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Specialty: Primary Care
Condition: Hypertension
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Total 179 results found since Jan 2013.
Handgrip strength as a predictor of incident hypertension in the middle-aged and older population: The TCLSIH cohort study
Hypertension remains one of the most important and modifiable risk factors for disease and death worldwide [1]. Hypertension is related to multiple cardiovascular and renal outcomes, including coronary heart disease, stroke, peripheral vascular disease, cognitive impairment, renal impairment, and visual impairment [2-4]. Cardiovascular diseases (CVD) are responsible for almost 17 million deaths worldwide, with hypertension accounting for 55% [5]. The global prevalence of hypertension is rapidly increasing due to an ageing population, urbanization and associated lifestyle changes.
Source: Maturitas - June 10, 2021 Category: Primary Care Authors: Yeqing Gu, Jun Dong, Ge Meng, Qing Zhang, Li Liu, Hongmei Wu, Shunming Zhang, Yawen Wang, Tingjing Zhang, Xuena Wang, Shaomei Sun, Xing Wang, Qiyu Jia, Kun Song, Qiang Liu, Kaijun Niu Source Type: research
Novel Targets for Hypertension Drug Discovery
AbstractPurpose of ReviewDespite the availability of various medications and prescribing combination therapies, uncontrolled blood pressure and resistance are observed in more than 40% of patients. The purpose of this review is to discuss emerging novel approaches for the treatment of hypertension and propose future research and clinical directions.Recent FindingsHypertension is a common disease of the cardiovascular system which may arise solely or as a comorbidity of other disorders. It is a crucial risk factor for cardiovascular diseases such as coronary artery disease, myocardial infarction, congestive heart failure, r...
Source: Current Hypertension Reports - March 30, 2021 Category: Primary Care Source Type: research
Guidelines for screening and managing hypertension in children
This article reviews the definition of pediatric hypertension, describes why the guidelines were updated, and defines treatment protocol. By familiarizing themselves with and applying these guidelines, clinicians will be able to appropriately screen and manage hypertension in children to prevent morbidity into adulthood.
Source: Journal of the American Academy of Physician Assistants - December 24, 2020 Category: Primary Care Tags: CME: Pediatrics Source Type: research
Blood Pressure Management in Acute Ischemic Stroke
AbstractPurpose of ReviewAbrupt blood pressure (BP) rise is the most common clinical symptom of acute ischemic stroke (AIS). However, BP alterations during AIS reflect many diverse mechanisms, both stroke-related and nonspecific epiphenomena, which change over time and across patients. While extremes of BP as well as high BP variability have been related with worse outcomes in observational studies, optimal BP management after AIS remains challenging.Recent FindingsThis review discusses the complexity of the factors linking BP changes to the clinical outcomes of patients with AIS, depending on the treatment strategy and lo...
Source: Current Hypertension Reports - December 10, 2020 Category: Primary Care Source Type: research
Heart Disease in Adults With Down Syndrome Between 1996 and 2016
Conclusion:
Adults with DS generally experience less heart disease and associated risk conditions commonly seen in the general population. Prevention and treatment guidelines for heart disease for the DS population should be adjusted after more research is conducted.
Source: Journal of the American Board of Family Medicine - November 20, 2020 Category: Primary Care Authors: Fitzpatrick, V., Rivelli, A., Bria, K., Chicoine, B. Tags: Original Research Source Type: research
Multiple Gestations and Hypertensive Disorders of Pregnancy: What Do We Know?
AbstractPurpose of ReviewThe occurrence of hypertensive disorders of pregnancy (HDP) including gestational hypertension, chronic hypertension, preeclampsia, and eclampsia is proportional to the number of fetuses: singletons 6.5%, twins 12.7%, and triplets 20.0%. Literature on HDP in multifetal gestation is sparse compared with singletons. We aim to summarize the current evidence on HDP, specifically in twins.Recent FindingsHDP occurs more frequently, at an earlier gestational age, and can present more severely and atypically in twin pregnancies. HDP in twins carries a higher risk of maternal/fetal morbidity and mortality i...
Source: Current Hypertension Reports - November 18, 2020 Category: Primary Care Source Type: research
A Contemporary Approach to Hypertensive Cardiomyopathy: Reversing Left Ventricular Hypertrophy
AbstractPurpose of ReviewTo highlight pharmacological and non-pharmacological approaches to reversing hypertensive left ventricular hypertrophy (LVH). We identify high-risk phenotypes that may benefit from aggressive blood pressure (BP) management to prevent incident outcomes such as the development of atherosclerotic cardiovascular disease, stroke, and heart failure.Recent FindingsLVH is a modifiable risk factor. Intensive BP lowering (systolic BP< 120 mmHg) induces greater regression of electrocardiographic LVH than standard BP targets. The optimal agents for inducing LVH regression include renin–angiotensinogen...
Source: Current Hypertension Reports - September 4, 2020 Category: Primary Care Source Type: research
Postpartum Hypertension
AbstractPurpose of ReviewHypertension affects approximately 10% of pregnancies and may persist in the postpartum period. Furthermore, de novo hypertension may present after delivery, but its exact prevalence is not verified. Both types of hypertension expose the mother to eventually severe complications like eclampsia, stroke, pulmonary edema, and HELLP (hemolysis, elevated liver enzymes, low platelet) syndrome.Recent FindingsUntil today, there are limited data regarding the risk factors, pathogenesis, and pathophysiology of postpartum hypertensive disorders. However, there is certain evidence that preeclampsia may in larg...
