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JOURNAL ARTICLE
Alejandro de la Sierra, Natalie Staplin, Luis M Ruilope, Manuel Gorostidi, Ernest Vinyoles, Julián Segura, Colin Baigent, Bryan Williams
OBJECTIVE: It has been suggested that a blunted nocturnal blood pressure (BP) decline is associated with a poor prognosis. Nevertheless, it remains unclear if an abnormal dipping is deleterious per se or it merely reflects an elevated BP during sleep. We aimed to assess the prognostic value of nocturnal BP decline, with or without concomitant elevated nocturnal BP. METHODS: Vital status and cause of death were obtained from death certificates in 59 124 patients, enrolled in the Spanish ABPM Registry between 2004 and 2014 (median follow-up: 10 years)...
March 6, 2024: Journal of Hypertension
#22
JOURNAL ARTICLE
Claire Gaillard-Groleas, Olivier Ormezzano, Frédéric Pollet-Villard, Catherine Vignal, Philippe Gohier, Gilles Thuret, Marie-Bénédicte Rougier, Jean-Louis Pepin, Christophe Chiquet
PURPOSE: The objective of this study was to analyze the nycthemeral variations in blood pressure (BP) in individuals who presented with non-arteritic anterior ischemic optic neuropathy (NAION). METHODS: BP was recorded for 24 h (ambulatory blood pressure monitoring, ABPM) in 65 patients with acute NAION. Three definitions of nighttime periods were used: definition 1, 1 a.m.-6 a.m.; definition 2, 10 p.m.-7 a.m.; and definition 3, 10 p.m.-8 a.m. For each of these definitions, patients were classified according to the value of nocturnal reduction in BP into dippers (10-20%), mild dippers (0-10%), reverse dippers (< 0%), and extreme dippers (> 20%)...
March 12, 2024: European Journal of Ophthalmology
#23
JOURNAL ARTICLE
Andrew Sherwood, Christi Ulmer, Jade Q Wu, James A Blumenthal, Emma Herold, Patrick J Smith, Gary G Koch, Kristy Johnson, Anthony Viera, Jack Edinger, Alan Hinderliter
Insomnia and poor sleep are associated with an increased risk of developing cardiovascular disease (CVD) and its precursors, including hypertension. In 2022, the American Heart Association (AHA) added inadequate sleep to its list of health behaviors that increase the risk for CVD. It remains unknown, however, whether the successful treatment of insomnia and inadequate sleep can reduce heightened CVD risk. SLEEPRIGHT is a single-site, prospective clinical trial designed to evaluate whether the successful treatment of insomnia results in improved markers of CVD risk in patients with untreated hypertension and comorbid insomnia disorder...
March 11, 2024: Journal of Clinical Hypertension
#24
JOURNAL ARTICLE
Andrea E Jakab, Edit Horváth, Dorottya Molnár, Mátyás Bukva, Csaba Bereczki
OBJECTIVE: Ambulatory blood pressure monitoring (ABPM) devices play a crucial role in diagnosing hypertension, not only in adults but also in pediatric patients. ABPM-06, the latest oscillometric device from Meditech Ltd. (Budapest, Hungary), is the focus of this study. The objective was to validate the ABPM-06 device using the International Organization for Standardization (ISO) 81060-2 : 2018 standard. METHODS: A total of 86 healthy patients, consisting of 34 males and 52 females, aged between 3 and 17 years, were enrolled in this study...
March 11, 2024: Blood Pressure Monitoring
#25
JOURNAL ARTICLE
Kubra Yilmaz, Seha Saygili, Nur Canpolat, Ozlem Akgun-Dogan, Zeynep Nagehan Yuruk Yildirim, Rumeysa Yasemin Cicek-Oksuz, Huseyin Adil Oner, Bagdagul Aksu, Nazli Gulsum Akyel, Ozge Oguzhan-Hamis, Hasan Dursun, Sevgi Yavuz, Neslihan Cicek, Nurver Akinci, Esra Karabag Yilmaz, Ayse Agbas, Ahmet Nevzat Nayir, Dildar Konukoglu, Sebuh Kurugoglu, Lale Sever, Salim Caliskan
INTRODUCTION: In the pediatric context, most children with autosomal dominant polycystic kidney disease (ADPKD) maintain a normal glomerular filtration rate (GFR) despite underlying structural kidney damage, highlighting the critical need for early intervention and predictive markers. Due to the inverse relationship between kidney volume and kidney function, risk assessments have been presented on the basis of kidney volume. The aim of this study was to use magnetic resonance imaging (MRI)-based kidney volume assessment for risk stratification in pediatric ADPKD and to investigate clinical and genetic differences among risk groups...
