TY - JOUR. T1 - Effects of the long-acting calcium channel blocker barnidipine hydrochloride on 24-h ambulatory blood pressure. T2 - Results of the Japanese Multicenter Study on Barnidipine with Ambulatory Blood Pressure Monitoring. AU - Matsuura, Hideo. AU - Imai, Yutaka. AU - Shimada, Kazuyuki. AU - Kuwajima, Iwao. AU - Abe, Keishi. PY - 2001/12/1. Y1 - 2001/12/1. N2 - The effect of barnidipine hydrochloride (barnidipine) on 24-h ambulatory blood pressure (ABP) was evaluated based on the results of Japanese Multicenter Study on Barnidipine with Ambulatory Blood Pressure Monitoring (J-MUBA). Barnidipine decreased outpatient clinic blood pressure and ABP in 387 patients, but did not affect heart rate. The patients were divided into high- and low-range groups based on ABP measurement. Barnidipine exerted an antihypertensive effect throughout the 24-h monitoring period in the high-range group, but not in the low-range group. Barnidipine had comparable effects in the daytime and night-time in ...
Ambulatory blood pressure monitoring (ABPM) measures blood pressure at regular intervals. It is believed to be able to reduce the white coat hypertension effect in which a patients blood pressure is elevated during the examination process due to nervousness and anxiety caused by being in a clinical setting. Out-of-office measurements are highly recommended as an adjunct to office measurements by almost all hypertension organizations. 24-hour, non-invasive ambulatory blood pressure (BP) monitoring allows estimates of cardiac GFrisk factors including excessive BP variability or patterns of circadian variability known to increase risks of cardiovascular event. Ambulatory blood pressure monitoring allows blood pressure to be intermittently monitored during sleep, and is useful to determine whether the patient is a dipper or non-dipper-that is to say whether or not blood pressure falls at night compared to daytime values. A night time fall is normal and desirable. It correlates with relationship ...
TY - JOUR. T1 - Ambulatory blood pressure patterns in children and adolescents. T2 - Influence of renin-sodium profiles. AU - Harshfield, G. A.. AU - Pulliam, D. A.. AU - Alpert, B. S.. AU - Stapleton, F. B.. AU - Willey, E. S.. AU - Somes, G. W.. PY - 1991/1/1. Y1 - 1991/1/1. N2 - A renin-sodium nomogram for normotensive children and adolescents was developed at our institution. The ambulatory blood pressure patterns of subjects classified by the nomogram were then compared. A biracial sample of 159 children and adolescents were classified as having a low, intermediate, or high renin-sodium profile based on the relationship between their plasma renin activity and 24-hour urinary sodium excretion. Casual (106/58 vs 107/61 vs 106/62 mm Hg) and awake (116/69 vs 117/69 vs 116/70 mm Hg) blood pressure values were comparable among subjects with low, intermediate, and high renin-sodium profiles. Subjects with high renin-sodium profiles, however, had a smaller decline in systolic blood pressure with ...
Figure 7. Adjusted hazard ratio (HR) of cardiovascular (CV) or all-cause death for 1 SD increase of different measures of diastolic blood pressure (BP) variability in the population of the Pressioni arteriose monitorate e loro associazioni (PAMELA) study. BP variability measures were: 24-hour day and night SD of the respective mean values; day-night BP Δ; and residual or erratic component of 24-hour BP variations after removal of the main cyclic components by Fourier analysis of the BP tracing. Follow-up was 148 months. Data were adjusted for age, sex, previous CV events, smoking, serum cholesterol, plasma glucose, and 24-hour average blood pressure. Figure created with data derived from Mancia et al.42. ...
