Blood PressurePub Date : 2024-05-03Epub Date: 2024-06-02DOI: 10.1080/08037051.2024.2350981
Yanlong Hua, Qing He
{"title":"Comparison between screening for primary aldosteronism with and without drug adjustment.","authors":"Yanlong Hua, Qing He","doi":"10.1080/08037051.2024.2350981","DOIUrl":"https://doi.org/10.1080/08037051.2024.2350981","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have evaluated the performance of non-drug-adjusted primary aldosteronism (PA) screening. Therefore, we aimed to examine the consistency between PA screening results with and without drug adjustment and to explore the effectiveness of screening without drug adjustment.</p><p><strong>Methods: </strong>This prospective study included 650 consecutive patients with a high risk of incidence PA. Patients who initially screened positive underwent rescreening with drug adjustments and confirmatory tests. Regarding the remaining patients, one of every three consecutive patients underwent rescreening with drug adjustments and confirmatory tests. The changes in aldosterone and renin concentrations were compared between patients with essential hypertension (EH) and those with PA before and after drug adjustment. Sensitivity and specificity were used to assess the diagnostic performance of screening without drug adjustment, using the confirmatory test results as the reference.</p><p><strong>Results: </strong>We screened 650 patients with hypertension for PA. Forty-nine patients were diagnosed with PA and 195 with EH. Regarding drugs, 519 patients were taking angiotensin-converting enzyme inhibitors (ACEIs), angiotensin II receptor blockers (ARBs), calcium channel blockers (CCBs), or diuretics alone or in combination. Forty-one patients were taking beta-blockers. Ninety patients were taking beta-blockers in combination with other drugs. In patients treated with ACEIs, ARBs, CCBs, or diuretics alone, or in combination, or beta-blockers alone, PA positivity was determined using the criteria, aldosterone-to-renin ratio (ARR) >38 pg/mL/pg/mL and plasma aldosterone concentration (PAC) >100 pg/mL, and negativity, using the criteria, ARR <9 pg/mL/pg/mL; the sensitivity and specificity were 94.7% and 94.5%, respectively. After drug adjustment, the sensitivity and specificity of screening were 92.1% and 89%, respectively.</p><p><strong>Conclusions: </strong>In patients not treated with beta-blockers combined with others, when ARR >38 pg/mL/pg/mL and plasma aldosterone concentration (PAC) >100 pg/mL, or, ARR <9 pg/mL/pg/mL, non-drug-adjusted screening results were identical to with drug adjustment. Non-drug-adjusted screening <u>c</u>ould reduce the chance of medication adjustment, enable patients to continue their treatments and avoiding adverse effects, is of clinical importance.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"33 1","pages":"2350981"},"PeriodicalIF":1.8,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199286","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}
Blood PressurePub Date : 2024-05-02DOI: 10.1080/08037051.2024.2339434
Mohammad Jahid Hasan, Md Zakir Hossain, Md Anwar Hossain, Koustuv Dalal, Md Abdul Baset, Probal Sutradhar, Mahabubul Alam, Tamanna Tabassum, Jannatul Fardous, Paramita Zaman, Md Abdur Rafi, Md Abdullah Saeed Khan, Mohammad Delwer Hossain Hawlader
{"title":"Health-care-seeking behaviour in patients with hypertension: experience from a dedicated hypertension centre in Bangladesh","authors":"Mohammad Jahid Hasan, Md Zakir Hossain, Md Anwar Hossain, Koustuv Dalal, Md Abdul Baset, Probal Sutradhar, Mahabubul Alam, Tamanna Tabassum, Jannatul Fardous, Paramita Zaman, Md Abdur Rafi, Md Abdullah Saeed Khan, Mohammad Delwer Hossain Hawlader","doi":"10.1080/08037051.2024.2339434","DOIUrl":"https://doi.org/10.1080/08037051.2024.2339434","url":null,"abstract":"Objective: The study aimed to assess health-seeking behaviour (HSB) and associated factors among hypertensive patients in Bangladesh.Methods: This cross-sectional study was conducted in the Hyperte...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"39 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140832187","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}
Blood PressurePub Date : 2024-04-29DOI: 10.1080/08037051.2024.2345887
Jorge Polónia, Raul Marques Pereira
{"title":"Guidelines-based therapeutic strategies for controlling hypertension in non-controlled hypertensive patients followed by family physicians in primary health care in Portugal: the GPHT-PT study","authors":"Jorge Polónia, Raul Marques Pereira","doi":"10.1080/08037051.2024.2345887","DOIUrl":"https://doi.org/10.1080/08037051.2024.2345887","url":null,"abstract":"In a prospective open study, with intervention, conducted in Primary Health Care Units by General Practitioners (GPs) in Portugal, the effectiveness of a single pill of candesartan/amlodipine (ARB/...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"31 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140832385","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}
