Journal of Human Hypertension最新文献_第4页

Chronic hypertension diagnosed before or during pregnancy and its effects on pregnancy outcomes 孕前或孕期诊断出的慢性高血压及其对妊娠结果的影响。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-08-22 DOI: 10.1038/s41371-024-00944-z

Qingwen Nie, Weizhang Liang, Yuan Xue, Lijie Pan, Mindi Jiang, Fang He

{"title":"Chronic hypertension diagnosed before or during pregnancy and its effects on pregnancy outcomes","authors":"Qingwen Nie, Weizhang Liang, Yuan Xue, Lijie Pan, Mindi Jiang, Fang He","doi":"10.1038/s41371-024-00944-z","DOIUrl":"10.1038/s41371-024-00944-z","url":null,"abstract":"Chronic hypertension (CH) during pregnancy, identified before or within the first 20 weeks, presents varying risks depending on the timing of diagnosis. This real-world study was conducted from January 2018 to June 2023 and included singleton pregnancies with CH to compare pre-pregnancy CH (Group 1) and newly diagnosed CH (Group 2). There were 565 women in the final analysis, with 307 in Group 1 with pre-pregnancy CH and 258 in Group 2 with new-onset CH. Those in Group 1 more frequently had pre-gestational diabetes and a history of hypertensive disorders in pregnancy, whereas Group 2 had a higher incidence of excessive gestational weight gain. Notably, 56.2% of Group 2 patients did not receive antihypertensive treatment before 20 weeks, while the proportion was 36.2% in Group 1, resulting in a significant difference in baseline blood pressure. The study revealed higher incidences of preterm preeclampsia (44.2% vs. 34.9%) and placental abruption (5.4% vs. 2.0%) in Group 2 compared to Group 1. After adjustment, logistic regression indicated that Group 2 had a 1.8-fold higher risk of preterm preeclampsia than Group 1. These findings suggest that pregnant women newly diagnosed with CH in the first 20 weeks face increased adverse outcomes compared to those diagnosed before pregnancy. Intense monitoring and earlier intervention may help manage women with new-onset CH.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142036011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Social determinants of health and hypertension screening among women in The Gambia: an evaluation of 2019-2020 demographic and health survey data. 冈比亚妇女健康和高血压筛查的社会决定因素：2019-2020 年人口与健康调查数据评估。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-08-17 DOI: 10.1038/s41371-024-00945-y

Heather F McClintock, Victoria Peacock, Rose Nkiri Asong

{"title":"Social determinants of health and hypertension screening among women in The Gambia: an evaluation of 2019-2020 demographic and health survey data.","authors":"Heather F McClintock, Victoria Peacock, Rose Nkiri Asong","doi":"10.1038/s41371-024-00945-y","DOIUrl":"https://doi.org/10.1038/s41371-024-00945-y","url":null,"abstract":"<p><p>Hypertension is a leading modifiable risk factor for morbidity and mortality among women in Sub-Saharan Africa. Social determinants of health (SDH) are associated with sex-based differences in access to preventative screenings globally. Little research has assessed the influence of SDH on screening for hypertension among women in The Gambia. The aim of this study was to identify SDH associated with the utilization of hypertension screening among women in The Gambia. Data was examined from the 2019-2020 Gambia Demographic and Health Survey. Weighted multivariate logistic was used to identify whether SDH were associated with hypertension screening. Among 4116 women, over one-fifth (21.1%) had not been screened for hypertension in their lifetime. In fully adjusted models, older age, rural residence, higher than secondary educational attainment, employment, identification with specific ethnic groups, richer wealth status, parity (1 or more), and antenatal care visits increased the likelihood of lifetime hypertension screening. Women who indicated that others made their healthcare decisions for them (partners or someone else) were significantly less likely to have been screened for hypertension in their lifetime than women who made their healthcare decisions alone (adjusted odds ratio = 0.552, 95% confidence interval = (0.384-0.794)). SDH influence access to screening for hypertension among women in The Gambia. Initiatives may need to address the role of SDH to improve access and uptake of hypertension screening.</p>","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Effectiveness of biofeedback on blood pressure in patients with hypertension: systematic review and meta-analysis 生物反馈对高血压患者血压的疗效：系统回顾和荟萃分析。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-08-14 DOI: 10.1038/s41371-024-00937-y

Sian Jenkins, Ainslea Cross, Hanad Osman, Farah Salim, Dan Lane, Dennis Bernieh, Kamlesh Khunti, Pankaj Gupta

