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Hypertension older adult

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https://www.readbyqxmd.com/read/28642065/severe-and-resistant-hypertension-in-an-older-woman-with-claudication
#1
Puneet Gupta, Robert Hagberg, Electra Kaloudis, Anika Lucas, Parth Shah, William B White
Coarctation of the aorta is an uncommon cause of treatment-resistant hypertension in adults. It is typically detected and treated in infancy or childhood with surgical or endovascular procedures. Most cases of recurrence of coarctation after repair occur in childhood or early adulthood; recurrence in older persons (>70 years) has rarely been reported. A 73-year-old woman was referred to us for the management of treatment-resistant hypertension accompanied by symptoms of claudication and headaches, which had resulted in multiple emergency room visits...
June 1, 2017: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/28640681/crowdsourced-health-data-comparability-to-a-us-national-survey-2013-2015
#2
Veronica Yank, Sanjhavi Agarwal, Pooja Loftus, Steven Asch, David Rehkopf
OBJECTIVES: To determine the generalizability of crowdsourced, electronic health data from self-selected individuals using a national survey as a reference. METHODS: Using the world's largest crowdsourcing platform in 2015, we collected data on characteristics known to influence cardiovascular disease risk and identified comparable data from the 2013 Behavioral Risk Factor Surveillance System. We used age-stratified logistic regression models to identify differences among groups...
June 22, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28637427/aging-and-obesity-are-associated-with-undiagnosed-hypertension-in-a-cohort-of-males-in-the-central-province-of-sri-lanka-a-cross-sectional-descriptive-study
#3
N W I A Jayawardana, W A T A Jayalath, W M T Madhujith, U Ralapanawa, R S Jayasekera, S A S B Alagiyawanna, A M K R Bandara, N S Kalupahana
BACKGROUND: Lifestyle factors associated with hypertension (HT) in South Asian populations are relatively unknown. The objective of the current study was to investigate the prevalence rates of undiagnosed HT and factors associated with it in a cohort of males from the Central Province of Sri Lanka. METHODS: The study group consisted of 2462 males (mean age 31 years, range: 16-72 years) who underwent a routine medical examination at the National Transport Medical Institute, Kandy, Sri Lanka...
June 21, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28633432/factors-associated-with-home-blood-pressure-monitoring-among-us-adults-national-health-and-nutrition-examination-survey-2011-2014
#4
Yechiam Ostchega, Guangyu Zhang, Brian K Kit, Tatiana Nwankwo
BACKGROUND: Home blood pressure monitoring (HBPM) has a substantial role in hypertension management and control. METHODS: Cross-sectional data for noninstitutionalized US adults 18 years and older (10,958) from the National Health and Nutrition Examination Survey (NHANES), years 2011-2014, were used to examine factors related to HBPM. RESULTS: In 2011-2014, estimated 9.5% of US adults engaged in weekly HBPM, 7.2% engaged in monthly HBPM, 8...
June 19, 2017: American Journal of Hypertension
https://www.readbyqxmd.com/read/28619986/contribution-of-established-stroke-risk-factors-to-the-burden-of-stroke-in-young-adults
#5
Annette Aigner, Ulrike Grittner, Arndt Rolfs, Bo Norrving, Bob Siegerink, Markus A Busch
BACKGROUND AND PURPOSE: As stroke in young adults is assumed to have different etiologies and risk factors than in older populations, the aim of this study was to examine the contribution of established potentially modifiable cardiovascular risk factors to the burden of stroke in young adults. METHODS: A German nationwide case-control study based on patients enrolled in the SIFAP1 study (Stroke In Young Fabry Patients) 2007 to 2010 and controls from the population-based GEDA study (German Health Update) 2009 to 2010 was performed...
