Blood Pressure Monitoring最新文献

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Mean arterial pressure and mortality in patients with heart failure: a retrospective analysis of Zigong heart failure database. 心力衰竭患者的平均动脉压和死亡率:自贡市心力衰竭数据库的回顾性分析。
IF 1.2 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-09-14 DOI: 10.1097/MBP.0000000000000674
Hangkun Ma, Haibo Li, Song Sheng, Longfang Quan, Zhixu Yang, Fengqin Xu, Wenying Zeng
{"title":"Mean arterial pressure and mortality in patients with heart failure: a retrospective analysis of Zigong heart failure database.","authors":"Hangkun Ma, Haibo Li, Song Sheng, Longfang Quan, Zhixu Yang, Fengqin Xu, Wenying Zeng","doi":"10.1097/MBP.0000000000000674","DOIUrl":"10.1097/MBP.0000000000000674","url":null,"abstract":"<p><strong>Background: </strong>It is commonly observed that a higher target of mean arterial pressure (MAP) is in previous studies. This study assessed the association of MAP with short-term mortality in heart failure (HF) patients.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted by using data from Hospitalized patients with heart failure: integrating electronic healthcare records and external outcome database (v1.2 ). The characteristic of patients was described by 3 groups of MAP: below 80 mmHg, 80-100 mmHg, and above 100 mmHg. Univariate and multivariate logistic regression analyses were used to assess the relevance between MAP and all-cause mortality within 28 days and 6 months. For assessing the effect of multiple variables on patient survival time, 28-day and 6-month, Kaplan-Meier survival analysis and Forest plot were performed.</p><p><strong>Results: </strong>The overall cohort comprised 2008 patients divided by MAP into 3 groups, each group had 344 (17.1%), 938 (46.7%), and 726 (36.2%) patients. Patients in MAP < 80 mmHg group had higher mortality than MAP 80-100 mmHg and MAP ≥ 100 mmHg in 28 days(3.8% versus 1.6% versus 1.2%) and in 6 months (4.9% versus 2.5% versus 2.3%). Univariate analysis showed that MAP as a continuous variate was associated with 28-day (OR was 0.98, 95% CIs: 0.96-0.99, P  = 0.011) and 6-month mortality (OR was 0.98, 95% CIs: 0.97-1, P  = 0.021) in HF patients. Model 4 put into multivariate logistic regression analyses showed MAP 80-100 mmHg (OR was 0.13, 95% CIs: 0.02-0.8, P  = 0.027) stably associated with 28-day and 6-month mortality after adjusted covariable. Kaplan-Meier survival curves revealed a higher survival rate in the MAP ≥ 80 mmHg group than in the MAP < 80 mmHg group. The forest plot showed the stable effect of MAP ≥ 80 mmHg compared with MAP < 80 mmHg, the interaction analysis had no statistical significance effect between the two groups of MAP and multi-variable.</p><p><strong>Conclusion: </strong>It is indicated that MAP was independently associated with 28-day, 6-month all-cause mortality of HF patients, and compared with MAP < 80 mmHg, MAP ≥ 80 mmHg had a lower risk of 28-day, 6-month all-cause mortality of patients with HF.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10222353","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
Effects of chlorthalidone plus amiloride compared with amlodipine on short-term blood pressure variability in individuals with hypertension and obstructive sleep apnea: a randomized controlled trial. 氯噻酮加阿米洛利与氨氯地平对高血压和阻塞性睡眠呼吸暂停患者短期血压变异性的影响:一项随机对照试验。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-07-12 DOI: 10.1097/MBP.0000000000000663
Marcelo B Lucca, Juliano A Jorge, Fabio T Cichelero, Denis Martinez, Rogério B Borges, Vania N Hirakata, Flavio D Fuchs, Sandra C Fuchs
