Journal of Hypertension最新文献

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Hypertension and its determinants in Abu Dhabi population: a retrospective cohort study. 阿布扎比人口中的高血压及其决定因素:一项回顾性队列研究。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-10-24 DOI: 10.1097/HJH.0000000000003907
Latifa Baynouna Alketbi, Basil Al Hashaikeh, Toqa Fahmawee, Yusra Sahalu, Mouza Hamad Helal Alkuwaiti, Nico Nagelkerke, Mohammad Almansouri, Ahmad Humaid, Noura Alshamsi, Rudina Alketbi, Muna Aldobaee, Nayla Alahbabi, Jawaher Alnuaimi, Esraa Mahmoud, AlYazia Alazeezi, Fatima Shuaib, Sanaa Alkalbani, Ekram Saeed, Noura Alalawi, Fatima Alketbi, Mohammad Sahyouni
{"title":"Hypertension and its determinants in Abu Dhabi population: a retrospective cohort study.","authors":"Latifa Baynouna Alketbi, Basil Al Hashaikeh, Toqa Fahmawee, Yusra Sahalu, Mouza Hamad Helal Alkuwaiti, Nico Nagelkerke, Mohammad Almansouri, Ahmad Humaid, Noura Alshamsi, Rudina Alketbi, Muna Aldobaee, Nayla Alahbabi, Jawaher Alnuaimi, Esraa Mahmoud, AlYazia Alazeezi, Fatima Shuaib, Sanaa Alkalbani, Ekram Saeed, Noura Alalawi, Fatima Alketbi, Mohammad Sahyouni","doi":"10.1097/HJH.0000000000003907","DOIUrl":"10.1097/HJH.0000000000003907","url":null,"abstract":"<p><strong>Background: </strong>Preventing high blood pressure and its complications requires identifying its risk factors. This study assessed predictors of hypertension and its associated complications among Emirati adults in Abu Dhabi, United Arab Emirates (UAE).</p><p><strong>Methods: </strong>This retrospective cohort study was conducted by retrieving data from the Electronic Medical Records (EMR) of Emiratis who participated in a national cardiovascular screening program between 2011 and 2013. The study cohort comprised 8456 Emirati adults (18 years and above): 4095 women and 4361 men. The average follow-up period was 9.2 years, with a maximum of 12 years.</p><p><strong>Results: </strong>The age-adjusted hypertension prevalence in Abu Dhabi increased from 24.5% at baseline to 35.2% in 2023. At baseline, 61.8% of hypertensive patients had controlled blood pressure, which increased to 74.3% in 2023. Among those free from hypertension at screening, 835 patients (12.3%) were newly diagnosed during the follow-up period. Using Cox regression, the hypertension prediction model developed included age [ P value <0.001, hazard ratio 1.051, 95% confidence interval (CI) 1.046-1.056], SBP ( P value <0.001, hazard ratio 1.017, 95% CI 1.011-1.023) and DBP ( P value <0.001, hazard ratio 1.029, 95% CI 1.02-1.037), glycated hemoglobin ( P  < 0.001, hazard ratio 1.132, 95% CI 1.077-1.191), and high-density lipoprotein cholesterol (HDL-C) ( P value <0.001, hazard ratio 0.662, 95% CI 0.526-0.832). This prediction model had a c-statistic of 0.803 (95% CI 0.786-0.819). Using survival analysis (Kaplan-Meier), higher blood pressure was associated with more cardiovascular events and mortality during follow-up.</p><p><strong>Conclusion: </strong>Targeting population-specific predictors of hypertension can prevent its progression and inform healthcare professionals and policymakers to decrease the incidence, complications, and mortality related to hypertension.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":" ","pages":"308-317"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11676616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502045","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
Subclinical target organ damage in a sample of children and adolescents with solitary functioning kidney. A pilot study. 儿童和青少年单纯性肾功能的亚临床靶器官损伤。一项初步研究。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-11-12 DOI: 10.1097/HJH.0000000000003857
