of therapy based on ACEI or ARB, using PRA/PAC ratio values in real-life clinical-practice. DESIGN AND METHOD: We studied 184 essential hypertensives (59...
September 2016: Journal of Hypertension
Midori Awazu
ABP is more reliable and reproducible than casual BP, enables computation of the mean, daytime, night-time ABP, and 24-h pulse pressure, detects white coat effect or reversed white coat effect, and provides information regarding diurnal BP pattern as well as BP variability. ABP correlates better with target-organ damage than casual BP. ABPM is now widely used also in children. Increasing age and higher mean BP are factors that improve the success rate of ABPM. There is a guideline from American Heart Association to standardize the use of ABPM in children, including the detailed recommendations for the use of ABPM and for the interpretation of the data...
September 2016: Journal of Hypertension
Jun Oh
Hypertension is a major risk factor for stroke, coronary artery disease and kidney damage in adults and children. There is a paucity of data on the long-term sequelae of persistent hypertension in children, but it is already known that children with hypertension have evidence of end organ damage and are at risk of hypertension into adulthood. The prevalence of hypertension in children is rising, most likely due to a concurrent rise in obesity rates. In children with hypertension, non-pharmacological measures are often recommended as first-line therapy, but a significant proportion of children will eventually require pharmacological treatment to reduce blood pressure, especially those with evidence of end organ damage at presentation or during follow-up...
September 2016: Journal of Hypertension
Suzanne Oparil
Heart disease, stroke, and kidney failure are leading causes of death worldwide, and hypertension is a significant risk factor for each. Hypertension is less common in women, compared to men, in those younger than 45 years of age. This trend is reversed in those 65 years and older. In the US between 2011-2014, the prevalence of hypertension in women and men by age group was 6% vs 8% (18-39 years), 30% vs 35% (40-59 years), and 67% vs 63% (60 years and over). Awareness, treatment, and control rates differ between genders with women being more aware of their diagnosis (85% vs 80%), more likely to take their medications (81% vs 71%) and more frequently having controlled hypertension (55% vs 49%)...
September 2016: Journal of Hypertension
Yan Li
Blood pressure in the morning or at night are both significant cardiovascular risk predictors. Morning blood pressure either recorded with 24-h ambulatory blood pressure monitoring (ABPM) or self-measured at home predicted stroke and cardiovascular mortality in Asian populations. In 757 Chinese hypertensive patients, only morning blood pressure was independently associated with asymptomatic intracranial arterial stenosis. While in the IDACO (International Database on Ambulatory blood pressure in relation to Cardiovascular Outcome) study, nocturnal blood pressure was superior to daytime blood pressure in predicting mortality risk, but as similarly predictive as daytime for combined fatal and nonfatal cardiovascular events...
September 2016: Journal of Hypertension
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
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