Current Hypertension Reports最新文献_第2页

Hypertension and Cardiovascular Risk Among Children with Chronic Kidney Disease. 慢性肾病儿童的高血压和心血管风险。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-10-01 Epub Date: 2024-05-28 DOI: 10.1007/s11906-024-01308-1

Nicholas G Larkins, Jonathan C Craig

{"title":"Hypertension and Cardiovascular Risk Among Children with Chronic Kidney Disease.","authors":"Nicholas G Larkins, Jonathan C Craig","doi":"10.1007/s11906-024-01308-1","DOIUrl":"10.1007/s11906-024-01308-1","url":null,"abstract":"Purpose of review: Cardiovascular disease is the most common cause of mortality across the lifespan of children with chronic kidney disease (CKD). Hypertension is a common and important contributor, but other factors such as obesity, dyslipidemia and mineral bone disease play a role. This narrative review focusses on studies published in the past five years that have investigated hypertension and cardiovascular risk among children with CKD.Recent findings: Cohort studies such as Chronic Kidney Disease in Children (CKiD) and Cardiovascular Comorbidity in Children with CKD (4C) have continued to develop our understanding of blood pressure (BP) phenotypes, and of progressive changes in the structure and function of the heart and blood vessels occurring in children with CKD. Metabolic risk factors, such as dyslipidemia, may represent an under-recognized component of care. Trial data are less common than observational evidence, but support lifestyle interventions currently used, mainly the low sodium dietary approaches to stop hypertension (DASH) diet. The findings of the recently reported Hypertension Optimal Treatment in Children with Chronic Kidney Disease trial (HOT-KID) are described in relation to the use of office BP treatment targets. Cardiovascular health is critical to the long-term outcomes of children with CKD. Recognizing and treating hypertension remains a critical component to improving outcomes, along with measures to improve concurrent cardiovascular risk factors. Some cardiovascular changes may not be reversible with transplantation and further research is needed for children at all stages of CKD.","PeriodicalId":10963,"journal":{"name":"Current Hypertension Reports","volume":" ","pages":"389-398"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diet to Stop Hypertension: Should Fats be Included? 预防高血压的饮食：脂肪是否应包括在内？

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-10-01 Epub Date: 2024-05-07 DOI: 10.1007/s11906-024-01310-7

Paul J Nestel, Trevor A Mori

{"title":"Diet to Stop Hypertension: Should Fats be Included?","authors":"Paul J Nestel, Trevor A Mori","doi":"10.1007/s11906-024-01310-7","DOIUrl":"10.1007/s11906-024-01310-7","url":null,"abstract":"Purpose of review: International guidelines emphasize advice to incorporate dietary measures for the prevention and in the management of hypertension. Current data show that modest reductions in weight can have an impact on blood pressure. Reducing salt and marine oils have also shown consistent benefit in reducing blood pressure. Whether other dietary constituents, in particular the amount and type of fat that play important roles in cardiovascular prevention, influence blood pressure sufficiently to be included in the management of hypertension is less certain. In this review, we provide a summary of the most recent findings, with a focus on dietary patterns, fats and other nutrients and their impact on blood pressure and hypertension.Recent findings: Since reducing salt consumption is an established recommendation only corollary dietary advice is subject to the current review. Population studies that have included reliable evaluation of fat intake have indicated almost consistently blood pressure lowering with consumption of marine oils and fats. Results with vegetable oils are inconclusive. However dietary patterns that included total fat reduction and changes in the nature of vegetable fats/oils have suggested beneficial effects on blood pressure. Plant-based foods, dairy foods and yoghurt particularly, may also lower blood pressure irrespective of fat content. Total fat consumption is not directly associated with blood pressure except when it is part of a weight loss diet. Consumption of marine oils has mostly shown moderate blood pressure lowering and possibly greatest effect with docosahexaenoic acid-rich oil.","PeriodicalId":10963,"journal":{"name":"Current Hypertension Reports","volume":" ","pages":"409-417"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11416392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

White Coat Hypertension & Cardiovascular Outcomes. 白大褂高血压与心血管结果》。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-10-01 Epub Date: 2024-05-18 DOI: 10.1007/s11906-024-01309-0