Background: Hypertension is a major public health concern in Burkina Faso. Its management relies on in-office medical setting blood pressure monitoring which is known to be an imperfect diagnosis tool. Objective: This study aims to assess the contribution of ambulatory blood pressure monitoring in the management of hypertension at Blaise Compaoré University Hospital. Methods: A monocentric descriptive retrospective study was conducted in the cardiology outpatient unit of Blaise Compaoré University Hospital. Patients aged at least 18 years who underwent ambulatory blood pressure monitoring between March 2013 and June 2015 were enrolled. Hypertension was defined as follows: average blood pressure over 24 hours > 130/80 mmHg, or diurnal blood pressure > 135/85 mmHg, or nocturnal blood pressure >120/70 mmHg. Data were analyzed using the SPSS 20.0 software. The threshold for significance was set at 5% for a validity interval at 95%. Chi square test was used for the statistical analysis. Results: A total of
Office and ambulatory blood pressure control with a fixed-dose combination of candesartan and hydrochlorothiazide in previously uncontrolled hypertensive patients: results of CHILI CU Soon Thomas Mengden1, Reinhold Hübner2, Peter Bramlage31Kerckhoff-Klinik GmbH, Bad Nauheim, 2Takeda Pharma GmbH, Aachen, 3Institut für Kardiovaskuläre Pharmakologie und Epidemiologie, Mahlow, GermanyBackground: Fixed-dose combinations of candesartan 32 mg and hydrochlorothiazide (HCTZ) have been shown to be effective in clinical trials. Upon market entry we conducted a noninterventional study to document the safety and effectiveness of this fixed-dose combination in an unselected population in primary care and to compare blood pressure (BP) values obtained during office measurement (OBPM) with ambulatory blood pressure measurement (ABPM).Methods: CHILI CU Soon was a prospective, noninterventional, noncontrolled, open-label, multicenter study with a follow-up of at least 10 weeks. High-risk patients aged &ge
Background: Masked hypertension is associated with an increased risk of cardiovascular events, while white coat hypertension is considered to be a relatively lower risk condition; both are defined by the difference between awake ambulatory blood pressure (ABP) and office blood pressure (OBP). We review evidence on the relationship of this difference to age.. Method: We performed a systematic review of papers in PubMed using the combination of terms "office and ambulatory or home blood pressure (HBP)," and selected articles in which the OBP and awake ABP (or HBP) were presented. A random effects model was used for the meta-analyses.. Results: In the 18 studies of adults (N=8779), OBP was higher than awake ABP (the difference; 2.0±0.04/1.0±0.03 mmHg, both P,0.001); however, in the 5 studies of children and youth (N=1829), awake ABP was higher than OBP (7.9±0.12/7.9±0.10 mmHg, both P,0.001). In studies of general populations, OBP became higher than awake ABP after age 49.1/43.0 in women ...
Patients who have a unilateral congenital impairment to urine flow, either partially or complete, will be included in this study. Only patients of investigators will be recruited for this study. Patients will be identified during their first clinic visit to see the urologist. If determined to be an eligible study candidate, they will be invited to join the research study.. Children enrolled at three months of age will be seen on their 6th, 12th, and 24th month and will take home a 24-hour ambulatory blood pressure monitor on each visit.. Children enrolled at 6 to 18 months of age will be seen every six months until their 24th month. They will also take home a 24-hout blood pressure monitor on each visit.. When the patient is enrolled in the study, they will follow the study design outlined in TABLE 1. The Table outlines scheduled intervals of clinic visits during which clinic staff and physicians will provide the standard of care required by the child, radiology procedure(s) required by the ...
