Journal of hypertension and management最新文献

Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis 矿物质皮质激素受体拮抗剂治疗双侧肾动脉狭窄导致的复发性高血压急症

Journal of hypertension and management Pub Date : 2023-12-31 DOI: 10.23937/2474-3690/1510076

Hayes Michael, Sexton Donal J

{"title":"Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis","authors":"Hayes Michael, Sexton Donal J","doi":"10.23937/2474-3690/1510076","DOIUrl":"https://doi.org/10.23937/2474-3690/1510076","url":null,"abstract":"Introduction: Bilateral renal artery stenosis (RAS) causing recurrent hypertensive emergency and pulmonary oedema is difficult to manage. Use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) is usually contraindicated. We present a systematic review of literature and a case vignette which highlights the useful properties of mineralocorticoid receptor antagonists (MRAs) in this scenario. Methods: Medline, EMBASE, and the Cochrane Central Register of Controlled Trials were searched. Online searches were also conducted. Eligible studies involved the use of MRAs in bilateral RAS. Our search included case reports, case series, case-controls, cohort studies, randomised controlled trials, and systematic reviews. Consensus guidelines on the management of bilateral RAS were also included. Results: 354 abstracts were screened. One case report was included for review. This reported successful use of eplerenone in bilateral RAS following unilateral renal artery stenting. Online search yielded one international guideline for inclusion. This did not mention the use of MRAs in bilateral RAS. Discussion and conclusion: There is no evidence or recommendations from controlled trials, cohort studies, or consensus guidelines to inform clinicians on the use of MRAs in bilateral RAS. One case report describes successful use of eplerenone for management of refractory hypertension secondary to bilateral RAS. We describe our experience of the successful addition of spironolactone to an anti-hypertensive regimen which prevented recurrence of hypertensive emergency and pulmonary oedema in a patient with multiple previous hospital admissions. We feel that MRAs offer an effective and relatively safe but underused option in this condition.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"20 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Increasing Burden of Hypertension in Cameroon: Considerations for Prevention and Non-Pharmacological Interventions 喀麦隆日益沉重的高血压负担：预防和非药物干预的考虑因素

Journal of hypertension and management Pub Date : 2023-12-31 DOI: 10.23937/2474-3690/1510077

Ngeh Etienne Ngeh

引用次数: 0

Smoking May Not Have a Long Term Effect on Body Weight 吸烟可能对体重没有长期影响

Journal of hypertension and management Pub Date : 2023-06-30 DOI: 10.23937/2474-3690/1510074

Helvaci Mehmet Rami, Kaya Yasemin, Yalcin Atilla, Muftuoglu Orhan Ekrem, Abyad Abdulrazak, Pocock Lesley

引用次数: 0

Beyond Pills: Exploring Effective Ways to Tackle Hypertension through Non-Pharmacological Means 超越药片:探索通过非药物手段治疗高血压的有效方法

Journal of hypertension and management Pub Date : 2023-06-30 DOI: 10.23937/2474-3690/1510075

Harrisingh Kamahl, Gursky Paul, Himed Khaled, Shoreibah Ahmed

引用次数: 0

Electronic Diary Monitoring for Hypertension Post Stroke 脑卒中后高血压的电子日记监测

Journal of hypertension and management Pub Date : 2023-06-30 DOI: 10.23937/2474-3690/1510073

Levine Minna, Buonanno Ferdinando, Calvanio Ronald, G. Richard, Jacobson Jared, MingMing Ning