Angela Tagetti, Filippo Cattazzo, Denise Marcon, Simone Romano, Alice Giontella, Stefano Bortolotti, Pietro Minuz, Luca Pecoraro, Milena Brugnara, Cristiano Fava
{"title":"Subclinical target organ damage in a sample of children and adolescents with solitary functioning kidney. A pilot study.","authors":"Angela Tagetti, Filippo Cattazzo, Denise Marcon, Simone Romano, Alice Giontella, Stefano Bortolotti, Pietro Minuz, Luca Pecoraro, Milena Brugnara, Cristiano Fava","doi":"10.1097/HJH.0000000000003857","DOIUrl":"10.1097/HJH.0000000000003857","url":null,"abstract":"<p><strong>Background: </strong>Patients with solitary functioning kidney appear to be exposed to an increased cardiovascular risk. This study aimed to evaluate the impact of peripheral and central blood pressure on subclinical cardiovascular organ damage in a sample of children and adolescents with solitary functioning kidney.</p><p><strong>Methods: </strong>Carotid ultrasonography was performed to measure the carotid intima-media thickness (cIMT) and the carotid distensibility coefficient. The carotid-femoral pulse wave velocity (PWV) was assessed by tonometry. Cardiac mass and remodeling were estimated using transthoracic echocardiography. Central and peripheral (both office and 24-h ambulatory) BP measurements were collected.</p><p><strong>Results: </strong>Forty-four patients were included. Eighteen subjects (45%) were hypertensive as assessed by 24-h ABPM, with a prevalence of masked hypertension of 43%. Twenty-three subjects (52%) had an increased cIMT, while 2 and 3 patients (5% and 7%) demonstrated an impaired carotid distensibility coefficient and PWV, respectively. Nineteen subjects (43%) showed concentric cardiac remodeling. Central systolic blood pressure (cSBP) correlated with cIMT (r = 0.35) and left ventricular mass index (LVMi) (r = 0.32) demonstrating a positive independent association with an increased cIMT (odds ratio 1.14, 95% confidence interval 1.01-1.29) in multivariate regression analysis.</p><p><strong>Conclusion: </strong>Children and adolescents with solitary functioning kidney exhibited a high prevalence of masked hypertension and subclinical cardiovascular organ damage. These findings support the use of 24-h ABPM to identify patients with a higher cardiovascular risk who would benefit from hypertension treatment and closer monitoring during growth and into adulthood. Additionally, cSBP measurement should be considered as part of a more detailed cardiovascular risk assessment in these patients.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":"43 2","pages":"221-227"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921071","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
Toll-like receptor 4 inhibition by pyridostigmine is associated with a reduction in hypertension and inflammation in rat models of preeclampsia. 在子痫前期大鼠模型中,吡哆斯的明抑制toll样受体4与高血压和炎症减少有关。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-11-02 DOI: 10.1097/HJH.0000000000003911
Md Ahasan Ali, Ming Zeng, Asma A Alkuhali, Zhaoshu Zeng, Meng Yuan, Xiaomin Wang, Xiaoxu Liu, Abdoulaye Issotina Zibrila, Jinjun Liu, Zheng Wang