June 15, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28619008/trends-in-mortality-rates-by-subtypes-of-heart-disease-in-mississippi-1980-2013
#6
Vincent L Mendy, Rodolfo Vargas, Marinelle Payton
BACKGROUND: Heart disease (HD) is the leading cause of death among Mississippians. However, trends in mortality rates for HD subtypes in Mississippi have not been adequately described. This study examined trends in mortality rates for HD subtypes among adults in Mississippi from 1980 through 2013. METHODS: We used Mississippi Vital Statistics data to calculate age-specific mortality rates for HD subtypes for Mississippians age 35 and older. Cases were identified via underlying cause of death codes from the International Classification of Diseases, Ninth Revision (ICD-9) and Tenth Revision (ICD-10)...
June 15, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28612909/implantation-of-stents-for-postsurgical-recoarctation-of-the-aorta-in-adolescents-and-adults
#7
Sylwia Sulik-Gajda, Roland Fiszer, Jacek Białkowski, Beata Chodór, Szymon Pawlak, Małgorzata Szkutnik
BACKGROUND: Results of stent implantation (SI) of postsurgical recoarctation of the aorta (ReCoA) are not frequently published. AIM: This study sought to retrospectively evaluate results of SI in ReCoA in older children and adults. METHODS: Twenty-eight SI were performed on 26 ReCoA patients with a median age of 23(10-65) years. Dependent upon availability, the following stents were applied -Palmaz, Cheatham Platinum (CP), Andrastents XL/XXL(AS), Covered CP (CVCP) stents and selfexpanding stents (Smart)...
June 14, 2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28610576/socioeconomic-disparities-in-prevalence-awareness-treatment-and-control-of-hypertension-over-the-life-course-in-china
#8
Fan Yang, Dongfu Qian, Xueyi Liu
BACKGROUND: The socioeconomically disadvantaged populations are more likely to suffer from hypertension, and few have effectively treated and controlled their hypertension. Research on socioeconomic disparities in prevalence, awareness, treatment, and control of hypertension is warranted to inform the development of new strategies for reducing such health inequities. METHODS: The China Health and Nutrition Survey (CHNS) followed up 20,174 individuals over a 20-year period...
June 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28606731/cognitive-function-and-kidney-disease-baseline-data-from-the%C3%A2-systolic-blood-pressure-intervention-trial-sprint
#9
Daniel E Weiner, Sarah A Gaussoin, John Nord, Alexander P Auchus, Gordon J Chelune, Michel Chonchol, Laura Coker, William E Haley, Anthony A Killeen, Paul L Kimmel, Alan J Lerner, Suzanne Oparil, Mohammad G Saklayen, Yelena M Slinin, Clinton B Wright, Jeff D Williamson, Manjula Kurella Tamura
BACKGROUND: Chronic kidney disease is common and is associated with cardiovascular disease, cerebrovascular disease, and cognitive function, although the nature of this relationship remains uncertain. STUDY DESIGN: Cross-sectional cohort using baseline data from the Systolic Blood Pressure Intervention Trial (SPRINT). SETTING & PARTICIPANTS: Participants in SPRINT, a randomized clinical trial of blood pressure targets in older community-dwelling adults with cardiovascular disease, chronic kidney disease, or high cardiovascular disease risk and without diabetes or known stroke, who underwent detailed neurocognitive testing in the cognition substudy, SPRINT-Memory and Cognition in Decreased Hypertension (SPRINT-MIND)...
June 9, 2017: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/28602366/treatment-of-heart-failure-with-abnormal-left-ventricular-systolic-function-in-older-adults
#10
REVIEW
Wilbert S Aronow
Heart failure (HF) with abnormal left ventricular (LV) ejection fraction should be identified and treated. Treat hypertension with diuretics, angiotensin-converting enzyme (ACE) inhibitors, and β-blockers. Treat myocardial ischemia with nitrates and β-blockers. Treat volume overload and HF with diuretics. Treat HF with ACE inhibitors and β-blockers. Sacubitril/valsartan may be used instead of an ACE inhibitor or ARB in chronic symptomatic HF and abnormal LV ejection fraction. Add isosorbide dinitrate/hydralazine in African Americans with class II to IV HF treated with diuretics, ACE inhibitors, and β-blockers...