Objective: To determine the relative accuracy of clinic measurements and home blood pressure monitoring compared with ambulatory blood pressure monitoring as a reference standard for the diagnosis of hypertension. Design: Systematic review with meta-analysis with hierarchical summary receiver operating characteristic models. Methodological quality was appraised, including evidence of validation of blood pressure measurement equipment. Data sources: Medline (from 1966), Embase (from 1980), Cochrane Database of Systematic Reviews, DARE, Medion, ARIF, and TRIP up to May 2010. Eligibility criteria for selecting studies: Eligible studies examined diagnosis of hypertension in adults of all ages using home and/or clinic blood pressure measurement compared with those made using ambulatory monitoring that clearly defined thresholds to diagnose hypertension. Results: The 20 eligible studies used various thresholds for the diagnosis of hypertension, and only seven studies (clinic) and three studies (home) could be
Introduction. Hypertension is a primary risk factor for cardiovascular and cerebrovascular diseases, and renal failure. It is well known that the quantity of dietary salt intake plays a role in the pathogenesis of primary hypertension. Increased sensitivity of blood pressure to excess sodium affects 50% of patients with primary hypertension.1,2 Dietary salt intake causes an increase in blood pressure, and is associated with renal and cardiovascular diseases, including left ventricular hypertrophy and microalbuminuria.3-5 Spontaneous variation in blood pressure is referred to as blood pressure variability (BPV), and is classified as short-term BPV and long-term BPV.6,7 Fluctuation during a 24-h period is referred to as short-term BPV and is based on 24-h ambulatory blood pressure monitoring (ABPM). Variation between successive ABPM measurements is known as average real variability (ARV), which is mathematically calculated.8,9 BPV was reported to be associated with hypertension-related target ...
BACKGROUND: Hypertension is a common complication and is an important risk factor for graft loss and adverse cardiovascular outcomes in pediatric kidney transplantation. Ambulatory blood pressure monitoring (ABPM) is the preferred method to characterize blood pressure status. METHODS: We conducted a retrospective review of a large cohort of children and young adults with kidney transplant to estimate the prevalence of abnormal ambulatory blood pressure (ABP), assess factors associated with abnormal ABP, and examine whether ambulatory hypertension is associated with worse allograft function and left ventricular hypertrophy (LVH). RESULTS: Two hundred twenty-one patients had ABPM, and 142 patients had echocardiographic results available for analysis. One third of the patients had masked hypertension, 32% had LVH, and 38% had estimated glomerular filtration rate less than 60 mL/min per 1.73 m. African-American race/Hispanic ethnicity and requirement for more than 1 antihypertensive medication were
This is a prospective randomized study with two arms: the Conventional and Ambulatory blood pressure monitoring arm and the Home blood pressure monitoring arm. The study will include both previously treated and untreated individuals.. Before randomization and in the end of the study, measurements will be performed using all three blood pressure monitoring methods (Conventional, Ambulatory and Home) as well as assessment of target organ damage (microalbuminuria, electrocardiogram, echocardiogram, carotid-femoral pulse wave velocity and central blood pressure).. The participants will be randomized into one of the two arms. Diagnosis and titration will be decided according to either Conventional and Ambulatory blood pressure measurements or according to Home blood pressure measurements. Subjects will be followed up for one year. ...
OBJECTIVES: This study was carried out to evaluate the effects of industrial noise on blood pressure and heart rate. METHODS: Resting blood pressure, hearing loss, and general characteristics of the 102 subjects who were engaged in a factory in Pusan were measured from March to June for two years, in 1998 and 1999. With noise dosimeter, noise exposure level was measured from 8 A.M. to 4 P.M. Ambulatory blood pressure and heart rate were also measured every 30 minutes from 8 A.M. to 10 P. M. RESULTS: Controlling for age, smoking, and Quetelets index, in subjects of under 40 years old exposed to higher than 85dBA, noise exposure and systolic blood pressure had a statistically significant correlation, and the same result was obtained in all subjects. The daily variability of ambulatory blood pressure and heart rate were observed in older than 40 years old group, but only heart rate in under 40 years old. CONCLUSIONS: The blood pressure and heart rate would be elevated when the workers exposed to ...