{"title":"Toll-like receptor 4 inhibition by pyridostigmine is associated with a reduction in hypertension and inflammation in rat models of preeclampsia.","authors":"Md Ahasan Ali, Ming Zeng, Asma A Alkuhali, Zhaoshu Zeng, Meng Yuan, Xiaomin Wang, Xiaoxu Liu, Abdoulaye Issotina Zibrila, Jinjun Liu, Zheng Wang","doi":"10.1097/HJH.0000000000003911","DOIUrl":"https://doi.org/10.1097/HJH.0000000000003911","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia (PE) is marked by hypertension and detrimental sterile inflammatory response. Despite the reported anti-inflammatory effect of pyridostigmine bromide (PYR) in different models, its anti-inflammatory mechanism in PE is unclear. This study assessed whether such an anti-inflammatory effect involves inhibition of placental Toll-like receptor 4 (TLR4) signaling.</p><p><strong>Methods: </strong>Placental TLR4 expression and its signaling were assessed respectively in PE women and Sprague-Dawley rats with reduced uterine perfusion pressure (RUPP) induced on gestational day14 (GD14). RUPP and lipopolysaccharides (LPS, 5 μg/kg)-induced PE rats were treated with a selective TLR4 signaling inhibitor (TAK-242, 2.5 mg/kg/day). The effect of PYR (20 mg/kg/day) on TLR4 expression and signaling was also assessed in RUPP or LPS-infused rats. On GD19, rats' mean arterial pressure (MAP) and samples were collected and processed. At the cellular level, the effect of acetylcholine (ACh), the indirect by-product of PYR activity, on LPS-stimulated HTR-8/SVneo cells was assessed.</p><p><strong>Results: </strong>Both PE women and RUPP rats had increased (P  < 0.05) placental TLR4 expression and elevated (P  < 0.05) MAP. Selective inhibition of TLR4 signaling with TAK-242 blunted (P < 0.05) RUPP-elevated MAP. Activation of TLR4 induced PE-like symptoms in dams, which were prevented by TAK-242. PYR reduced (P < 0.05) MAP and downregulated placental TLR4 expression and TLR4/TRAF6/NF-κB signaling-mediated inflammation in RUPP and in response to TLR4 selective activation. ACh inhibited the same signaling pathway in LPS-stimulated HTR-8 in vitro.</p><p><strong>Conclusion: </strong>Our data support that PYR attenuates placental TLR4 expression and inhibits TLR4/TRAF6/NF-κB signaling pathway-mediated inflammation in RUPP, clarifying the anti-inflammatory mechanisms of PYR in the PE rat model.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":"43 2","pages":"336-350"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921073","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
Correspondence to sleep blood pressure measured using a home blood pressure monitor and cardiovascular disease incidence: the Nagahama Study. 使用家庭血压计测量的睡眠血压与心血管疾病发病率的对应关系:永滨研究。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1097/HJH.0000000000003915
Pranav S Nori, Don D Shamilov, David F Lo
{"title":"Correspondence to sleep blood pressure measured using a home blood pressure monitor and cardiovascular disease incidence: the Nagahama Study.","authors":"Pranav S Nori, Don D Shamilov, David F Lo","doi":"10.1097/HJH.0000000000003915","DOIUrl":"https://doi.org/10.1097/HJH.0000000000003915","url":null,"abstract":"","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":"43 2","pages":"366-367"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921966","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
Interarm systolic blood pressure difference is associated with left ventricular concentricity and concentric remodeling. 臂间收缩压差与左心室同心度和同心度重塑有关。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-09-30 DOI: 10.1097/HJH.0000000000003894
Annelise M G Paiva, Maria I C M Gomes, Alana C M Gomes, Lucca C M Gomes, Saulo R Ramalho, Audes D M Feitosa, Marcus V B Malachias, Andréa A Brandão, Andrei C Sposito, Marco A Mota-Gomes, Wilson Nadruz