{"title":"Effects of chlorthalidone plus amiloride compared with amlodipine on short-term blood pressure variability in individuals with hypertension and obstructive sleep apnea: a randomized controlled trial.","authors":"Marcelo B Lucca,&nbsp;Juliano A Jorge,&nbsp;Fabio T Cichelero,&nbsp;Denis Martinez,&nbsp;Rogério B Borges,&nbsp;Vania N Hirakata,&nbsp;Flavio D Fuchs,&nbsp;Sandra C Fuchs","doi":"10.1097/MBP.0000000000000663","DOIUrl":"10.1097/MBP.0000000000000663","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of chlortalidone plus amiloride and amlodipine on blood pressure (BP) variability in patients with hypertension and obstructive sleep apnea syndrome (OSA).</p><p><strong>Methods: </strong>A randomized, controlled, double-blind trial enrolled men and women aged 40 years or older with a diagnosis of OSA (apnea-hypopnea index 10-40 apneas/h of sleep) confirmed by overnight laboratory polysomnography and systolic BP 140-159 mmHg or diastolic BP 90-99 mmHg. Participants were randomized to receive chlortalidone 25 mg plus amiloride 5 mg daily or amlodipine 10 mg daily for 8 weeks. BP variability was calculated from 24-hour ambulatory BP monitoring at baseline and follow-up using the following indices: SD, coefficient of variation, average real variability (ARV), time-rate index, and variability independent of the mean (VIM).</p><p><strong>Results: </strong>The study included 65 patients, with 33 assigned to the chlortalidone plus amiloride group and 32 to the amlodipine group. Participants in both groups had similar baseline characteristics. Short-term BP variability decreased within groups for SD and ARV indexes for 24-hour systolic BP and daytime systolic BP, but statistically significant time*group interactions were found for sleep systolic SD and VIM, with greater reduction in patients treated with amlodipine.</p><p><strong>Conclusion: </strong>In brief, our study has shown that the use of chlorthalidone in combination with amiloride and amlodipine produces comparable effects on short-term BP variability in patients with hypertension and OSA. Therefore, our findings suggest that BP variability may not be a significant factor when choosing between these medications for the treatment of hypertension and OSA.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9831934","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
A comparative analysis of ambulatory blood pressure characteristics in acute stroke and non-stroke Indian patients. 印度急性脑卒中和非脑卒中患者动态血压特征的比较分析
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-02 DOI: 10.1097/MBP.0000000000000664
Subhaschandra B Hegde, Shivaramakrishna Aroor, Yedabettu Janardana Anupama, Shrikanth N Hegde, Hiren Prajapati, Willem J Verberk
{"title":"A comparative analysis of ambulatory blood pressure characteristics in acute stroke and non-stroke Indian patients.","authors":"Subhaschandra B Hegde,&nbsp;Shivaramakrishna Aroor,&nbsp;Yedabettu Janardana Anupama,&nbsp;Shrikanth N Hegde,&nbsp;Hiren Prajapati,&nbsp;Willem J Verberk","doi":"10.1097/MBP.0000000000000664","DOIUrl":"10.1097/MBP.0000000000000664","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to identify 24-h blood pressure (BP) characteristics after acute stroke in Indian hospitalized patients.</p><p><strong>Methods: </strong>In total, 769 patients [284 women (36.9%)] admitted at a hospital in South India were analyzed. Of these, 364 patients (47.3%) had recently experienced stroke. All patients underwent ambulatory blood pressure measurement (ABPM) so that ABPM patterns and ABPM risk parameters of stroke and non-stroke patients could be compared. Additionally, to investigate the relationship between ABPM parameters and stroke, a stepwise logistic regression analysis was employed.</p><p><strong>Results: </strong>Stroke patients had significantly higher BP than non-stroke patients (24-h ABP: 145.0 ± 22.1 vs. 133.7 ± 20.5 mmHg, P < 0.001), with similar dipping status. ABPM parameters mostly associated with stroke (all P < 0.001) were: nighttime [odds ratios (OR): 1.587, 95% confidence interval (95% CI): 1.341-1.885], 24-h (1.584, 1.34-1.881), minimum nighttime (1.582, 1.339-1.879), daytime (1.540, 1.304-1.827), and morning SBP (1.517, 1.287-1.797). Non-dipping status was relatively more common in stroke patients (79% vs. 71%, P < 0.05) but dipping percentage did not show a significant linear relationship with stroke.</p><p><strong>Conclusion: </strong>Several ABPM characteristics were strongly associated with stroke in Indian hospitalized patients. Specifically, minimum nighttime and average morning SBP may be considered as important and practical parameters for its relationship with stroke.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45257305","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