Upper limits of normal ambulatory blood pressure (ABP) have been a matter of debate in recent years. Current diagnostic thresholds for ABP rely mainly on statistical parameters derived from reference populations. Recent findings from the International Database of Ambulatory Blood Pressure in Relation to Cardiovascular Outcome (IDACO) provide outcome-driven thresholds for ABP Rounded systolic/diastolic thresholds for optimal ABP were found to be 115/75 mm Hg for 24 hours, 120/80 mm Hg for daytime, and 100/65 mm Hg for nighttime. The corresponding rounded thresholds for normal ABP were 125/75 mm Hg, 130/85 mm Hg, and 110/70 mm Hg, respectively, and those for ambulatory hypertension were 130/80 mm Hg, 140/85 mm Hg, and 120/70 mm Hg. However, in clinical practice, any diagnostic threshold for blood pressure needs to be assessed in the context of the patients overall risk profile. The IDACO database is therefore being updated with additional population cohorts to enable the construction of ...
Aetna Clinical Policy: Automated Ambulatory Blood Pressure Monitoring - Rules for ambulatory blood pressure monitoring, which is different from home blood pressure monitoring. Useful to know when thinking of connectivity in the California Healthcare Foundation project work. Because healt
TY - JOUR. T1 - Effects of exercise and stress management training on nighttime blood pressure dipping in patients with coronary heart disease. T2 - American Heart Journal. AU - Sherwood,Andrew. AU - Smith,Patrick J.. AU - Hinderliter,Alan L.. AU - Georgiades,Anastasia. AU - Blumenthal,James A.. PY - 2017/1/1. Y1 - 2017/1/1. N2 - Introduction Blunted nighttime blood pressure (BP) dipping is prognostic of cardiovascular morbidity and mortality. Patients with coronary heart disease (CHD) are often characterized by a blunted nighttime BP dipping pattern. The present study compared the effects of 2 behavioral intervention programs, aerobic exercise (EX) and stress management (SM) training, with a usual care (UC) control group on BP dipping in a sample of CHD patients. Methods This was a secondary analysis of a randomized, controlled trial with allocation concealment and blinded outcome assessment in 134 patients with stable CHD and exercise-induced myocardial ischemia. Nighttime BP dipping was ...
An exception to this is those with very high blood pressure readings especially when there is poor organ function.[79] Initial assessment of the hypertensive people should include a complete history and physical examination. With the availability of 24-hour ambulatory blood pressure monitors and home blood pressure machines, the importance of not wrongly diagnosing those who have white coat hypertension has led to a change in protocols. In the United Kingdom, current best practice is to follow up a single raised clinic reading with ambulatory measurement, or less ideally with home blood pressure monitoring over the course of 7 days.[79] The United States Preventive Services Task Force also recommends getting measurements outside of the healthcare environment.[80] Pseudohypertension in the elderly or noncompressibility artery syndrome may also require consideration. This condition is believed to be due to calcification of the arteries resulting in abnormally high blood pressure readings with a ...
An exception to this is those with very high blood pressure readings especially when there is poor organ function.[79] Initial assessment of the hypertensive people should include a complete history and physical examination. With the availability of 24-hour ambulatory blood pressure monitors and home blood pressure machines, the importance of not wrongly diagnosing those who have white coat hypertension has led to a change in protocols. In the United Kingdom, current best practice is to follow up a single raised clinic reading with ambulatory measurement, or less ideally with home blood pressure monitoring over the course of 7 days.[79] The United States Preventive Services Task Force also recommends getting measurements outside of the healthcare environment.[80] Pseudohypertension in the elderly or noncompressibility artery syndrome may also require consideration. This condition is believed to be due to calcification of the arteries resulting in abnormally high blood pressure readings with a ...
Hypertension is perhaps the most common reason for initiation of lifelong drug treatment and ongoing management by doctors. Six prospective studies have shown that ambulatory blood pressures may be a much better predictor of target organ damage and subsequent adverse events than measurements made in a clinic.1 As these results were found in research studies and mostly not in typical primary care settings, however, patients may have had a higher "alerting response" than in everyday settings with their family doctor or nurse. It is thus important to clarify whether the white coat effect applies equally outside a research study and in typical family practice settings.. Why is ambulatory monitoring not commonly used to make management decisions? The problem is not just extrapolating results from research or secondary care to routine settings but that clinic derived thresholds have been used in previous research to make treatment decisions. However, several lines of evidence show that patients with ...