{"title":"Interarm systolic blood pressure difference is associated with left ventricular concentricity and concentric remodeling.","authors":"Annelise M G Paiva, Maria I C M Gomes, Alana C M Gomes, Lucca C M Gomes, Saulo R Ramalho, Audes D M Feitosa, Marcus V B Malachias, Andréa A Brandão, Andrei C Sposito, Marco A Mota-Gomes, Wilson Nadruz","doi":"10.1097/HJH.0000000000003894","DOIUrl":"10.1097/HJH.0000000000003894","url":null,"abstract":"<p><strong>Objective: </strong>Interarm systolic blood pressure difference (IASD) values >15 mmHg (IASD > 15) are associated with increased cardiovascular risk, yet the underlying mechanisms remain unclear. This report evaluated whether IASD >15, assessed by different protocols [sequential or simultaneous; based on one or several blood pressure (BP) readings], was associated with adverse left ventricular (LV) remodeling.</p><p><strong>Methods: </strong>This cross-sectional study evaluated 605 individuals who underwent clinical and echocardiography evaluation and three pairs of simultaneous arm BP readings. IASD was estimated by seven distinct protocols (three simultaneous and four sequential BP measurements criteria).</p><p><strong>Results: </strong>The cohort had a mean age of 53.5 ± 15.4 years, with 51% being women, 23% with LV hypertrophy, 14% with LV concentricity, 69% with normal geometry, 8% with concentric remodeling, 17% with eccentric hypertrophy and 6% with concentric hypertrophy. Multivariable logistic regression revealed that IASD >15 defined by simultaneous measures of the last two pairs of BP readings (IASDsim2) and sequential arm BP readings (right-left-right arm sequence; IASDseq3) were related to LV concentricity (odds ratio [95% CI] = 3.24 [1.02-10.28], P  = 0.046 and 2.56 [1.09-6.00], P  = 0.030, respectively) and LV concentric remodeling (odds ratio [95% CI]  = 4.12 [1.08-15.78], P  = 0.039 and 4.16 [1.61-10.76], P  = 0.003, respectively). Conversely, IASD >15 defined by any criteria showed no association with LV hypertrophy.</p><p><strong>Conclusion: </strong>Individuals with IASD >15 defined by IASDsim2 and IASDseq3 are associated with adverse LV remodeling, namely LV concentricity and LV concentric remodeling. These findings suggest that both criteria might be potentially used to preferentially assess abnormal IASD in the setting of clinical practice.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":" ","pages":"264-270"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348190","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
The effects of metformin on inflammation and apoptosis in rats with preeclampsia. 二甲双胍对子痫前期大鼠炎症和细胞凋亡的影响
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-10-01 DOI: 10.1097/HJH.0000000000003892
Yinmin Chen, Zhuanzhuan Gao, Liyuan Wang, Ruiyun Duan, Huiniu Hao, Ran Jia, Huijing Ma, Ruifan Gao, Min Su, Hailan Yang, Zengrong Tu
{"title":"The effects of metformin on inflammation and apoptosis in rats with preeclampsia.","authors":"Yinmin Chen, Zhuanzhuan Gao, Liyuan Wang, Ruiyun Duan, Huiniu Hao, Ran Jia, Huijing Ma, Ruifan Gao, Min Su, Hailan Yang, Zengrong Tu","doi":"10.1097/HJH.0000000000003892","DOIUrl":"10.1097/HJH.0000000000003892","url":null,"abstract":"<p><strong>Background: </strong>Defined clinically by elevated blood pressure along with either proteinuria and/or maternal organ dysfunction, representing a major cause of morbidity and mortality pregnant women and newborns. Metformin (MET), an oral antidiabetic medication, has been shown to prevent preeclampsia (PE) through various mechanisms, including reducing inflammation, improving endothelial dysfunction, improving mitochondrial function, and altering cellular homeostasis and energy metabolism. Herein, we explored the role of MET in PE and its underlying molecular mechanisms using in in vivo experiments.</p><p><strong>Methods: </strong>RT-qPCR, Western blot (WB), and immunohistochemistry (IHC) were conducted to assess the mRNA or protein expression of genes related to mitochondrial apoptosis. Additionally, ELISA was conducted to quantify the expression of mitochondrial apoptosis and inflammation-related genes, as well as PE biomarkers.