July 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/28599584/aging-in-puerto-rico-a-comparison-of-health-status-among-island-puerto-rican-and-mainland-u-s-older-adults
#11
Catherine Pérez, Jennifer A Ailshire
OBJECTIVE: To characterize the health status of older island Puerto Ricans, a segment of the U.S. population that has been largely overlooked in aging research. METHOD: Data from the 2002 Puerto Rican Elderly Health Conditions Project and the 2002 Health and Retirement Study are used to examine differences in disease, disability, and self-rated health among island Puerto Ricans and the mainland U.S.-born older adult population. Differences are further examined by gender...
June 1, 2017: Journal of Aging and Health
https://www.readbyqxmd.com/read/28598724/prevalence-awareness-and-factors-associated-with-hypertension-in-north-west-tanzania
#12
Neema R Mosha, Michael Mahande, Adinan Juma, Innocent Mboya, Rob Peck, Mark Urassa, Denna Michael, Jim Todd
BACKGROUND: Hypertension is a public health problem, and yet few people are aware of it and even fewer access effective treatment. With the ongoing demographic transition in many parts of Sub-Saharan Africa, people are changing from rural, manual work to urban lifestyles, hence the risk of hypertension increases. OBJECTIVE: This study aimed at determining the prevalence, awareness and risk factors associated with hypertension in North West Tanzania. DESIGN: A community-based cross-sectional study was conducted among adults in Magu District in 2013...
2017: Global Health Action
https://www.readbyqxmd.com/read/28594709/effect-of-oxidative-stress-on-racial-differences-in-vascular-function-at-rest-and-during-hand-grip-exercise
#13
Rebecca M Kappus, Kanokwan Bunsawat, Michael D Brown, Shane A Phillips, Jacob M Haus, Tracy Baynard, Bo Fernhall
OBJECTIVES: African-Americans have a higher prevalence of hypertension compared with whites, possibly due to elevated oxidative stress and subsequent vascular dysfunction. It is unclear the contribution of aging on oxidative stress and vascular function in a racially diverse cohort. METHODS: Ninety-three young and older African-American and white participants received antioxidant (AOX) or placebo supplementation in a double-blind, randomized, cross-over design. Measures of endothelial function (reactive hyperemia, flow-mediated dilation), exercise blood flow, and biomarkers of oxidative stress and AOX activity were measured following supplementation...
June 7, 2017: Journal of Hypertension
https://www.readbyqxmd.com/read/28591350/factors-associated-with-chronic-back-pain-in-adults-in-brazil
#14
Deborah Carvalho Malta, Max Moura de Oliveira, Silvânia Suely Caribé de Araújo Andrade, Waleska Teixeira Caiaffa, Maria de Fatima Marinho de Souza, Regina Tomie Ivata Bernal
OBJECTIVE: To identify associations of chronic back pain with sociodemographic characteristics, lifestyles, body mass index, self-reported chronic diseases and health assessment, according to sex. METHODS: We analyzed data from the 2013 National Health Survey, estimated the prevalence and their respective 95% confidence intervals (95%CI) of chronic back pain, according to selected variables and performed adjustment by age and education. RESULTS: 18...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28591347/factors-associated-with-self-reported-diabetes-according-to-the-2013-national-health-survey
#15
Deborah Carvalho Malta, Regina Tomie Ivata Bernal, Betine Pinto Moehlecke Iser, Célia Landmann Szwarcwald, Bruce Bartholow Duncan, Maria Inês Schmidt
OBJECTIVES: To analyze the factors associated with self-reported diabetes among adult participants of the National Health Survey (PNS). METHODS: Cross-sectional study using data of the PNS carried out in 2013, from interviews with adults (≥ 18 years) of 64,348 Brazilian households. The prevalence of self-reported diabetes, assessed by the question "Has a doctor ever told you that you have diabetes?," was related to sociodemographic characteristics, lifestyle, self-reported chronic disease, and self-evaluation of the health condition...