Screening for orthostatic hypotension in the geriatric population in a real-world primary care setting reduces prescribed antihypertensive medications. 在现实的初级保健环境中筛查老年人群中的直立性低血压可以减少处方的降压药物。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-24 DOI: 10.1097/MBP.0000000000000673
Matthew G Kaye, James Rutowski, Hamza Aftab, Rohan Pandey, Raheel Khan, Mohamad A Kalot, Renata Anand, Susan P Graham
{"title":"Screening for orthostatic hypotension in the geriatric population in a real-world primary care setting reduces prescribed antihypertensive medications.","authors":"Matthew G Kaye,&nbsp;James Rutowski,&nbsp;Hamza Aftab,&nbsp;Rohan Pandey,&nbsp;Raheel Khan,&nbsp;Mohamad A Kalot,&nbsp;Renata Anand,&nbsp;Susan P Graham","doi":"10.1097/MBP.0000000000000673","DOIUrl":"10.1097/MBP.0000000000000673","url":null,"abstract":"<p><strong>Background: </strong>To determine if outpatient screening for orthostatic hypotension (OH) in the geriatric population results in fewer prescribed antihypertensive medications and if a relationship exists between OH and specific pharmacologic classes of antihypertensive medications.</p><p><strong>Materials and methods: </strong>Patients ≥ 65 years were screened for OH, defined as a decrease in systolic blood pressure (SBP) ≥ 20 mm Hg or a decrease in diastolic blood pressure (DBP) ≥ 10 mm Hg after standing for 3 minutes. Sitting blood pressure (BP) was measured after patients had been seated quietly in an exam room. Patients then stood for approximately 3 minutes at which time standing BP was recorded.</p><p><strong>Results: </strong>OH prevalence was 18%. Standing DBP was significantly different between the two groups (70 mmHg ± 18, 80 mmHg ± 13, P  = 0.007). Compared to patients without OH, patients with OH were more likely to have been previously prescribed beta-blockers (56% vs. 32%, P  = 0.056) and potassium-sparing diuretics (11% vs. 1%, P  = 0.026). Physicians discontinued an antihypertensive medication more often in patients who screened positive for OH than in to those who did not (17% vs. 4%, P  = 0.037). Calcium channel blockers were the most frequently discontinued class of medication.</p><p><strong>Conclusion: </strong>Asymptomatic OH is prevalent in geriatric patients. Screening for OH may lead to de-escalation of antihypertensive regimen and a reduction in polypharmacy. Positive screening for OH was associated with de-prescribing of antihypertensive medications. Prior use of beta-blockers and potassium-sparing diuretics was most largely associated with OH.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10146036","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
Comparison of direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement. 接受经导管主动脉瓣置换术的老年患者的直接动脉内压和ClearSight指套动脉压测量结果的比较。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-09-20 DOI: 10.1097/MBP.0000000000000666
Musashi Yahagi, Momoko Sasaki
{"title":"Comparison of direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement.","authors":"Musashi Yahagi,&nbsp;Momoko Sasaki","doi":"10.1097/MBP.0000000000000666","DOIUrl":"10.1097/MBP.0000000000000666","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the agreement between direct intra-arterial pressure and ClearSight finger cuff arterial pressure measurements in elderly patients undergoing transcatheter aortic valve replacement (TAVR).