</p><p><strong>Results: </strong>Treatment with MET in PE rats ameliorated hypertension and proteinuria, altered the expression of PE biomarkers, and significantly inhibited L-NAME-induced inflammation and cell apoptosis. MET modulated the levels of inflammatory cytokines tumor necrosis factor alpha (TNF-α), interleukin (IL)-6, and IL-10, mitigating inflammation in PE rats. Furthermore, MET regulated mitochondrial outer membrane permeability (MOMP), thereby reducing cell apoptosis occurring in the mitochondrial pathway of PE rats.</p><p><strong>Conclusions: </strong>This study demonstrates that MET alleviates inflammation and cell apoptosis in PE rats by modulating the expression of inflammatory factors and MOMP. Our results indicate that MET has huge therapeutic potential against PE.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":" ","pages":"255-263"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348192","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
Cardiovascular and arrhythmic manifestations of Bartter's and Gitelman's syndromes: do not forget the heart. A narrative literature review. 巴特综合征和吉特曼综合征的心血管和心律失常表现:不要忘记心脏。叙述性文献综述。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-10-23 DOI: 10.1097/HJH.0000000000003910
Andrea S Giordani, Caterina Menghi, Riccardo Proietti, Lucia Federica Stefanelli, Martina Cacciapuoti, Lorenzo A Calò
{"title":"Cardiovascular and arrhythmic manifestations of Bartter's and Gitelman's syndromes: do not forget the heart. A narrative literature review.","authors":"Andrea S Giordani, Caterina Menghi, Riccardo Proietti, Lucia Federica Stefanelli, Martina Cacciapuoti, Lorenzo A Calò","doi":"10.1097/HJH.0000000000003910","DOIUrl":"10.1097/HJH.0000000000003910","url":null,"abstract":"<p><p>Bartter's and Gitelman's syndromes (BS/GS) are genetically determined kidney tubulopathies leading to electrolyte and neurohormonal abnormalities. Although considered benign entities, major adverse cardiovascular events may complicate both syndromes, in form of ventricular arrhythmias leading to palpitations, syncope or sudden cardiac death, microvascular cardiac dysfunction and exercise-induced myocardial contractile deficit. The mechanisms leading to cardiovascular complications are not only driven by chronic electrolyte abnormalities, i.e. chronic hypokalemia and hypomagnesemia, but also by neurohormonal alterations that can impair vascular tone and myocardial contractility. In presence of triggering factors, BS/GS patients may experience a spectrum of cardiac arrhythmias necessitating prompt diagnosis and treatment. The aim of this review is to explore the pathophysiological mechanisms of BS and GS, highlighting those responsible for cardiovascular involvement, and to analyze the spectrum of associated cardiovascular complications. This highlights the importance of an integrated shared management of GS/BS patients between Nephrologist and Cardiologist.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":" ","pages":"191-200"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502042","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
Impact of hypertension on mortality in patients with ST-elevation myocardial infarction undergoing primary angioplasty: insights from the international multicenter ISACS-STEMI registry. 高血压对接受初级血管成形术的 ST 段抬高型心肌梗死患者死亡率的影响:国际多中心 ISACS-STEMI 登记的启示。
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2024-10-11 DOI: 10.1097/HJH.0000000000003890