Blood PressurePub Date : 2024-04-12DOI: 10.1080/08037051.2024.2323980
Karl Marius Brobak, Lene V. Halvorsen, Hans Christian D. Aass, Camilla L. Søraas, Arleen Aune, Eirik Olsen, Ola Undrum Bergland, Stine Rognstad, Kjersti B. Blom, Jon Arne K. Birkeland, Aud Høieggen, Anne Cecilie K. Larstorp, Marit D. Solbu
{"title":"Novel biomarkers in patients with uncontrolled hypertension with and without kidney damage","authors":"Karl Marius Brobak, Lene V. Halvorsen, Hans Christian D. Aass, Camilla L. Søraas, Arleen Aune, Eirik Olsen, Ola Undrum Bergland, Stine Rognstad, Kjersti B. Blom, Jon Arne K. Birkeland, Aud Høieggen, Anne Cecilie K. Larstorp, Marit D. Solbu","doi":"10.1080/08037051.2024.2323980","DOIUrl":"https://doi.org/10.1080/08037051.2024.2323980","url":null,"abstract":"Estimated glomerular filtration rate (eGFR) and urine albumin/creatinine ratio (ACR) are insensitive biomarkers for early detection of hypertension-mediated organ damage (HMOD). In this nationwide ...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"32 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140577210","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}
Blood PressurePub Date : 2024-04-09DOI: 10.1080/08037051.2024.2338208
Katrine Bovien Gørlitz, Esben Laugesen, Christian Trolle, Louise Jung Nørgård, Siv Lajlev, Michele Colombo, Mette Bohl, Klavs Würgler Hansen
{"title":"One size does not fit all: universal cuff overestimates oscillometric blood pressure in persons with large arm circumference","authors":"Katrine Bovien Gørlitz, Esben Laugesen, Christian Trolle, Louise Jung Nørgård, Siv Lajlev, Michele Colombo, Mette Bohl, Klavs Würgler Hansen","doi":"10.1080/08037051.2024.2338208","DOIUrl":"https://doi.org/10.1080/08037051.2024.2338208","url":null,"abstract":"Some brachial cuffs for oscillometric blood pressure (BP) measurement are claimed to cover a wide range of upper-arm circumferences; however, their validation is rarely conducted. Our aim was to co...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"18 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140577041","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}
Blood PressurePub Date : 2024-04-05DOI: 10.1080/08037051.2024.2337170
János Nemcsik, Johanna Takács, Dorottya Pásztor, Csaba Farsang, Attila Simon, Dénes Páll, Péter Torzsa, Szilveszter Dolgos, Akos Koller, Norbert Habony, Zoltán Járai
{"title":"Frequency of office blood pressure measurements and the seasonal variability of blood pressure: results of the Hungarian Hypertension Registry","authors":"János Nemcsik, Johanna Takács, Dorottya Pásztor, Csaba Farsang, Attila Simon, Dénes Páll, Péter Torzsa, Szilveszter Dolgos, Akos Koller, Norbert Habony, Zoltán Járai","doi":"10.1080/08037051.2024.2337170","DOIUrl":"https://doi.org/10.1080/08037051.2024.2337170","url":null,"abstract":"Hypertension is a major public health problem, thus, its timely and appropriate diagnosis and management are crucial for reducing cardiovascular morbidity and mortality. The aim of the new Hungaria...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"77 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140577206","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}
Blood PressurePub Date : 2024-04-03DOI: 10.1080/08037051.2024.2336243
Francesco Curcio, Rosaria Chiappetti, Mattia De Furio, Veronica Flocco, David Della Morte, Gianluca Testa, Gaetano Gargiulo, Francesco Cacciatore, Pasquale Abete, Gianluigi Galizia, on behalf of the European Union - NextGenerationEU - AGE-It Spoke 3
{"title":"Chronic kidney disease and orthostatic hypotension in hospitalised older adults","authors":"Francesco Curcio, Rosaria Chiappetti, Mattia De Furio, Veronica Flocco, David Della Morte, Gianluca Testa, Gaetano Gargiulo, Francesco Cacciatore, Pasquale Abete, Gianluigi Galizia, on behalf of the European Union - NextGenerationEU - AGE-It Spoke 3","doi":"10.1080/08037051.2024.2336243","DOIUrl":"https://doi.org/10.1080/08037051.2024.2336243","url":null,"abstract":"Orthostatic hypotension (OH) may predispose older adults to health complications leading to functional impairment. Despite the central role of the kidney in blood pressure control, the contribution...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"77 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140576959","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}