{"title":"Effectiveness of biofeedback on blood pressure in patients with hypertension: systematic review and meta-analysis","authors":"Sian Jenkins, Ainslea Cross, Hanad Osman, Farah Salim, Dan Lane, Dennis Bernieh, Kamlesh Khunti, Pankaj Gupta","doi":"10.1038/s41371-024-00937-y","DOIUrl":"10.1038/s41371-024-00937-y","url":null,"abstract":"Hypertension is the leading modifiable risk factor for cardiovascular disease, but less than 50% have their blood pressure controlled. A possible avenue to support hypertension management is a holistic approach, using non-pharmacological interventions. Since hypertension is mediated in part by dysregulation of the autonomic nervous system (ANS), biofeedback may help improve hypertension management by targeted self-regulation and self-awareness of parameters that regulate the ANS. This systematic review aimed to assess the effectiveness of biofeedback on blood pressure in hypertensive patients. The review was pre-registered on PROSPERO and followed the PICO strategy. A total of 1782 articles were retrieved, 20 met the inclusion criteria. Sample sizes ranged from 15 to 301 participants; with a median age of 49.3 (43.3–55.0) years and 45% were female. There was a significant effect of biofeedback on systolic (−4.52, Z = 2.31, P = 0.02, CI [−8.35, −0.69]) and diastolic blood pressure (−5.19, Z = 3.54, P = 0.0004, CI [−8.07, −2.32]). Six different biofeedback modalities were used, with biofeedback delivered by psychologists, trained therapists and research assistants. There was no publication bias, heterogeneity was rated as substantial and data quality was rated to be poor. This review demonstrated that biofeedback had a significant effect on blood pressure. However, this should be viewed in the context of included studies being limited by heterogeneity and dated literature, meaning the research does not reflect the current biofeedback technology such as wearable devices. Future research should incorporate these technologies with robust methodology to fully understand the effect of biofeedback on hypertension.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-024-00937-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Smoking cessation as a recommended action for incident hypertension 建议将戒烟作为治疗高血压的一项措施。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-08-13 DOI: 10.1038/s41371-024-00943-0

Tomoyuki Kawada

引用次数: 0

Physical activity lower blood pressure and mortality in hypertensive patients with diabetes: data from National Health and Nutrition Examination Survey (NHANES) 1999–2018 体育锻炼可降低高血压糖尿病患者的血压和死亡率：1999-2018 年美国国家健康与营养调查（NHANES）数据。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-08-06 DOI: 10.1038/s41371-024-00941-2

Xin Zhong, Xiaowei Liu, Zhi Zhang, Lijiang Tang

{"title":"Physical activity lower blood pressure and mortality in hypertensive patients with diabetes: data from National Health and Nutrition Examination Survey (NHANES) 1999–2018","authors":"Xin Zhong, Xiaowei Liu, Zhi Zhang, Lijiang Tang","doi":"10.1038/s41371-024-00941-2","DOIUrl":"10.1038/s41371-024-00941-2","url":null,"abstract":"In prior research related to physical activity, researchers have often centered their focus on only a limited number of activities, with little regard for mortality-related outcomes and insufficient focus on outcomes among diabetes patients with hypertension. The National Health and Nutrition Examination Survey was evaluated from 1999-2018 to identify individual with both diabetes and hypertension. These individuals were classified as being physically active or inactive. Comparisons among groups were performed with appropriate statistical tests. In total, this study evaluated data from 6,163 patients with a mean age of 63.18 ± 12.80 years. A total of 50.30% of the participants were male, with 39.86% being non-Hispanic white, 57.17% with a normal body mass index, and 89.20% were insured. Physical activity was significantly negatively correlated with systolic blood pressure in the overall population (p = 0.01) and when specifically focusing on individuals undergoing antihypertensive drug treatment (p = 0.0035). This negative relationship remained intact even following adjustment for age, sex, and ethnicity (p = 0.03). Physical activity was positively correlated with diastolic blood pressure in the overall population of participants (p = 0.002) and when specifically evaluating participants undergoing antihypertensive drug treatment (p = 0.02). All-cause and hypertensive mortality risk levels were significantly higher among individuals classified as being physically inactive (p < 0.0001), and this relationship remained true even with adjustment for age, sex, and ethnicity (p < 0.0001). In conclusion, physical activity is capable of lowering systolic blood pressure and decreasing the incidence of mortality among diabetes patients with hypertension.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141897623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Hypertension care cascade and their determinants among older adolescents in India: evidence from a nationally representative cross-sectional survey 印度老年青少年的高血压护理流程及其决定因素：一项具有全国代表性的横断面调查提供的证据。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-07-31 DOI: 10.1038/s41371-024-00940-3