ObjectiveMorning blood pressure surge (MBPS) and orthostatic hypotension (OH) play a role in the occurrence of cardiovascular events. We aimed to investigate the association between MBPS and OH in hypertensive patients under treatment.Patients and methodsWe prospectively included 297 patients (mean
Results Twenty four h systolic blood pressure (24 h SBP) was higher in non-dipper group than in dipper group ((126.74±7.38) vs (120.11±8.15) mm Hg, p,0.05). In accordance with systolic blood pressure fall (SBPF), diastolic blood pressure (DBPF), nocturnal systolic blood pressure (nSBP), nocturnal diastolic blood pressure (nDBP), there were significant difference between non-dipper group and dipper group (p,0.01). Brachial-anlde pulse wave velocity (crPWV) ((9.85±1.04) vs (9.02±0.99) m/s, p,0.01) and intima media thickness (IMT). ((0.91±0.15) vs (0.84±0.12) mm, p,0.05) were changed more obviously in non-dipper group than dipper group. Some factors including SBPF, DBPF, daytime systolic blood pressure (dSBP) affected crPWV and IMT was affected by total cholesterol, SBPF, 24 h SBP, dSBP.. ...
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The present study demonstrated that, in this hypertensive population without a history of cerebrovascular disease, the prevalence of microbleeds in the brain was 16.1% (95% CI, 11.1% to 21.0%), and that the daytime, nighttime, and 24-hour BP levels and a diagnosis of nocturnal hypertension were associated with the presence of BMBs, independent of age and sex, other cardiovascular risk factors, and coexisting ischemic brain damage.. The prevalence of BMBs in our hypertensive cohort is approximately 3 times higher than that reported in the general population.4 Importantly, in our study the microbleed-count could not have been influenced by a history of symptomatic cerebrovascular disease as this was an exclusion criterion.31,32 This, together with the observed associations between ambulatory BP and BMBs, suggests that hypertension is a substantial and independent risk factor for the development of BMBs.. The associations between the various ambulatory BP components and the presence of BMBs were ...
OBJECTIVE: The aim of this study was to estimate the heritability of 24-h ambulatory blood pressure and office blood pressure phenotypes in Swedish families. METHODS: We measured ambulatory and office blood pressure in 260 siblings without antihypert
Nondipping nocturnal blood pressure, an independent cardiovascular risk factor (2), is closely associated with microalbuminuria regardless of usual blood pressure level. A recent study has shown that nondipping nocturnal blood pressure precedes microalbuminuria in normotensive diabetic patients (3). Thus, reduction of higher nocturnal blood pressure in normotensive diabetic patients with nondipping nocturnal blood pressure may have contributed to the reduction of urinary albumin excretion seen by Zandbergen and colleagues ...
Introduction 24-hour ambulatory blood pressure monitoring (ABPM) is the gold standard diagnostic method for hypertension, but has some shortcomings in clinical practice while clinical settings often lack sufficient devices to accommodate all patients with suspected hypertension. Home blood pressure monitoring (HBPM) and office blood pressure monitoring (OBPM) also have shortcomings, such as the white coat effect or a lack of accuracy. This study aims to study the validity of a new method of diagnosing hypertension consisting of monitoring blood pressure (BP) for 1 hour and comparing it with OBPM and HBPM and examining the sensitivity and specificity of this method compared with 24-hour ABPM. The patient experience will be examined in each method. Methods and analysis A minimum sample of 214 patients requiring a diagnostic test for hypertension from three urban primary healthcare centres will be included. Participants will undergo 24-hour ABPM, 1-hour BP measurement (1-BPM), OBPM for three ...