Giuseppe De Luca, Matteo Nardin, Magdy Algowhary, Berat Uguz, Dinaldo C Oliveira, Vladimir Ganyukov, Zan Zimbakov, Miha Cercek, Lisette Okkels Jensen, Poay Huan Loh, Lucian Calmac, Gerard Roura I Ferrer, Alexandre Quadros, Marek Milewski, Fortunato Scotto D'Uccio, Clemens von Birgelen, Francesco Versaci, Jurrien Ten Berg, Gianni Casella, Aaron Wong Sung Lung, Petr Kala, José Luis Díez Gil, Xavier Carrillo, Maurits Dirksen, Victor M Becerra-Munoz, Michael Kang-Yin Lee, Dafsah Arifa Juzar, Rodrigo de Moura Joaquim, Roberto Paladino, Davor Milicic, Periklis Davlouros, Nikola Bakraceski, Filippo Zilio, Luca Donazzan, Adriaan Kraaijeveld, Gennaro Galasso, Arpad Lux, Lucia Marinucci, Vincenzo Guiducci, Maurizio Menichelli, Alessandra Scoccia, Aylin Hatice Yamac, Kadir Ugur Mert, Xacobe Flores Rios, Tomas Kovarnik, Michal Kidawa, Josè Moreu, Vincent Flavien, Enrico Fabris, Iñigo Lozano Martínez-Luengas, Marco Boccalatte, Francisco Bosa Ojeda, Carlos Arellano-Serrano, Gianluca Caiazzo, Giuseppe Cirrincione, Hsien-Li Kao, Juan Sanchis Forés, Luigi Vignali, Helder Pereira, Stephane Manzo, Santiago Ordoñez, Alev Arat Özkan, Bruno Scheller, Heidi Lehtola, Rui Teles, Christos Mantis, Ylitalo Antti, João António Brum Silveira, Rodrigo Zoni, Ivan Bessonov, Stefano Savonitto, George Kochiadakis, Dimitrios Alexopulos, Carlos E Uribe, John Kanakakis, Benjamin Faurie, Gabriele Gabrielli, Alejandro Gutierrez Barrios, Juan Pablo Bachini, Alex Rocha, Frankie Chor-Cheung Tam, Alfredo Rodriguez, Antonia Anna Lukito, Veauthyelau Saint-Joy, Gustavo Pessah, Guido Parodi, Mohammed Abed Burgadha, Elvin Kedhi, Pablo Lamelas, Harry Suryapranata, Monica Verdoia
{"title":"Impact of hypertension on mortality in patients with ST-elevation myocardial infarction undergoing primary angioplasty: insights from the international multicenter ISACS-STEMI registry.","authors":"Giuseppe De Luca, Matteo Nardin, Magdy Algowhary, Berat Uguz, Dinaldo C Oliveira, Vladimir Ganyukov, Zan Zimbakov, Miha Cercek, Lisette Okkels Jensen, Poay Huan Loh, Lucian Calmac, Gerard Roura I Ferrer, Alexandre Quadros, Marek Milewski, Fortunato Scotto D'Uccio, Clemens von Birgelen, Francesco Versaci, Jurrien Ten Berg, Gianni Casella, Aaron Wong Sung Lung, Petr Kala, José Luis Díez Gil, Xavier Carrillo, Maurits Dirksen, Victor M Becerra-Munoz, Michael Kang-Yin Lee, Dafsah Arifa Juzar, Rodrigo de Moura Joaquim, Roberto Paladino, Davor Milicic, Periklis Davlouros, Nikola Bakraceski, Filippo Zilio, Luca Donazzan, Adriaan Kraaijeveld, Gennaro Galasso, Arpad Lux, Lucia Marinucci, Vincenzo Guiducci, Maurizio Menichelli, Alessandra Scoccia, Aylin Hatice Yamac, Kadir Ugur Mert, Xacobe Flores Rios, Tomas Kovarnik, Michal Kidawa, Josè Moreu, Vincent Flavien, Enrico Fabris, Iñigo Lozano Martínez-Luengas, Marco Boccalatte, Francisco Bosa Ojeda, Carlos Arellano-Serrano, Gianluca Caiazzo, Giuseppe Cirrincione, Hsien-Li Kao, Juan Sanchis Forés, Luigi Vignali, Helder Pereira, Stephane Manzo, Santiago Ordoñez, Alev Arat Özkan, Bruno Scheller, Heidi Lehtola, Rui Teles, Christos Mantis, Ylitalo Antti, João António Brum Silveira, Rodrigo Zoni, Ivan Bessonov, Stefano Savonitto, George Kochiadakis, Dimitrios Alexopulos, Carlos E Uribe, John Kanakakis, Benjamin Faurie, Gabriele Gabrielli, Alejandro Gutierrez Barrios, Juan Pablo Bachini, Alex Rocha, Frankie Chor-Cheung Tam, Alfredo Rodriguez, Antonia Anna Lukito, Veauthyelau Saint-Joy, Gustavo Pessah, Guido Parodi, Mohammed Abed Burgadha, Elvin Kedhi, Pablo Lamelas, Harry Suryapranata, Monica Verdoia","doi":"10.1097/HJH.0000000000003890","DOIUrl":"10.1097/HJH.0000000000003890","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is the most prevalent cardiovascular risk factor, with several detrimental effects on the cardiovascular system. Contrasting results have been reported so far on its prognostic role in patients admitted for ST-segment elevation myocardial infarction (STEMI). Therefore, we investigated the impact of hypertension on short-term mortality in a large multicenter contemporary registry of STEMI patients, including patients treated during COVID-19 pandemic.