Shubhanjali Roy, Mansi Malik, Saurav Basu

{"title":"Hypertension care cascade and their determinants among older adolescents in India: evidence from a nationally representative cross-sectional survey","authors":"Shubhanjali Roy, Mansi Malik, Saurav Basu","doi":"10.1038/s41371-024-00940-3","DOIUrl":"10.1038/s41371-024-00940-3","url":null,"abstract":"Adolescent hypertension in India is an emergent public health concern with lack of programmatic focus on regular screening amongst both individuals and healthcare providers. This study was conducted to assess the hypertension care cascade (prevalence, awareness, treatment and control status of hypertension) from nationally representative data. We used data from the demographic and health surveillance (DHS) comprising India’s National Family Health Survey Fifth Round (2019–2021). The prevalence of hypertension among 204,054 older adolescents (15–19 years) was 5.08% (95% CI: 4.94–5.23%) wherein 42.26% (95% CI: 40.69–43.64%) were aware of their condition, 43.70% (95% CI: 41.73–45.70%) of those aware were receiving treatment, and 85.88% (95% CI: 83.83–87.71%) of those on treatment achieved blood pressure control. Overall, there were nearly 60% newly diagnosed hypertension cases detected on screening. Females had significantly lower odds, while those with diabetes and higher waist-hip ratio had significantly higher odds of having hypertension. The awareness of their hypertensive status was higher among females and rural residents, while it was lower among adolescents that were obese and tobacco smokers. Improved blood pressure control was associated with a lower waist-to-hip ratio. In conclusion, nearly five in every hundred older adolescents in India are clinically hypertensive with significantly higher odds linked with obesity and male gender. Awareness and utilization of antihypertensive treatment was lower than the classical rule of halves signifying deficiencies in hypertension screening and management strategies for older adolescents within the existing public health policy framework.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Pathophysiology and pregnancy outcomes of ascites in preeclampsia—a scoping review 子痫前期腹水的病理生理学和妊娠结局--范围综述。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-07-24 DOI: 10.1038/s41371-024-00927-0

Yavana Suriya Venkatesh, Venkatesh Raju, Koustav Pal, Anish Keepanasseril

{"title":"Pathophysiology and pregnancy outcomes of ascites in preeclampsia—a scoping review","authors":"Yavana Suriya Venkatesh, Venkatesh Raju, Koustav Pal, Anish Keepanasseril","doi":"10.1038/s41371-024-00927-0","DOIUrl":"10.1038/s41371-024-00927-0","url":null,"abstract":"Preeclampsia is a multisystem disorder associated with defective trophoblast invasion, maternal syndrome, and capillary endothelial leak. The presence of ascites/third space fluid accumulation increases the risk of maternal morbidity and mortality. The current criteria/guidelines of preeclampsia do not establish the presence of ascites as a marker of severity or recognize the timing and need for early delivery despite associated complications. Medline and Embase databases were searched to identify relevant literature, reported up to December 2023, regarding the pathophysiology, pregnancy outcome, and management of preeclampsia complicated with ascites. A total of 5 studies on pathophysiology and eight on pregnancy outcomes met the inclusion criteria, with 41 case reports on ascites in preeclampsia. The etiopathogenesis for the development of ascites in preeclampsia includes endothelial damage, capillary hyperpermeability, release of vasoconstrictive agents, reduced intravascular oncotic pressure, and raised intraabdominal pressure. The presence of ascites represents the extreme form of microvascular damage, which also correlates with the raised sFlt-1 levels in this condition. The adverse pregnancy outcomes include increased risk of congestive heart failure, eclampsia, renal failure, disseminated intravascular coagulation, acute respiratory distress syndrome, and maternal death. The presence of ascites in preeclampsia is associated with the deterioration of the maternal condition. Hence, it is indicative of preeclampsia with severe features and requires vigilant monitoring, and prompt delivery may be considered.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-024-00927-0.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Relationship between serum uric acid, nocturnal hypertension and risk for preeclampsia in high-risk pregnancies 血清尿酸、夜间高血压与高危妊娠子痫前期风险之间的关系。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-07-23 DOI: 10.1038/s41371-024-00939-w

Walter G. Espeche, Martin R. Salazar, Julián Minetto, Gustavo Cerri, Patricia Carrera Ramos, Adelaida Soria, Claudia Santillan, Florencia Grassi, Soledad Torres, Horacio A. Carbajal