Results: Among participants not taking antihypertensive medication, the regression-derived thresholds for daytime, 24-hour, and nighttime SBP/DBP corresponding to clinic SBP/DBP of 140/90 mm Hg were 134/85 mm Hg, 130/81 mm Hg, and 123/73 mm Hg, respectively. The outcome-derived thresholds for daytime, 24-hour, and nighttime SBP corresponding to a clinic SBP ≥140 mm Hg were 138 mm Hg, 134 mm Hg, and 129 mm Hg, respectively. Among participants taking antihypertensive medication, the regression-derived thresholds for daytime, 24-hour, and nighttime SBP/DBP corresponding to clinic SBP/DBP of 140/90 mm Hg were 135/85 mm Hg, 133/82 mm Hg, and 128/76 mm Hg, respectively. The corresponding outcome-derived thresholds for daytime, 24-hour, and nighttime SBP were 140 mm Hg, 137 mm Hg, and 133 mm Hg, respectively, among those taking antihypertensive medication. ...
... is a portable blood pressure machine worn for about 24 hours. A computer activates the blood pressure cuff regularly
BACKGROUND: Although body position is known to be an important factor influencing the results of ambulatory blood pressure monitoring (ABPM), even very recent studies assessing postprandial blood pressure (BP) have not taken into account the possibil
Accurate measurement of blood pressure (BP) has a pivotal role in the management of patients with arterial hypertension. Recently, introduction of unattended office BP measurement has been proposed...
Tom Harrison: Disc Pump has a number of unique features that, taken together, offer a substantial improvement for ambulatory blood pressure systems. First, unlike a conventional pump there is no pulsation in the output. This allows measurements to be made whilst the pump is running - and therefore, whilst the cuff is inflating. In turn, that means that the measurement can be completed as soon as the systolic condition is detected, i.e. the cuff neednt be inflated any higher than necessary, minimizing the compression forces applied to the patient and therefore improving comfort.. Once the measurement has concluded, the cuff pressure can be rapidly vented with a valve. In principle this can be done much more quickly than the time taken to inflate the cuff with the conventional measure on deflation approach. Therefore, the measurement duration can be minimized too.. Second, Disc pump is small and lightweight - it weighs around 5 g (1/4 oz) and is roughly coin-sized. Being this compact allows the ...
article{3f16f9c6-3aba-41c7-9ff0-8c2ca2600ac6, author = {Torffvit, Ole and Tapia, Juan and Rippe, Bengt and Alm, Per and Willner, Julian and Tencer, Jan}, issn = {1873-460X}, language = {eng}, number = {6}, pages = {328--335}, publisher = {Elsevier}, series = {Journal of Diabetes and its Complications1992-01-01+01:00}, title = {Ambulatory blood pressure in type 2 diabetic patients with albuminuria; Relation to the renal function and structural lesions.}, url = {http://dx.doi.org/10.1016/j.jdiacomp.2004.03.004}, volume = {18}, year = {2004 ...
Use this page to view the contact information, documents, and history of considerations for the national coverage analysis (nca) for ambulatory blood pressure monitoring (cag-00067r)
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Background. N-terminal pro-brain natriuretic peptide (NT-proBNP) is considered a marker of poor cardiovascular prognosis in patients with diabetes1 . Increased resting heart rate is also associated with increased cardiovascular complications and mortality in patients with diabetes2 . There is evidence that BNP modulates the autonomic nervous system3 . This study aimed to investigate the relationship between NT-proBNP and 24h haemodynamic parameters in patients with type 1 and type 2 diabetes.. Methods. Clinical characteristics, serum NT-proBNP level and 24h ambulatory blood pressure were collected in 141patients with type 1 and type 2 diabetes who attended diabetes clinics at Austin Health, a tertiary referral centre in Melbourne. A multiple regression model was generated to predict log10(NT-proBNP), with the following variables as potential predictors: 24h systolic, diastolic and mean arterial blood pressure; morning blood pressure surge; night-to-day systolic blood pressure ratio; 24h heart ...
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A 24-hour ambulatory Blood Pressure monitor provides valuable information for patients with elevated blood pressure, fluctuating blood pressure readings, or to rule out white coat syndrome. The patient wears the monitor for 24 hours with values measured every half-hour during the day and every hour overnight. A report is generated and sent back to the referring physician. Appointments are booked Monday to Thursday ...