Blood PressurePub Date : 2024-01-21DOI: 10.1080/08037051.2024.2304190
Benoit Henry, Maxime Merz, Harry Hoang, Ghaith Abdulkarim, Jedrek Wosik, Patrick Schoettker
{"title":"Cuffless Blood Pressure in clinical practice: challenges, opportunities and current limits.","authors":"Benoit Henry, Maxime Merz, Harry Hoang, Ghaith Abdulkarim, Jedrek Wosik, Patrick Schoettker","doi":"10.1080/08037051.2024.2304190","DOIUrl":"https://doi.org/10.1080/08037051.2024.2304190","url":null,"abstract":"Background: Cuffless blood pressure measurement technologies have attracted significant attention for their potential to transform cardiovascular monitoring.Methods: This updated narrative review t...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"12 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139507482","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}
Blood PressurePub Date : 2023-12-21DOI: 10.1080/08037051.2023.2291411
Katharina Mansouri, Theresa Greupner, Andreas Hahn
{"title":"Blood Pressure Stability and Plasma Aldosterone Reduction: The Effects of a Sodium and Bicarbonate-Rich Water - A Randomized Controlled Intervention Study","authors":"Katharina Mansouri, Theresa Greupner, Andreas Hahn","doi":"10.1080/08037051.2023.2291411","DOIUrl":"https://doi.org/10.1080/08037051.2023.2291411","url":null,"abstract":"Objective: Hypertension is a recognized risk factor for cardiovascular disease (CVD), and dietary sodium intake has been linked to its development. However, mineral water high in bicarbonate and so...","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"48 1","pages":""},"PeriodicalIF":1.8,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138823547","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}
{"title":"Performance of the Aktiia optical blood pressure measurement device in the elderly: a comparison with double blinded auscultation in different body positions.","authors":"Kenji Theiler, Josep Sola, Aikaterini Damianaki, Alexandre Pfister, Tiago P Almeida, Jérémy Alexandre, Pascale Vermare, Gregoire Wuerzner","doi":"10.1080/08037051.2023.2281320","DOIUrl":"10.1080/08037051.2023.2281320","url":null,"abstract":"<p><strong>Background: </strong>Accurate blood pressure (BP) measurement is essential for the correct diagnosis and management of hypertension (HTN) especially in the elderly population. As with of all BP devices, the accuracy of cuffless devices must be verified. This study (NCT04027777) aimed to evaluate the performance of a wrist cuffless optical BP device in an elderly population cohort in different body positions with auscultation as the reference measurement.</p><p><strong>Design and methods: </strong>Patients aged 65-85 years with different BP categories but without diabetes were recruited. After an initial calibration based on auscultatory measurements, BP estimation from the Aktiia Bracelet (Aktiia SA, Switzerland) were compared to reference double-blinded auscultatory measurements in sitting, standing and lying positions on four separate visits distributed over one month. In the absence of a universal standard for cuffless BP device at the time of the study, modified ISO81060-2 criteria were used for performance analysis.</p><p><strong>Results: </strong>Thirty-five participants were included in the analysis fulfilling the inclusion requirements of ISO 81060-2. A total of 469 paired measurements were obtained with overall 83% acceptance rate. Differences (mean ± SD) <math><mi> </mi></math> between Aktiia Bracelet and auscultation for systolic BP were -0.26 ± 9.96 mmHg for all body positions aggregated (sitting 1.23 ± 7.88 mmHg, standing -1.81 ± 11.11 mmHg, lying -1.8 ± 9.96 mmHg). Similarly, differences for diastolic BP were -0.75 ± 7.0 mmHg (0.2 ± 5.55 mmHg, -5.35 ± 7.75 mmHg and -0.94 ± 7.47 mmHg, respectively). Standard deviation of the averaged differences per subject for systolic/diastolic BP was 3.8/2.5 mmHg in sitting and 4.4/3.7 mmHg for all body positions aggregated.</p><p><strong>Conclusions: </strong>Overall, this study demonstrates a similar performance of the Aktiia Bracelet compared to auscultation in an elderly population in body positions representative of daily activities. The use of more comfortable, non-invasive, and non-occlusive BP monitors during long periods may facilitate e-health and may contribute to better management of HTN, including diagnosis and treatment of HTN, in the elderly.</p>","PeriodicalId":9000,"journal":{"name":"Blood Pressure","volume":"32 1","pages":"2281320"},"PeriodicalIF":1.8,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136396062","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}