{"title":"Relationship between serum uric acid, nocturnal hypertension and risk for preeclampsia in high-risk pregnancies","authors":"Walter G. Espeche, Martin R. Salazar, Julián Minetto, Gustavo Cerri, Patricia Carrera Ramos, Adelaida Soria, Claudia Santillan, Florencia Grassi, Soledad Torres, Horacio A. Carbajal","doi":"10.1038/s41371-024-00939-w","DOIUrl":"10.1038/s41371-024-00939-w","url":null,"abstract":"To analyze the possible association between serum uric acid (SUA) and nocturnal hypertension and to evaluate the ability of these variables (alone or in combination) to predict preeclampsia (PE) we conducted a historical cohort study in 532 high-risk pregnancies. Women were divided according to SUA values and nocturnal blood pressure (BP) into four groups: 1- normal SUA and nocturnal normotension; 2- high SUA and nocturnal normotension; 3- normal SUA and nocturnal hypertension and 4- high SUA and nocturnal hypertension. High SUA was defined by the top quartile values and nocturnal hypertension as BP ≥ 120/70 mmHg, using ambulatory blood pressure monitoring (ABPM), during nocturnal rest. Risks for PE were compared using logistic regression. SUA had a weak but significant correlation with daytime systolic ABPM (r = 0.11, p = 0.014), daytime diastolic ABPM (r = 0.13, p = 0.004), nighttime systolic ABPM (r = 0.16, p < 0.001) and nighttime diastolic ABPM (r = 0.18, p < 0.001). Also, all ABPM values were higher in women with high SUA. The absolute risk of PE increased through groups: 6.5%, 13.1%, 31.2%, and 47.9% for groups 1, 2, 3, and 4, respectively, p < 0.001. Compared with Group 1, Group 3 (OR 6.29 95%CI 3.41–11.60), but not Group 2 (OR 2.15 95%CI 0.88–5.24), had statistically significant higher risk for PE. Group 4 (women with both, high SUA and nocturnal hypertension) had the highest risk (OR 13.11 95%CI 6.69–25.70). Risks remained statistically significant after the adjustment for relevant variables. In conclusion, the combination of SUA > 4 mg/dL and nocturnal BP > 120/70 mmHg implies a very high risk to developed PE.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-024-00939-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141751869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

“Deeds not words”: the forgotten class "行胜于言"：被遗忘的阶级。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-07-20 DOI: 10.1038/s41371-024-00935-0

Bernadette Jenner

引用次数: 0

Exploring the link between blood pressure variability and atrial fibrillation: current insights and future directions 探索血压变化与心房颤动之间的联系：当前见解与未来方向。

IF 2.7 4区医学

Journal of Human Hypertension Pub Date : 2024-07-18 DOI: 10.1038/s41371-024-00936-z

Konstantinos Konstantinou, Anastasios Apostolos, Dimitrios Tsiachris, Kyriakos Dimitriadis, Panteleimon E. Papakonstantinou, Konstantinos Pappelis, Vasileios Panoulas, Konstantinos Tsioufis

{"title":"Exploring the link between blood pressure variability and atrial fibrillation: current insights and future directions","authors":"Konstantinos Konstantinou, Anastasios Apostolos, Dimitrios Tsiachris, Kyriakos Dimitriadis, Panteleimon E. Papakonstantinou, Konstantinos Pappelis, Vasileios Panoulas, Konstantinos Tsioufis","doi":"10.1038/s41371-024-00936-z","DOIUrl":"10.1038/s41371-024-00936-z","url":null,"abstract":"Atrial fibrillation (AF) is the most common heart rhythm disorder, especially in people over the age of 50, which affects more than 40 million people worldwide. Many studies have highlighted the association between hypertension with the development of AF. Blood pressure variability (BPV) is a dynamic size obtained by recording blood pressure oscillations using specific readings and at specific time intervals. A multitude of internal and external factors shape BPV while at the same time constituting a common pathogenetic pathway with the development of AF. Until recently, BPV has been applied exclusively in preclinical and clinical studies, without significant implications in clinical practice. Indeed, even from the research side, the determination of BPV is limited to patients without AF due to doubts about the accuracy of its measurement methods in patients with AF. In this review, we present the current evidence on common pathogenic pathways between BPV and AF, the reliability of quantification of BPV in patients with AF, the prognostic role of BPV in these patients, and discuss the future clinical implications of BPV in patients with AF.","PeriodicalId":16070,"journal":{"name":"Journal of Human Hypertension","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.nature.com/articles/s41371-024-00936-z.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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