OBJECTIVE: Our objective was to compare the clinical effectiveness of home blood pressure monitoring (HBPM) and 24-hour ambulatory blood pressure monitoring (ABPM) on blood pressure (BP) control and patient outcomes. DESIGN: A systematic review was conducted. We also appraised the methodological quality of studies. DATA SOURCES: PubMed, Scopus, CINAHL, and the Cochrane Central Register of Control Trials (CENTRAL). INCLUSION CRITERIA: Randomized control trials, prospective and retrospective cohort studies, observational studies, and case-control studies published in English from any year to present that describe HBPM and 24-hour ABPM and report on systolic and/or diastolic BP and/or heart attack, stroke, kidney failure and/or all-cause mortality for adult patients ...
We intend to recruit 500 prevalent dialysis patients in 17 centers in Munich and the surrounding area. Baseline examinations include: (1) biochemistry, (2) 24-h Holter Electrocardiography (ECG) recordings, (3) 24-h ambulatory blood pressure measurement (ABPM), (4) 24 h pulse wave analysis (PWA) and pulse wave velocity (PWV), (5) retinal vessel analysis (RVA) and (6) neurocognitive testing. After 24 months biochemistry and determination of single PWA, single PWV and neurocognitive testing are repeated. Patients will be followed up to 6 years for (1) hospitalizations, (2) cardiovascular and (3) non-cardiovascular events and (4) cardiovascular and (5) all-cause mortality.. DISCUSSION/CONCLUSION ...
... (HBPM) offers many advantages. HBPM provides an average BP measurement over time, thus eliminating inadequate or misleading measurements that may be generated with in-office BP measurements. As with home blood glucose monitoring, HBPM has the potential to be incorporated into routine clinical care by patients with or at risk of hypertension. The committee recommended that HBPM should especially be considered in patients with newly diagnosed or suspected hypertension, in whom it might help to distinguish between white-coat and sustained hypertension.. Patient populations where HBPM also would be useful are seniors, children, and pregnant women, as well as patients with diabetes and/or kidney disease, as these types of populations are at increased risk for large variability in BP and white-coat hypertension. Furthermore, HBPM could be used to detect masked hypertension and is recommended for evaluating the response to antihypertensive therapy. Even with these ...
Recently, 2 subanalyses of clinical trials suggested that there may be harm from the overtreatment of hypertension in the elderly. The first, a meta-analysis of
Asians have specific characteristics of hypertension (HTN) and its relationship with cardiovascular disease. The morning surge in blood pressure (BP) in Asians is more extended, and the association slope between higher BP and the risk for cardiovascular events is steeper in this population than in whites. Thus, 24-hour BP control including at night and in the morning is especially important for Asian patients with HTN. There are 3 components of "perfect 24-hour BP control": the 24-hour BP level, adequate dipping of nocturnal BP (dipper type), and adequate BP variability such as the morning BP surge. The morning BP-guided approach using home BP monitoring (HBPM) is the first step toward perfect 24-hour BP control. After controlling morning HTN, nocturnal HTN is the second target. We have been developing HBPM that can measure nocturnal BP. First, we developed a semiautomatic HBPM device with the function of automatic fixed-interval BP measurement during sleep. In the J-HOP (Japan Morning Surge ...
An Australian consensus statement has recommended 24-hour ambulatory blood pressure and/or home blood pressure monitoring as tools for diagnosing hypertension if blood pressure measured in the clinic is more than 140/90 mmHg, as have the British Hypertension Society/NICE guidelines ...