{"title":"Electronic Diary Monitoring for Hypertension Post Stroke","authors":"Levine Minna, Buonanno Ferdinando, Calvanio Ronald, G. Richard, Jacobson Jared, MingMing Ning","doi":"10.23937/2474-3690/1510073","DOIUrl":"https://doi.org/10.23937/2474-3690/1510073","url":null,"abstract":"Background: We tried to understand whether or not there is a long term effect of smoking on the body weight. Method: Consecutive daily smokers at least with a history of one pack-year and age and sex-matched non-smokers were studied. Results: The study included 247 smokers (173 males) and 167 non-smokers (112 males). The mean age of smokers was 46.2 years, and 70.0% of them were males. Plasma triglycerides (163.1 versus 151.3 mg/dL, p < 0.05), low density lipoproteins (LDL) (123.8 versus 117.5 mg/dL, p < 0.05), erythrocyte sedimentation rate (ESR) (10.6 versus 9.3 mm/h, p < 0.05), and C-reactive protein (CRP) (2.3 versus 2.0 mg/L, p < 0.05) were higher in the smokers. Whereas high density lipoproteins (HDL) (40.9 versus 44.0 mg/dL, p < 0.05) and fasting plasma glucose (FPG) (102.3 versus 111.6 mg/dL, p = 0.007) values and prevalence of diabetes mellitus (8.9% versus 14.3%, p < 0.05) were lower in the smokers. Interestingly, the body weight (76.1 versus 74.7 kg) and body mass index (BMI) (26.6 versus 26.5 kg/ m 2 ) were higher in the smokers, nonsignificantly ( p > 0.05 for both). Smokers had a mean history of 20.5 ± 15.0 (1-100) pack years. Conclusion: Smoking may cause a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerosis-induced end-organ insufficiencies all over the body. Plasma triglycerides, LDL, ESR, and CRP may be positive whereas HDL and FPG negative acute phase reactants indicating such inflammatory effects in the body. Probably due to the low-grade nature of inflammation caused by smoking, the body weight and BMI were not suppressed in the smokers in long term.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48955807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated Systolic Hypertension in Young Patients 年轻患者的孤立性收缩性高血压

Journal of hypertension and management Pub Date : 2022-12-31 DOI: 10.23937/2474-3690/1510070

J. Minetto

引用次数: 0

Association of Blood Pressure, Anthropometric Indices and Blood Group among Hypertensive Patients at Health centers in Addis Ababa Ethiopia 埃塞俄比亚亚的斯亚贝巴保健中心高血压患者血压、人体测量指数和血型的关系

Journal of hypertension and management Pub Date : 2022-12-31 DOI: 10.23937/2474-3690/1510072

Oumer Fetiya, Tolossa Tesfaye, Aragaw Abebaye

{"title":"Association of Blood Pressure, Anthropometric Indices and Blood Group among Hypertensive Patients at Health centers in Addis Ababa Ethiopia","authors":"Oumer Fetiya, Tolossa Tesfaye, Aragaw Abebaye","doi":"10.23937/2474-3690/1510072","DOIUrl":"https://doi.org/10.23937/2474-3690/1510072","url":null,"abstract":"Background: Uncontrolled BP is a major health problem both in developed and developing countries. Life style, behavioral or genetic factors are some of the risk factors for uncontrolled BP. There are many researches have done on the risk factors for hypertension. However, there is no research done on the association between blood pressure, anthropometric indices and blood group among hypertensive patients in health centers in Addis Ababa, Ethiopia. The aim of this study was therefore, to assess the association between blood pressure, anthropometric indices and blood group among hypertensive patients. Materials and methods: A facility-based quantitative cross-sectional study was carried out among 235 hypertensive patients in health centers in Addis Ababa, Ethiopia. Structured questionnaires, anthropometric measurements and laboratory analysis were used to collect the data. The data were analyzed by using SPSS version 25 software. The binary and multiple logistic regression analysis were used. Result: In more than half, 142 (60.4%) of the hypertensive patients, the blood pressure was not controlled. “O” blood type was found to be the most common blood group accounting for 100 (42.6%), followed by “A” 66(28%), “B” 58(24.7%) and “AB” (4.7%). Physical inactivity (AOR = 2.47, 95% CI (1.10, 5.52), P = 0.027), salt intake (AOR = 2.22, 95% CI (1.03, 4.8), P = 0.043), BMI (AOR = 7.79, 95% CI (3.54, 17.13), P = 0.000), high waist circumference (AOR = 3.18, 95% CI (1.19, 8.47), P = 0.021), High Hip (AOR = 5.1, 95% CI (1.2, 21.25), P = 0.025), and “O” blood group (AOR = 2.46, 95% CI (1.0, 5.62), P = 0.026) were significantly associated with uncontrolled blood pressure. Conclusion: More than half of the hypertensive patients’ BP was not controlled. Significant associations were found between BP and salt intake, physical inactivity, BMI, WC, HC and blood group. HC and WC indices should be used routinely as a monitoring method of uncontrolled blood pressure in addition to BMI.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44704710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of an Ambulatory Blood Pressure Monitoring Protocol in an Academic Outpatient Clinic 学术门诊门诊动态血压监测方案评估

Journal of hypertension and management Pub Date : 2022-06-30 DOI: 10.23937/2474-3690/1510069