Source: Current Hypertension Reports - August 5, 2020 Category: Primary Care Source Type: research
Cardiometabolic risk factors in Venezuela. The EVESCAM study: a national cross-sectional survey in adults
Cardiovascular disease (CVD) is the leading global cause of death [1]. High adiposity, hypertension, high cholesterol, and hyperglycemia are their most important risk factors. Between 1980 and 2010, the mortality burden of cardiometabolic risk factors (CMRF) shifted from high-income to low and middle-income countries [2]. In Latin America, coronary heart disease and stroke cause 42.5% and 28.8% of the CVD mortality, respectively [3]. But, it is necessary to identify the magnitude of the CMRF not only in each region but in each country.
Source: Primary Care Diabetes - August 3, 2020 Category: Primary Care Authors: Ramfis Nieto-Mart ínez, Juan P. González-Rivas, Eunice Ugel, Maritza Duran, Eric Dávila, Ramez Constantino, Alberto García, Jeffrey I. Mechanick, María Inés Marulanda Tags: Original research Source Type: research
Maternal Hypertension, Advanced Doppler Haemodynamics and Therapeutic Precision: Principles and Illustrative Cases
AbstractPurpose of ReviewMaternal hypertension is a common and serious condition associated with increased maternal and foetal morbidity and mortality, with early detection and management improving outcomes.Recent FindingsBlood pressure (BP) changes of pre-eclampsia are defined after 20 gestational weeks, while haemodynamic changes can be detected at 5 –11 weeks using a specialised non-invasive Doppler stroke volume (SV) monitor. Thus, advanced haemodynamic monitoring allows for physiologically precise identification of circulatory abnormalities, and implementation of appropriate therapy within the first trimester. We m...
Source: Current Hypertension Reports - July 12, 2020 Category: Primary Care Source Type: research
Blood pressure control in patients with a previous stroke/transient ischaemic attack in primary care in Ireland: a cross sectional study
Uncontrolled blood pressure (BP) is an important modifiable risk factor for recurrent stroke. Secondary prevention measures when implemented can reduce stroke re-occurrence by 80%. However, hypertension contro...
Source: BMC Family Practice - July 10, 2020 Category: Primary Care Authors: R óisín Doogue, David McCann, Noirin Fitzgerald, Andrew W. Murphy, Liam G. Glynn and Peter Hayes Tags: Research article Source Type: research
Tight versus standard blood pressure control on the incidence of myocardial infarction and stroke: an observational retrospective cohort study in the general ambulatory setting
The 2017 American College of Cardiology and American Heart Association guideline defined hypertension as blood pressure (BP) ≥ 130/80 mmHg compared to the traditional definition of ≥140/90 mmHg. This change ra...
Source: BMC Family Practice - May 16, 2020 Category: Primary Care Authors: Bumsoo Park, Katarzyna Budzynska, Nada Almasri, Sumaiya Islam, Fanar Alyas, Rachel L. Carolan, Benjamin E. Abraham, Pamela A. Castro-Camero, Maria E. Shreve, Della A. Rees and Lois Lamerato Tags: Research article Source Type: research
Do patients or their physicians more accurately assess long-term risk associated with hypertension? A population-based study.
Conclusions: Patients were better than their physicians in estimating the average probability of morbidity due to hypertension. Both the patients and their attending physicians had difficulty in estimating the individual patient's risk of complications. The results support the use of evidence-based tools in consultations for assessing the risk of cardiovascular complications associated with hypertension.KeywordsHypertension; cardiovascular diseases/prevention & control; risk assessment, algorithms; decision making; prospective studiesKey points • Shared decision making relies on a common understanding of risks an...
Source: Primary Care - May 1, 2020 Category: Primary Care Authors: Hoffmann M, Nilsson PM, Ahlner J, Dahllöf B, Fredrikson M, Säljö R, Kjellgren KI Tags: Scand J Prim Health Care Source Type: research
Educational interventions on nutrition among older adults: A systematic review and meta-analysis of randomized clinical trials
Unhealthy food habits are associated with non-communicable diseases (NCD) [1 –3] and nutritional deficiencies [4]. According to the World Health Organization (WHO) [5], more than half of all deaths were due to ten main causes, with the leading killers being ischaemic heart disease and stroke. Diets characterized by a low intake of fruit and vegetable (FV) and fibre increas e the risk of hypertension, diabetes mellitus (DM), obesity, cardiovascular diseases (CVD), gastrointestinal cancers, nutritional deficiencies, pancreatic diseases, depression and the development of cognitive impairment and dementia [4–7].
Source: Maturitas - March 18, 2020 Category: Primary Care Authors: Felix Jesus Neves, Luciana Yuki Tomita, Angela Sun Li Wu Liu, Solange Andreoni, Luiz Roberto Ramos Source Type: research
Prevalence, risk factors, and management of uncontrolled hypertension among patients with diabetes: A hospital-based cross-sectional study
Diabetes mellitus (DM) is a globally chronic condition that currently affects over 422 million people worldwide, a number that has been estimated to grow to 552 million by 2030 [1,2]. Saudi Arabia is one of the nations with the highest DM prevalence regionally and internationally [3]. Hypertension (HT) is more common in patients with diabetes than in those without diabetes [4,5]. The co-occurrence of HT has a substantial clinical effect of producing a poor outcome for patients with diabetes. Complications such as renal failure, stroke, heart disease, peripheral vascular disease, and mortality are the most adverse outcomes ...
Source: Primary Care Diabetes - February 26, 2020 Category: Primary Care Authors: Ziyad S. Almalki, Ahmad A. Albassam, Noura Saleh Alhejji, Badriah Shujaa Alotaibi, Lama Abdullah Al-Oqayli, Nehad Jaser Ahmed Tags: Original research Source Type: research