2024: Frontiers in Pediatrics
#26
JOURNAL ARTICLE
Anqi Zhu, Truls Ostbye, Aliya Naheed, H Asita de Silva, Imtiaz Jehan, Mihir Gandhi, Nantu Chakma, Anuradhani Kasturiratne, Zainab Samad, Tazeen Hasan Jafar
Hypertension is a leading risk factor for cardiovascular disease in South Asia. The authors aimed to assess the cross-country differences in 24-h ambulatory, daytime, and nighttime systolic blood pressure (SBP) among rural population with uncontrolled clinic hypertension in Bangladesh, Pakistan, and Sri Lanka. The authors studied patients with uncontrolled clinic hypertension (clinic BP ≥ 140/90 mmHg) who underwent ambulatory blood pressure monitoring (ABPM) during the baseline assessment as part of a community-based trial...
March 7, 2024: Journal of Clinical Hypertension
#27
JOURNAL ARTICLE
Alexander S Macdonald, Alex McConnachie, David Alexander Dickie, Philip M Bath, Kirsten Forbes, Terence Quinn, Niall M Broomfield, Krishna Dani, Alex Doney, Keith W Muir, Allan Struthers, Matthew Walters, Mark Barber, Ajay Bhalla, Alan Cameron, Paul Guyler, Ahamad Hassan, Mark Kearney, Breffni Keegan, Sekaran Lakshmanan, Mary Joan Macleod, Marc Randall, Louise Shaw, Ganesh Subramanian, David Werring, Jesse Dawson
Blood Pressure Variability (BPV) is associated with cardiovascular risk and serum uric acid level. We investigated whether BPV was lowered by allopurinol and whether it was related to neuroimaging markers of cerebral small vessel disease (CSVD) and cognition. We used data from a randomised, double-blind, placebo-controlled trial of two years allopurinol treatment after recent ischemic stroke or transient ischemic attack. Visit-to-visit BPV was assessed using brachial blood pressure (BP) recordings. Short-term BPV was assessed using ambulatory BP monitoring (ABPM) performed at 4 weeks and 2 years...
March 4, 2024: Journal of Human Hypertension
#28
JOURNAL ARTICLE
Hack-Lyoung Kim, So-Jeong Park, Yoon-Jong Bae, Sang Hyum Ihm, Jinho Shin, Kwang-Il Kim
BACKGROUND: Improving adherence to antihypertensive medication (AHM) is a key challenge in hypertension management. This study aimed to assess the impact of ambulatory blood pressure monitoring (ABPM) on AHM adherence. METHODS: We utilized the Korean National Health Insurance Service database. Among patients newly diagnosed with hypertension who started AHM between July 2010 and December 2013, we compared clinical characteristics and adherence between 28,116 patients who underwent ABPM prior to starting AHM and 118,594 patients who did not undergo ABPM...
March 1, 2024: Clinical Hypertension
#29
JOURNAL ARTICLE
Ritesh Agarwal, Inderpaul Singh Sehgal, Valliappan Muthu, David W Denning, Arunaloke Chakrabarti, Kathirvel Soundappan, Mandeep Garg, Shivaprakash M Rudramurthy, Sahajal Dhooria, Darius Armstrong-James, Koichiro Asano, Jean-Pierre Gangneux, Sanjay H Chotirmall, Helmut J F Salzer, James D Chalmers, Cendrine Godet, Marcus Joest, Iain Page, Parameswaran Nair, P Arjun, Raja Dhar, Kana Ram Jat, Geethu Joe, Uma Maheswari Krishnaswamy, Joseph L Mathew, Venkata Nagarjuna Maturu, Anant Mohan, Alok Nath, Dharmesh Patel, Jayanthi Savio, Puneet Saxena, Rajeev Soman, Balamugesh Thangakunam, Caroline G Baxter, Felix Bongomin, William J Calhoun, Oliver A Cornely, Jo A Douglass, Chris Kosmidis, Jacques F Meis, Richard Moss, Alessandro C Pasqualotto, Danila Seidel, Rosanne Sprute, Kuruswamy Thurai Prasad, Ashutosh N Aggarwal
BACKGROUND: The ISHAM working group proposed recommendations for managing allergic bronchopulmonary aspergillosis (ABPA) nearly a decade ago. There is a need to update these recommendations due to advances in diagnostics and therapeutics. METHODS: An international expert group was convened to develop guidelines for managing ABPA (caused by Aspergillus spp.) and allergic bronchopulmonary mycosis (ABPM, fungi other than Aspergillus spp.) in adults and children using a modified Delphi method (two online rounds and one in-person meeting)...