</p><p><strong>Methods: </strong>A prospective observational study was conducted at Hitachi General Hospital, Japan, involving 30 patients aged 65 years and older who underwent TAVR under general anesthesia. Intra-arterial pressure and finger cuff arterial pressure measurements were recorded for 30 min after valve deployment. Bland-Altman analysis, four-quadrant plot analysis, and error grid analysis were used to assess the concordance between the two methods. Multiple regression analysis was performed to explore potential confounding factors affecting the agreement.</p><p><strong>Results: </strong>The bias and precision of ClearSight measurements were -4.88 ± 15.46 (mmHg) for SBP, 4.73 ± 8.95 (mmHg) for mean, and 9.53 ± 9.01 (mmHg) for DBP. The Bland-Altman analysis demonstrated acceptable agreement between intra-arterial pressure and finger cuff arterial pressure measurements. The four-quadrant plot analysis showed good trend-tracking ability, and the error grid analysis revealed that most of the observed values fell into the no-risk category. The mean BP match ratio and SBP match ratio were influenced by several factors such as age, BSA, ejection fraction, valve size, and gender.</p><p><strong>Conclusion: </strong>The ClearSight finger cuff arterial pressure measurement showed good agreement with direct intra-arterial pressure in elderly patients undergoing TAVR. However, factors such as age, BSA, ejection fraction, valve size, and gender may influence the agreement between the two methods.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227540","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
Evaluation of cardiac electromechanics in patients with newly diagnosed hypertension. 新诊断高血压患者的心脏生物力学评价
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-12-01 Epub Date: 2023-08-03 DOI: 10.1097/MBP.0000000000000667
Timor Omar, Şerif Hamideyin, Muammer Karakayali, İnanç Artaç, Yavuz Karabağ, Cihan Dündar, İbrahim Rencüzoğullari
{"title":"Evaluation of cardiac electromechanics in patients with newly diagnosed hypertension.","authors":"Timor Omar,&nbsp;Şerif Hamideyin,&nbsp;Muammer Karakayali,&nbsp;İnanç Artaç,&nbsp;Yavuz Karabağ,&nbsp;Cihan Dündar,&nbsp;İbrahim Rencüzoğullari","doi":"10.1097/MBP.0000000000000667","DOIUrl":"10.1097/MBP.0000000000000667","url":null,"abstract":"Objectives: This study aimed to investigate the relationship between subclinical left ventricular (LV) systolic dysfunction and ECG parameters in newly diagnosed hypertension patients. Methods: In this cross-sectional study, adults diagnosed with hypertension based on 24-h ambulatory blood pressure monitor recordings were included. The patients were classified into two groups based on the presence of subclinical LV systolic dysfunction according to LV global longitudinal strain (LVGLS). Findings were compared between the two groups. Results: A total of 244 patients (female, 55.7%) were included. Based on LVGLS, 82 (33.6%) patients had subclinical LV systolic dysfunction. The proportion of early repolarization pattern (ERP) on ECG was significantly higher in patients with subclinical LV systolic dysfunction than in patients with normal LV systolic function [24 (28.6%) vs. 8 (5%), P < 0.001]. PR and corrected QT intervals were also significantly longer in patients with subclinical LV systolic dysfunction than in patients with normal LV systolic function [median (interquartile range), 148 (132–158) vs. 141 (127–152), P = 0.036 and 443 (427–459) vs. 431 (411–455), P = 0.007, respectively]. According to multivariate regression analysis ERP, early (E) wave velocity/late (A) wave velocity (E/A), and LV mass index were independently associated with subclinical LV systolic dysfunction. Conclusion: In newly diagnosed hypertension patients, the ERP on admission ECG could be a sign of subclinical systolic dysfunction.","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47616270","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
Factors related to medication adherence in patients with hypertension in Iran: a systematic review study. 伊朗高血压患者药物依从性的相关因素:一项系统回顾性研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-10-01 Epub Date: 2023-08-11 DOI: 10.1097/MBP.0000000000000665