Raymond R Townsend, Jordana B Cohen

引用次数: 0

Insights into Uromodulin and Blood Pressure 对尿嘧啶和血压的深入了解

IF 5.6 2区医学

Current Hypertension Reports Pub Date : 2024-09-11 DOI: 10.1007/s11906-024-01317-0

Manshi Zhou, Sheon Mary, Christian Delles, Sandosh Padmanabhan, Delyth Graham, Martin W. McBride, Anna F. Dominiczak

引用次数: 0

Posterior Reversible Encephalopathy Syndrome in Children and Adolescents. 儿童和青少年后可逆性脑病综合征。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-08-01 Epub Date: 2024-05-10 DOI: 10.1007/s11906-024-01303-6

Susan M Halbach, Deborah Stein

引用次数: 0

Management of Pulmonary Hypertension in the Context of Heart Failure with Preserved Ejection Fraction. 保留射血分数心力衰竭时的肺动脉高压管理。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-07-01 Epub Date: 2024-04-01 DOI: 10.1007/s11906-024-01296-2

Elie Kozaily, Ecem Raziye Akdogan, Natalie Stringer Dorsey, Ryan J Tedford

{"title":"Management of Pulmonary Hypertension in the Context of Heart Failure with Preserved Ejection Fraction.","authors":"Elie Kozaily, Ecem Raziye Akdogan, Natalie Stringer Dorsey, Ryan J Tedford","doi":"10.1007/s11906-024-01296-2","DOIUrl":"10.1007/s11906-024-01296-2","url":null,"abstract":"Purpose of review: To review the current evidence and modalities for treating pulmonary hypertension (PH) in heart failure with preserved ejection fraction (HFpEF).Recent findings: In recent years, several therapies have been developed that improve morbidity in HFpEF, though these studies have not specifically studied patients with PF-HFpEF. Multiple trials of therapies specifically targeting the pulmonary vasculature such as phosphodiesterase (PDE) inhibitors, prostacyclin analogs, endothelin receptor antagonists (ERA), and soluble guanylate cyclase stimulators have also been conducted. However, these therapies demonstrated lack of consistency in improving hemodynamics or functional outcomes in PH-HFpEF. There is limited evidence to support the use of pulmonary vasculature-targeting therapies in PH-HFpEF. The mainstay of therapy remains the treatment of the underlying HFpEF condition. There is emerging evidence that newer HF therapies such as sodium-glucose transporter 2 inhibitors and angiotensin-receptor-neprilysin inhibitors are associated with improved hemodynamics and quality of life of patients with PH-HFpEF. There is also a growing realization that more robust phenotyping PH and right ventricular (RV) function may hold promise for therapeutic strategies for patients with PH-HFpEF.","PeriodicalId":10963,"journal":{"name":"Current Hypertension Reports","volume":" ","pages":"291-306"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Preeclampsia and Blood Pressure in Offspring: A Systematic Review and Meta-Analysis. 子痫前期与后代血压之间的关系：系统回顾与元分析》。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-07-01 Epub Date: 2024-05-23 DOI: 10.1007/s11906-024-01306-3

Min Xu, Hai-Xia Wang, Ping Zu, Nan Jiang, Jing-Feng Bian, Ji-Rong Xu, Wei Luo, Peng Zhu

{"title":"Association Between Preeclampsia and Blood Pressure in Offspring: A Systematic Review and Meta-Analysis.","authors":"Min Xu, Hai-Xia Wang, Ping Zu, Nan Jiang, Jing-Feng Bian, Ji-Rong Xu, Wei Luo, Peng Zhu","doi":"10.1007/s11906-024-01306-3","DOIUrl":"10.1007/s11906-024-01306-3","url":null,"abstract":"Purpose of review: Pregnancy-induced preeclampsia is a severe pregnancy complication and preeclampsia has been associated with an increased risk of chronic hypertension for offspring. However, the magnitude of the overall effect of exposure to preeclampsia in pregnancy on blood pressure (BP) in offspring is unknown. This systematic review and meta-analysis was sought to systematically assess the effects of preeclampsia on the BP of the offspring.Recent findings: Of 2550 publications identified, 23 studies were included. The meta-analysis indicated that preeclampsia increases the potential risk of hypertension in offspring. Systolic blood pressure (SBP) was 2.0 mm Hg (95% CI: 1.2, 2.8) and diastolic blood pressure (DBP) was 1.4 mm Hg (95% CI: 0.9, 1.9) higher in offspring exposed to pre-eclampsia in utero, compared to those born to normotensive mothers. The correlations were similar in stratified analyses of children and adolescents by sex, geographic area, ages, and gestational age. During childhood and young adulthood, the offspring of pregnant women with preeclampsia are at an increased risk of high BP. It is crucial to monitor their BP.","PeriodicalId":10963,"journal":{"name":"Current Hypertension Reports","volume":" ","pages":"325-337"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Machine Learning Algorithms Versus Classical Regression Models in Pre-Eclampsia Prediction: A Systematic Review. 子痫前期预测中的机器学习算法与经典回归模型：系统综述。