March 7, 2024: European Respiratory Journal
#30
JOURNAL ARTICLE
Monique Vércia Rocha Silva, Aluízio Barbosa Carvalho, Silvia Regina Manfredi, José Luiz Cassiolato, Maria Eugênia Fernandes Canziani
BACKGROUND: Hypertension is one of the most critical risk factors for cardiovascular disease, which is the leading cause of death in hemodialysis (HD) patients. Medium cut-off (MCO) membrane increases the clearance of medium molecules, which could improve blood pressure (BP) control. This study aimed to compare the effect of MCO and high-flux hemodialysis membranes on BP assessed by ambulatory blood pressure monitoring (ABPM). METHODS: This is a pre-established secondary analysis of a 28-week, randomized, open-label crossover clinical trial...
February 26, 2024: Artificial Organs
#31
Fabrizio Vallelonga, Matteo Valente, Marta Maria Tangari, Anna Covolo, Valeria Milazzo, Cristina Di Stefano, Gabriele Sobrero, Marta Giudici, Alberto Milan, Franco Veglio, Leonardo Lopiano, Simona Maule, Alberto Romagnolo
PURPOSE: Neurogenic orthostatic hypotension (nOH) is a frequent non-motor feature of Parkinson's disease (PD), associated with adverse outcomes. Recently, 24-hour ambulatory BP monitoring (ABPM) has been shown to diagnose nOH with good accuracy (in the presence of at least 2 episodes of systolic BP drop ≥ 15 mmHg compared to the average 24-h). This study aims at evaluating the prognostic role of ABPM-hypotensive episodes in predicting PD disability milestones and mortality and comparing it to well-defined prognostic role of nOH...
February 6, 2024: Research Square
#32
JOURNAL ARTICLE
Shigeaki Hattori, Tsuyoshi Oguma, Takashi Ishiguro, Junko Suzuki, Koichi Fukunaga, Terufumi Shimoda, Hirokazu Kimura, Yasushi Obase, Naoki Okada, Jun Tanaka, Asako Kitahara, Katsuyoshi Tomomatsu, Yoshiki Shiraishi, Koichiro Asano
BACKGROUND: High-attenuation mucus (HAM) is a specific manifestation of allergic bronchopulmonary mycosis (ABPM) on chest computed tomography (CT). OBJECTIVES: To compare the diagnostic accuracy of the two definitions of HAM and to clarify the clinical and radiographic characteristics of HAM-positive and HAM-negative ABPM. METHODS: CT images at the diagnosis of ABPM using Asano's criteria were retrospectively analysed. In Study #1, radiographic data obtained using the same CT apparatus in a single institute were analysed to determine the agreement between the two definitions of HAM: a mucus plug that is visually denser than the paraspinal muscles or that with a radiodensity ≥70 Hounsfield units...
February 2024: Mycoses
#33
JOURNAL ARTICLE
Lanlan Chen, Li Jiang, Chenxin Wang, Tingting Qiao, Cancan Ma, Yingzhu Chen, Chunfeng Liu, Xin Wang, Yao Xu
INTRODUCTION: The objective of this study was to determine the characteristics of cognitive function in Parkinson's disease (PD) patients with different dipping statuses. METHODS: Consecutive PD patients were recruited for this study. All participants underwent 24-h ambulatory blood pressure monitor (ABPM). Corresponding scales were employed to evaluate both motor and non-motor symptoms. The subjects were categorized into reverse, reduced, normal, and extreme dipping groups based on dipping patterns...
February 10, 2024: Parkinsonism & related Disorders
#34
Masamitsu Hamakawa, Takafumi Yamano, Machiko Arita, Takashi Niwa, Tadashi Ishida
The present case involved a 78-year-old woman with repeated recurrences of allergic bronchopulmonary mycosis (ABPM) who presented to our outpatient clinic with a chief complaint of dyspnoea with respiratory failure. Computed tomography (CT) of the chest showed atelectasis of the lower lobes due to mucus plugs. Blood and biochemical tests showed a high peripheral blood eosinophil count (1330/μL) and elevated immunoglobulin E (15,041 IU/mL; normal, < 361 IU/mL). Recurrent ABPM was diagnosed...