Golara Maleki, Rohollah Norian, Babak Moeini, Majid Barati, Shahnaz Maleki, Maryam Afshari
{"title":"Factors related to medication adherence in patients with hypertension in Iran: a systematic review study.","authors":"Golara Maleki,&nbsp;Rohollah Norian,&nbsp;Babak Moeini,&nbsp;Majid Barati,&nbsp;Shahnaz Maleki,&nbsp;Maryam Afshari","doi":"10.1097/MBP.0000000000000665","DOIUrl":"10.1097/MBP.0000000000000665","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to review the available studies of the factors in Iranian hypertensive patients' adherence to drug treatment.</p><p><strong>Methods: </strong>Four Persian databases and seven English databases were searched. The articles, which were published from 2000 to 2022 in Persian and English and examined the adherence to drug treatment in the Iranian population of adults with high blood pressure, were reviewed. Based on the primary examination, 31 of the initial 1062 articles met the inclusion criteria and were included in the analysis. The evidence, which was provided by the examined articles, was summarized and discussed using the 5-dimensional framework of adherence to long-term treatments, which was developed by WHO.</p><p><strong>Results: </strong>The factors that significantly correlated with adherence to drug treatment in the examined studies were: (1) factors that were related to the health team or the health system: patients' satisfaction with their doctor-patient relationship; (2) factors that were related to the conditions: the number of concomitant diseases, high quality of life and the implementation of effective interventions; (3) factors which were related to the treatment: long duration of illness, short intervals between the visits, duration of treatment, lower numbers of drugs, and the patient's blood pressure control; and (4) factors that were related to the patient: self-efficacy, health literacy, social support, locus of control, illness perception, beliefs, attitude, knowledge, and cues to action.</p><p><strong>Conclusion: </strong>It is possible to draw definite conclusions about the factors which affect adherence to drug treatment in patients with high blood pressure because most of the relevant studies have been cross-sectional. Therefore, in the future, valuable results can be obtained by conducting more studies that preferably use objective instruments for assessing adherence to drug treatment.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10196465","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
Proceedings of the 2023 IDACO/IDHOCO/IDCARS/ UPRIGHT-HTM Osaka Consortium Meeting. 2023年IDACO/IDHOCO/IDCARS/ straight - htm大阪联盟会议纪要。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-09-01 DOI: 10.1097/MBP.0000000000000675
{"title":"Proceedings of the 2023 IDACO/IDHOCO/IDCARS/ UPRIGHT-HTM Osaka Consortium Meeting.","authors":"","doi":"10.1097/MBP.0000000000000675","DOIUrl":"https://doi.org/10.1097/MBP.0000000000000675","url":null,"abstract":"","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10189168","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
Impact of dynamic explosive resistance exercise with elastic bands on pulse pressure in hypertensive older adults: a randomized crossover study. 弹性带动态抗爆炸运动对老年高血压患者脉压的影响:一项随机交叉研究。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-08 DOI: 10.1097/MBP.0000000000000650
Bruno Bavaresco Gambassi, Izadora Nobre, Jozimar Prazeres, Maycon Henrique de Melo, Roberto Bianco, Tânia Maria Novais, Paula de Lourdes Oliveira, Thiago Antonio Souza, Maria Jacqueline Ribeiro, Paulo Adriano Schwingel