OBJECTIVE: To examine the relationship between 24-h blood pressure (BP) measurements, urinary albumin excretion rates, and autonomic neuropathy (AN) in adolescents with type 1 diabetes. RESEARCH DESIGN AND METHODS: A total of 31 patients with microalbuminuria (MA), 20 patients with intermittent MA (I-MA) and 11 patients with persistent MA (P-MA) were identified from the diabetes clinics at two major Australian tertiary care pediatric hospitals. Two control groups were used; one consisted of 19 age-, sex-, and diabetes duration-matched adolescents with normoalbuminuria (NA), and the other consisted of 46 age- and sex-matched nondiabetic control subjects. A medical history and physical examination were followed by a series of noninvasive tests of cardiovascular and pupillary autonomic function and then by 24-h ambulatory blood pressure monitoring (ABPM). RESULTS: ABPM showed an incremental increase in all BP parameters from nondiabetic control subjects through subjects with NA. A parallel ...
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OBJECTIVE: We determined differences in the prevalence of blood pressure (BP) phenotypes and the association of these phenotypes with left ventricular hypertrophy (LVH) for individuals who fulfilled and did not fulfill various criteria used for defining a complete ambulatory blood pressure monitoring (ABPM) recording. METHODS: We analyzed data for 1141 participants from the Jackson Heart Study. Criteria evaluated included having greater than or equal to 80% of planned readings with more than or equal to one reading per hour (Spanish ABPM Registry criteria), more than or equal to 70% of planned readings with a minimum of 20 daytime and seven nighttime readings (2013 European Society of Hypertension criteria), greater than or equal to 14 daytime and greater than or equal to seven nighttime readings (2003 European Society of Hypertension criteria), more than or equal to 10 daytime and more than or equal to 5 nighttime readings (International Database of Ambulatory Blood Pressure in Relation to ...
May 25, 2002 - WireImage.com has more footage of Pamela Anderson from the CMAs on Wednesday. Check it out here. May 25, 2002 - Former Motley Crue drummer Tommy Lee stopped by KTLA to talk about his new CD Never a Dull Moment. VH1 is sponsoring his tour and has been following him around. Tommy says he hopes Pamela is happy and hopes someday to communicate with Pam and be adults at some point. Tommy also talked about his tattoos and piercings... and the infamous sex tape. Feedroom.com has since removed the video. May 24, 2002 - Getty Images had photos, since removed, of Kid Rock with Pamela Anderson at the 37th Annual Academy of Country Music Awards. May 24, 2002 - LFI has photos of Pamela Anderson and fiance Kid Rock arriving to the 37th Annual Academy of Country Music Awards in Universal City, California on Wednesday. Kid Rock performed with Hank Williams Jr. at the event. May 22, 2002 - Star magazine reports Pamela Anderson is handling the sympathy for her hepatitis C condition with a sense ...
Height and sex is strongly associated with radial augmentation index in Korean patients with never-treated hypertension Kye Taek Ahn, Kwang-In Park, Mi Joo Kim, Jin Kyung Oh, Ji Hye Han, Hee Jin Kwon, Seon-Ah Jin, Jun-Hyung Kim, Jae-Hyeong Park, Jae-Hwan Lee, Si Wan Choi, In-Whan Seong, Jin-Ok Jeong Department of Internal Medicine, Division of Cardiology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea Objectives: Central hemodynamics may better represent the load imposed on the coronary and cerebral arteries and thereby bear a stronger relationship to cardiovascular outcomes. Methods: Patients who had confirmed hypertension as assessed by daytime 24-hour ambulatory blood pressure monitoring (≥135/85 mmHg) were enrolled. Central blood pressure and radial augmentation index (AIx) corrected for a heart rate of 75 bpm (radial AIx 75) were measured for all patients. We evaluated the association of age, height, and sex with
The Guidelines document also highlights another still unsolved issue related to the use of home blood pressure (1). These include the use of the approach in special populations, such as children, adolescents, elderly, pregnant women, obese patients, in which the lack of reference values for normality and/or technical difficulties in obtaining blood pressure measurements may make more difficult the use of this approach in the above mentioned conditions. This is also the case for cardiac arrhythmias (particularly atrial fibrillation) due to fact that the accuracy of the blood pressure measurement is lost or heavily impaired when an irregular or a chaotic cardiac rhythm is present ...
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