IF 3.9 2区医学

Current Hypertension Reports Pub Date : 2024-07-01 Epub Date: 2024-05-28 DOI: 10.1007/s11906-024-01297-1

Sofonyas Abebaw Tiruneh, Tra Thuan Thanh Vu, Daniel Lorber Rolnik, Helena J Teede, Joanne Enticott

{"title":"Machine Learning Algorithms Versus Classical Regression Models in Pre-Eclampsia Prediction: A Systematic Review.","authors":"Sofonyas Abebaw Tiruneh, Tra Thuan Thanh Vu, Daniel Lorber Rolnik, Helena J Teede, Joanne Enticott","doi":"10.1007/s11906-024-01297-1","DOIUrl":"10.1007/s11906-024-01297-1","url":null,"abstract":"Purpose of review: Machine learning (ML) approaches are an emerging alternative for healthcare risk prediction. We aimed to synthesise the literature on ML and classical regression studies exploring potential prognostic factors and to compare prediction performance for pre-eclampsia.Recent findings: From 9382 studies retrieved, 82 were included. Sixty-six publications exclusively reported eighty-four classical regression models to predict variable timing of onset of pre-eclampsia. Another six publications reported purely ML algorithms, whilst another 10 publications reported ML algorithms and classical regression models in the same sample with 8 of 10 findings that ML algorithms outperformed classical regression models. The most frequent prognostic factors were age, pre-pregnancy body mass index, chronic medical conditions, parity, prior history of pre-eclampsia, mean arterial pressure, uterine artery pulsatility index, placental growth factor, and pregnancy-associated plasma protein A. Top performing ML algorithms were random forest (area under the curve (AUC) = 0.94, 95% confidence interval (CI) 0.91-0.96) and extreme gradient boosting (AUC = 0.92, 95% CI 0.90-0.94). The competing risk model had similar performance (AUC = 0.92, 95% CI 0.91-0.92) compared with a neural network. Calibration performance was not reported in the majority of publications. ML algorithms had better performance compared to classical regression models in pre-eclampsia prediction. Random forest and boosting-type algorithms had the best prediction performance. Further research should focus on comparing ML algorithms to classical regression models using the same samples and evaluation metrics to gain insight into their performance. External validation of ML algorithms is warranted to gain insights into their generalisability.","PeriodicalId":10963,"journal":{"name":"Current Hypertension Reports","volume":" ","pages":"309-323"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hyperuricemia: An Intriguing Connection to Metabolic Syndrome, Diabetes, Kidney Disease, and Hypertension. 高尿酸血症：高尿酸血症：与代谢综合征、糖尿病、肾病和高血压之间的有趣联系。

IF 5.6 2区医学

Current Hypertension Reports Pub Date : 2024-06-01 Epub Date: 2024-01-25 DOI: 10.1007/s11906-024-01295-3

Ramzi Vareldzis, Annalisa Perez, Efrain Reisin

引用次数: 0

Screening and Management of Pediatric High Blood Pressure-Challenges to Implementing the Clinical Practice Guideline. 小儿高血压的筛查和管理--实施《临床实践指南》的挑战。

IF 5.6 2区医学

Current Hypertension Reports Pub Date : 2024-06-01 Epub Date: 2024-03-09 DOI: 10.1007/s11906-024-01298-0

Coral D Hanevold, Tammy M Brady

引用次数: 0