{"title":"Impact of dynamic explosive resistance exercise with elastic bands on pulse pressure in hypertensive older adults: a randomized crossover study.","authors":"Bruno Bavaresco Gambassi,&nbsp;Izadora Nobre,&nbsp;Jozimar Prazeres,&nbsp;Maycon Henrique de Melo,&nbsp;Roberto Bianco,&nbsp;Tânia Maria Novais,&nbsp;Paula de Lourdes Oliveira,&nbsp;Thiago Antonio Souza,&nbsp;Maria Jacqueline Ribeiro,&nbsp;Paulo Adriano Schwingel","doi":"10.1097/MBP.0000000000000650","DOIUrl":"10.1097/MBP.0000000000000650","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the acute responses of pulse pressure (PP), SBP, and DBP to dynamic explosive resistance exercise (DERE) with elastic resistance bands in hypertensive older adults.</p><p><strong>Methods: </strong>Eighteen hypertensive older adults were randomly assigned to participate in DERE and control sessions. PP, SBP, and DBP were measured before (baseline) and after each session (immediately, 10, and 20 min after the session). The DERE protocol has five sets of two consecutive exercises.</p><p><strong>Results: </strong>There was an important clinical decrease in PP (Δ = -7.8 mmHg; dz = 0.7) and in DBP (Δ = -6.3 mmHg; dz = 0.6) favoring the exercise session post-20 min in the intersession comparison. DERE also promoted lowering levels in SBP (140.3 ± 16.0 vs. 126.2 ± 14.3 mmHg; Δ = -14.1 mmHg; P  = 0.04) with a large effect size ( dz = 0.9) post-20 min when compared to the control session.</p><p><strong>Conclusion: </strong>Our findings indicate that DERE with elastic resistance bands improved SBP in hypertensive older adults. In addition, our results support the hypothesis that DERE can an important clinical decrease in PP and DBP. According to this, professionals may have additional exercise training possibilities with elastic resistance bands when prescribing resistance exercises for systemic arterial hypertension treatment in this population.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9790717","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: 2
The relationship between vitamin D and short-term blood pressure variability. 维生素D与短期血压变异性的关系。
IF 1.3 4区 医学
Blood Pressure Monitoring Pub Date : 2023-08-01 Epub Date: 2023-06-07 DOI: 10.1097/MBP.0000000000000652
Amir Baniasad, Abnoos Mokhtari Ardekan, Mohammad Javad Najafzadeh, Fatemeh Mousavi Mehdiabadi
{"title":"The relationship between vitamin D and short-term blood pressure variability.","authors":"Amir Baniasad,&nbsp;Abnoos Mokhtari Ardekan,&nbsp;Mohammad Javad Najafzadeh,&nbsp;Fatemeh Mousavi Mehdiabadi","doi":"10.1097/MBP.0000000000000652","DOIUrl":"10.1097/MBP.0000000000000652","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the relationships between serum levels of 25-hydroxyvitamin D (25(OH)D) and short-term blood pressure variability (BPV) in newly diagnosed hypertensive patients.</p><p><strong>Methods: </strong>One hundred newly diagnosed patients with stage one essential hypertension were included and divided into two groups, the deficient and non-deficient groups, according to their 25(OH)D level. The blood pressure was recorded automatically by a portable ambulatory blood pressure monitor for 24 h.</p><p><strong>Results: </strong>In the present study, there was no significant relationship between vitamin D levels and short-term BPV or other parameters derived from ambulatory blood pressure monitoring (ABPM) (P > 0.05). Age (r = 0.260, P = 0.009), serum phosphorus (r = 0.271, P = 0.007), and cholesterol levels (r = 0.310, P = 0.011) were positively correlated with 25(OH)D levels, while glomerular filtration rate (r = -0.232, P = 0.021) negatively correlated with vitamin D levels. There was no crude or adjusted relationship between the levels of 25(OH)D and any parameters of ABPM in multiple linear regression analysis.</p><p><strong>Conclusion: </strong>Although the relationship between vitamin D levels and cardiovascular diseases has been confirmed, vitamin D deficiency does not cause an increase in cardiovascular risk by influencing the short-term BPV or other parameters derived from ABPM.</p>","PeriodicalId":8950,"journal":{"name":"Blood Pressure Monitoring","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9857279","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}
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