February 2024: Respirology Case Reports
#35
JOURNAL ARTICLE
Yuqi Liu, Zhonghua Lv, Shanshan Zhou, Zihao Fu, Yifei Wang, Li Yi, Xiaolong Li, Ying Wang, Shunying Hu, Zhirui Zhou, Yundai Chen
OBJECTIVES: The objective was to utilize a smartwatch sphygmomanometer to predict new-onset hypertension within a short-term follow-up among individuals with high-normal blood pressure (HNBP). METHODS: This study consisted of 3180 participants in the training set and 1000 participants in the validation set. Participants underwent both ambulatory blood pressure monitoring (ABPM) and home blood pressure monitoring (HBPM) using a smartwatch sphygmomanometer. Multivariable Cox regressions were used to analyze cumulative events...
December 31, 2024: Clinical and Experimental Hypertension: CHE
#36
JOURNAL ARTICLE
Plamen Bokov, Berengere Koehl, Chérine Benzouid, Suzanne Verlhac, Florence Missud, Malika Benkerrou, Christophe Delclaux
OBJECTIVES: An important prevalence (32-45%) of masked hypertension has been reported in children with sickle cell disease (SCD). Systemic arterial rigidity has been associated with stroke in SCD. Stroke screening is well-established using transcranial Doppler (TCD) ultrasound. The objectives of our proof-of-concept study in childhood SCD were to evaluate the prevalence of hypertension and its relationships with cerebral vasculopathy (TCD velocity) and to further evaluate in a subgroup of children the correlations of cardiovascular autonomic nervous system indices with TCD velocity...
February 7, 2024: American Journal of Hypertension
#37
JOURNAL ARTICLE
Harold E Bays, Daniel S Hsia, Lan T Nguyen, Craig A Peterson, Santosh T Varghese
BACKGROUND: A fixed-dose combination of phentermine and extended-release topiramate (PHEN/TPM - approved for weight management) has demonstrated in-clinic reduction of blood pressure (BP). Ambulatory BP monitoring (ABPM) may be a better predictor of cardiovascular disease risk than in-clinic BP. METHODS: This randomized, multicenter, double-blind study enrolled 565 adults with overweight/obesity. Inclusion criteria included participants willing to wear ABPM device for 24 h...
March 2024: Obes Pillars
#38
JOURNAL ARTICLE
Osamu Miyazaki, Akira Igarashi, Kento Sato, Sumito Inoue, Ryuto Yokoyama, Masaki Nakane, Sahoko Kodama, Ryo Hasegawa, Shigeharu Ueki, Takashi Yaguchi, Akira Watanabe, Masafumi Watanabe
INTRODUCTION: Allergic bronchopulmonary mycosis (ABPM) is a chronic airway disease characterized by the presence of fungi that trigger allergic reactions and airway obstruction. Here, we present a unique case of ABPM in which a patient experienced sudden respiratory failure due to mucus plug-induced airway obstruction. The patient's life was saved by venovenous extracorporeal membrane oxygenation (VV-ECMO) and bronchoscopic removal of the plug. This case emphasizes the clinical significance of mucus plug-induced airway obstruction in the differential diagnosis of respiratory failure in patients with ABPM...
January 31, 2024: Journal of Asthma
#39
JOURNAL ARTICLE
Marieta Theodorakopoulou, Areti Georgiou, Fotini Iatridi, Eleni Karkamani, Anastasia Stamatiou, Nikolaos Devrikis, Artemios Karagiannidis, Amalia Baroutidou, Pantelis Sarafidis
Hypertension is highly prevalent in hemodialysis patients. Ambulatory-BP-monitoring(ABPM) during the 44 h interdialytic interval is recommended for hypertension diagnosis and management in these subjects. This study assessed the diagnostic accuracy of fixed 24 h ABPM recordings with 44 h BP in hemodialysis patients. 242 Greek hemodialysis patients that underwent valid 48 h ABPM(Mobil-O-Graph NG device) were included in the analysis. We used 44 h BP as reference method and tested the accuracy of the following BP metrics: 1st 24 h without HD period (20 h-1st), 1st 24 h including HD period (24 h-1st) and 2nd 24 h(24 h-2nd)...
January 30, 2024: Hypertension Research: Official Journal of the Japanese Society of Hypertension
#40
JOURNAL ARTICLE
Jason Kurland, Marie Carillo, Francisco J Cordero, Robin Kremsdorf, M Khurram Faizan
This retrospective study aimed to assess the value of 24-hour ambulatory blood pressure monitoring (ABPM) in distinguishing primary from secondary hypertension in pediatric patients. Our study was conducted on 293 patients referred to a pediatric nephrology clinic over 11 years. Various ABPM parameters were analyzed, including daytime and nighttime systolic and diastolic blood pressures, heart rate, and blood pressure load. Among the participants, 74% were normotensive (white-coat hypertension), 21.5% had primary hypertension, and 4...
February 1, 2024: Rhode Island Medical Journal
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