June 1, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28588111/dietary-determinants-of-serum-total-cholesterol-among-middle-aged-and-older-adults-a-population-based-cross-sectional-study-in-dar-es-salaam-tanzania
#16
Sujay S Kakarmath, Rachel M Zack, Germana H Leyna, Saman Fahimi, Enju Liu, Wafaie W Fawzi, Zohra Lukmanji, Japhet Killewo, Frank Sacks, Goodarz Danaei
OBJECTIVE: To assess the dietary determinants of serum total cholesterol. DESIGN: Cross-sectional population-based study. SETTING: Peri-urban region of Dar es Salaam, Tanzania. PARTICIPANTS: 347 adults aged 40 years and older from the Dar es Salaam Urban Cohort Hypertension Study. MAIN OUTCOME MEASURE: Serum total cholesterol measured using a point-of-care device. RESULTS: Mean serum total cholesterol level was 204 mg/dL (IQR 169-236 mg/dL) in women and 185 mg/dL (IQR 152-216 mg/dL) in men...
June 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/28585193/the-definition-and-prevalence-of-obesity-and-metabolic-syndrome
#17
Atilla Engin
Increase in prevalence of obesity has become a worldwide major health problem in adults, as well as among children and adolescents. Furthermore, total adiposity and truncal subcutaneous fat accumulation during adolescence are positively and independently associated with atherosclerosis at adult ages. Centrally accumulation of body fat is associated with insulin resistance, whereas distribution of body fat in a peripheral pattern is metabolically less important. Obesity is associated with a large decrease in life expectancy...
2017: Advances in Experimental Medicine and Biology
https://www.readbyqxmd.com/read/28578899/2015-evidence-analysis-library-evidence-based-nutrition-practice-guideline-for-the-management-of-hypertension-in-adults
#18
Shannon L Lennon, Diane M DellaValle, Susan G Rodder, Melissa Prest, Rachel C Sinley, M Katherine Hoy, Constantina Papoutsakis
Hypertension (HTN) or high blood pressure (BP) is among the most prevalent forms of cardiovascular disease and occurs in approximately one of every three adults in the United States. The purpose of this Evidence Analysis Library (EAL) guideline is to provide an evidence-based summary of nutrition therapy for the management of HTN in adults aged 18 years or older. Implementation of this guideline aims to promote evidence-based practice decisions by registered dietitian nutritionists (RDNs), and other collaborating health professionals to decrease or manage HTN in adults while enhancing patient quality of life and taking into account individual preferences...
June 1, 2017: Journal of the Academy of Nutrition and Dietetics
https://www.readbyqxmd.com/read/28577866/multimorbidity-patterns-in-older-adults-an-approach-to-the-complex-interrelationships-among-chronic-diseases
#19
Dolores Mino-León, Hortensia Reyes-Morales, Svetlana V Doubova, Ricardo Pérez-Cuevas, Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero
BACKGROUND AND AIMS: There is a growing need for evidence based answers to multimorbidity, especially in primary care settings. The aim was estimate the prevalence and patterns of multimorbidity in a Mexican population of public health institution users ≥60 years old. METHODS: Observational and multicenter study was carried out in four family medicine units in Mexico City; included older men and women who attended at least one consultation with their family doctor during 2013...
January 2017: Archives of Medical Research
https://www.readbyqxmd.com/read/28566547/rapid-transitions-in-the-epidemiology-of-stroke-and-its-risk-factors-in-china-from-2002-to-2013
#20
Tianjia Guan, Jing Ma, Mei Li, Tao Xue, Zongmin Lan, Jian Guo, Ying Shen, Baohua Chao, Geyuan Tian, Qiang Zhang, Longde Wang, Yuanli Liu
OBJECTIVE: To estimate the current prevalence, temporal incidence trends, and contribution of risk factors for stroke in China. METHODS: The China National Stroke Screening Survey (CNSSS) is an ongoing nationwide population-based program. A representative sample of 1,292,010 adults over 40 years old with 31,188 identified stroke cases from the 2013 and 2014 CNSSS database was analyzed to provide descriptive statistics of the prevalence and risk factors for stroke in 2014...
May 31, 2017: Neurology
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