</p><p><strong>Methods: </strong>The ISACS-STEMI COVID-19 was a retrospective registry that included STEMI patients treated with primary percutaneous coronary intervention (PCI) between March and June of 2019 and 2020 in 109 high-volume primary PCI centers from 4 continents. We collected data on baseline, clinical and procedural characteristics, in-hospital outcome and 30-day mortality. For this analysis patients were grouped according to history of hypertension at admission.</p><p><strong>Results: </strong>A total of 16083 patients were assessed, including 8813 (54.8%) with history of hypertension. These patients were more often elderly, with a worse cardiovascular risk profile, but were less frequently active smoker. Some procedural differences were observed between the two groups, including lower rate of thrombectomy and use of glycoprotein IIb/IIIa inhibitors or cangrelor but more extensive coronary disease in patients with hypertension. Between patients with and without hypertension, there was no significant difference in SARS-CoV-2 positivity. Hypertensive patients had a significantly higher in-hospital and 30-day mortality, similarly observed in both pre-COVID-19 and COVID-19 era, and confirmed after adjustment for main baseline differences and propensity score (in-hospital mortality: adjusted odds ratio (OR) [95% confidence interval (CI)] =1.673 [1.389-2.014], P  < 0.001; 30-day mortality: adjusted hazard ratio (HR) [95% CI] = 1.418 [1.230-1.636], P  < 0.001).</p><p><strong>Conclusion: </strong>This is one of the largest and contemporary study assessing the impact of hypertension in STEMI patients undergoing primary angioplasty, including also the COVID-19 pandemic period. Hypertension was independently associated with significantly higher rates of in-hospital and 30-day mortality.</p>","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":" ","pages":"246-254"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502046","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
Weight gain and higher blood pressure: is it just fat? 体重增加和血压升高:仅仅是因为脂肪吗?
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1097/HJH.0000000000003869
Kevin Fiscella, Brenda Ariba Zarhari Abu
{"title":"Weight gain and higher blood pressure: is it just fat?","authors":"Kevin Fiscella, Brenda Ariba Zarhari Abu","doi":"10.1097/HJH.0000000000003869","DOIUrl":"10.1097/HJH.0000000000003869","url":null,"abstract":"","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":"43 2","pages":"362"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11706354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921075","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
Self-rated health and clinical outcomes in patients with hypertension: a dose-response relationship. 高血压患者自评健康和临床结果:剂量-反应关系
IF 3.3 2区 医学
Journal of Hypertension Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1097/HJH.0000000000003912
Tomoyuki Kawada
{"title":"Self-rated health and clinical outcomes in patients with hypertension: a dose-response relationship.","authors":"Tomoyuki Kawada","doi":"10.1097/HJH.0000000000003912","DOIUrl":"https://doi.org/10.1097/HJH.0000000000003912","url":null,"abstract":"","PeriodicalId":16043,"journal":{"name":"Journal of Hypertension","volume":"43 2","pages":"365"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921969","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
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