Clarifying the Cause and Treatment of Paroxysmal Hypertension (Pseudopheochromocytoma)
AbstractPurpose of ReviewTo review the clinical characteristics of paroxysmal hypertension (pseudopheochromocytoma), its previously unsuspected cause, and effective treatment approaches.Recent FindingsPatients with paroxysmal hypertension experience recurrent, sudden, unprovoked, symptomatic, and severe elevations of blood pressure that occur independently of current stress or perceived emotional distress. Recent findings point to a previously unsuspected psychosomatic etiology, linked in most to a past history of abuse, trauma, or prolonged severe stress, often with repression of pertinent emotions, or to a repressive cop...
Source: Current Hypertension Reports - June 6, 2022 Category: Primary Care Source Type: research
ED BP Management for Subarachnoid Hemorrhage
AbstractPurpose of ReviewTo review most recent literature on management of blood pressure in acute aneurysmal subarachnoid hemorrhage (SAH) and provide practice recommendations for the emergency clinician.Recent FindingsThere is increased risk of aneurysmal rebleeding with systolic blood pressure (SBP) greater than 160 mmHg in the acute setting. Avoiding large degrees of blood pressure variability improves clinical outcomes in aneurysmal SAH.SummaryAcute lowering of SBP to a range of 140 –160 mmHg decreases risk of rebleeding while also maintaining cerebral perfusion pressure (CPP) after aneurysmal rupture. Treatment ...
Source: Current Hypertension Reports - May 24, 2022 Category: Primary Care Source Type: research
Blood Pressure Assessment and Treatment in the Observation Unit
AbstractPurpose of ReviewTo review the pathophysiology, diagnosis, and the management of hypertension. Given the paucity of literature regarding the role of the observation unit in the management of hypertension, we will provide our recommendations based on our experience working in an observation unit.Recent FindingsMany patients have limited access to primary care, and hypertension diagnosis often relies on office-based measurements. We will describe situations where that is not necessary to make the diagnosis. We will discuss the current non-pharmacologic treatment guidelines, the education of which should be provided t...
Source: Current Hypertension Reports - May 20, 2022 Category: Primary Care Source Type: research
Addressing Hypertension Outcomes Using Telehealth and Population Health Managers: Adaptations and Implementation Considerations
We describe the literature of telehealth-based population health management for patients with hypertension. Using the TEAM intervention as a case study, we then present implementation considerations and intervention adaptations to integrate a population health manager within the health care team and effectively manage hypertension for a defined patient population. We emphasize practical considerations to inform implementation, scaling, and sustainability. We highlight future research directions to advance the field and support translational efforts in diverse clinical and community contexts. (Source: Current Hypertension Reports)
Source: Current Hypertension Reports - May 10, 2022 Category: Primary Care Source Type: research
The Time to Reconsider Mineralocorticoid Receptor Blocking Strategy: Arrival of Nonsteroidal Mineralocorticoid Receptor Blockers
AbstractPurpose of ReviewThe study aims to verify the advantages of nonsteroidal mineralocorticoid receptor blockers (MRBs) in the management of hypertension and cardiovascular and renal diseases, comparing with conventional MRBs.Recent FindingsBased on the unique structures, the nonsteroidal MRBs have higher selectivity for mineralocorticoid receptors (MRs) and show no agonist activity for major steroid hormone receptors in contrast to steroidal MRBs. Today, there are two nonsteroidal MRBs, esaxerenone and finerenone, which completed phase 3 clinical trials. Series of clinical trials have shown that both agents achieve si...
Source: Current Hypertension Reports - April 30, 2022 Category: Primary Care Source Type: research
Pet Ownership and the Risk of Arterial Hypertension and Cardiovascular Disease
AbstractPurpose of ReviewHypertension prevention and cardiovascular risk reduction are cornerstones in the prevention and treatment of cardiovascular diseases. Potential applicability of nontraditional cardiovascular risk reduction methods, such as pet ownership, raises a growing interest.Recent FindingsStudies show that having pets may reduce the risk of death from any cause, particularly from cardiovascular causes. Furthermore, results of some studies indicate that having pets may reduce the risk of developing hypertension and improve blood pressure control in patients with established hypertension. In addition, there is...
Source: Current Hypertension Reports - April 22, 2022 Category: Primary Care Source Type: research
Impact of Primary Aldosteronism in Resistant Hypertension
AbstractPurpose of ReviewIn this narrative review, we aim to summarize the latest data on the association between primary aldosteronism and resistant hypertension, as well as to emphasize the necessity for screening for primary aldosteronism all patients with resistant hypertension.Recent FindingsEpidemiological data suggests that up to one out of five patients with resistant hypertension suffer from primary aldosteronism. Patients with primary aldosteronism have increased incidence of renal disease, diabetes mellitus, atrial fibrillation, and obstructive sleep apnea, as well as they are characterized by an extended target...
Source: Current Hypertension Reports - April 21, 2022 Category: Primary Care Source Type: research
A Systematic Review of the Role of Telemedicine in Blood Pressure Control: Focus on Patient Engagement
AbstractPurpose of ReviewTo systematically review and synthesize the existing evidence on the effects of different telemedicine interventions on improving patient engagement among patients with hypertension. Patient engagement is defined as patients ’ knowledge, skills, ability, and willingness to manage their healthcare within the context of interventions designed to promote positive patient behaviors.Recent FindingsTelemedicine is a rapidly growing method of healthcare services delivery. Telemedicine interventions are mainly used to facilitate communication between the patient and provider, measure, record, and track b...
Source: Current Hypertension Reports - April 12, 2022 Category: Primary Care Source Type: research