Zeng Yvette, C. Les, Sbar Evelyn, Lewis Beverly, Young Rodney B, MacLaughlin Eric

{"title":"Assessment of an Ambulatory Blood Pressure Monitoring Protocol in an Academic Outpatient Clinic","authors":"Zeng Yvette, C. Les, Sbar Evelyn, Lewis Beverly, Young Rodney B, MacLaughlin Eric","doi":"10.23937/2474-3690/1510069","DOIUrl":"https://doi.org/10.23937/2474-3690/1510069","url":null,"abstract":"Purpose: To evaluate the initial implementation effectiveness of an ambulatory blood pressure monitoring (ABPM) protocol based on provider perception through survey and assesses its fidelity, adoption, and impact in an academic outpatient clinic. Methods: A prospective study was conducted. A protocol was created to implement an ABPM device for use in patients who qualified in the clinic. Providers and staff were educated on the workflow steps and the importance of utilizing ABPM to detect and manage hypertension (HTN). Surveys were distributed before implementation of the protocol and two months after the initial implementation date. The primary outcome was a change in the composite provider survey score. Results: Thirty-two pre-surveys and 13 post-surveys were collected. The majority of pre-survey and post-survey responses were completed by post-graduate year three resident physicians (28% vs. 36% respectively). Eightyfive percent and 92% of providers had zero to five years of experience for pre-survey and post-survey responses, respectively. Following the ABPM protocol implementation, the composite provider score increased from a pre-survey score of 25 to a post-survey score of 32 (p = 0.0024). Conclusion: Education is a critical component in creating a new service, and the support of all clinic providers and the staff was vital in a successful implementation. With proper dissemination and education, provider perception of ABPM was positive, and the tool’s interest grew.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Caffeine Elevates Blood Pressure 咖啡因会升高血压

Journal of hypertension and management Pub Date : 2022-03-31 DOI: 10.23937/2474-3690/1510067

Ambrosini Maria Teresa

引用次数: 0

Effects of a Four-Week Isometric Exercise Training on Blood Pressure of Hypertensive Stroke Survivors in a Tertiary Health Institution 在三级医疗机构进行为期四周的等长运动训练对高血压卒中幸存者血压的影响

Journal of hypertension and management Pub Date : 2022-03-13 DOI: 10.23937/2474-3690/1510066

Okwudili Obaseki Chigozie, Samuel Adodo M, Sunday Ede Stephen, Agbonlahor Elvis I

{"title":"Effects of a Four-Week Isometric Exercise Training on Blood Pressure of Hypertensive Stroke Survivors in a Tertiary Health Institution","authors":"Okwudili Obaseki Chigozie, Samuel Adodo M, Sunday Ede Stephen, Agbonlahor Elvis I","doi":"10.23937/2474-3690/1510066","DOIUrl":"https://doi.org/10.23937/2474-3690/1510066","url":null,"abstract":"Background: Little is known about the potency of isometric exercise for blood pressure control among hypertensive stroke survivors (HSS). Meanwhile, the isometric exercise regimen stands to be a preferable intervention for at-risk subjects even at acute phases as it could be carried out at a resting position compared to aerobic and resistance exercise regimens. Objective: This study investigated the acute effect of isometric exercise training protocol on blood pressure of hypertensive stroke survivors in the University of Benin Teaching Hospital, Benin city. Methods: This study adopted the experimental research design. The sample size of 12-hypertensive stroke survivors from the neurology outpatient clinic of the University of Benin Teaching Hospital was randomly selected from amongst the hypertensive stroke survivors who met the inclusion criteria. The participants were further randomly allotted to the experimental and control groups. The instruments employed include several measuring and timing equipment. The trial proceeded for four weeks during which a combination of unilateral isometric handgrip and unilateral isometric quadriceps exercise training was administered on the experimental group in two sessions per week. Results: Findings revealed there was no significant difference in the effect of isometric exercise training on systolic blood pressure but there was a significant difference in diastolic blood pressure parameters taken from both the right and left sides of the brachial arteries. Conclusion: The acute responses of this study support the clinical significance of isometric exercise training as a time-efficient, valuable new therapeutic adjunct, and effective training modality to reduce blood pressure and thereby assist in regulating and preventing a recurrent stroke in hypertensive stroke survivors. To confirm this, an expanded study in terms of duration was suggested to investigate the adaptation of this study.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68753768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1