The kidneys are of the main organs that intervene in blood pressure control and most of kidney diseases can lead to high blood pressure. Uncontrolled hypertension will undoubted lead to chronic kidney disease progression.. With the addition of Dr. Fidel Barrantes, board certified hypertension specialist, Renal Medicine Associates has started a hypertension clinic to focus on care of patients who have difficult to control hypertension (patients who are in 3 medications without achieving adequate blood pressure control), white-coat hypertension, masked-hypertension, poorly controlled hypertension, stress-related hypertension, all secondary and hormonal causes of hypertension, and hypertension complicating pregnancy.. Our hypertension clinic focus is to provide a multidisciplinary approach. Our Hypertension clinic is currently receiving new patients.. ...
Psychosomatic factors, sympathoneural and sympathoadrenal as well as cardiovascular mechanisms, were studied in 24 patients 18-24 years of age with borderline hypertension, 50 age-matched normotensive offspring of hypertensive parents, and 49 controls with no family history of hypertension. They were compared by projective and questionnaire-based psychological tests and their circulatory and neurohormonal reactivity to mental (Stroop color-word conflict test and arithmetic test) and physical stressors (orthostasis and bicycle ergometry test) were measured. Borderline hypertensive subjects externalized aggression less (p less than 0.05) but internalized it more (p less than 0.05) and were more submissive (p less than 0.05) when compared with controls. Offspring of hypertensive parents showed a similar but weaker pattern. Both risk groups reported more positive interactions with their parents (genetic risk subjects versus controls, p less than 0.05; borderline hypertensive patients versus ...
The present study examined plasma lipoprotein, lipoprotein lipase, hepatic lipase, and insulin levels in men with borderline hypertension (diastolic blood pressure 85 to 94 mm Hg) compared with age-matched normotensive control subjects (diastolic blood pressure less than or equal to 80 mm Hg, n = 75 + 75). High-density lipoprotein (HDL) subclasses were determined in a subset (n = 45 + 45). While total and low-density lipoprotein cholesterol levels were similar, levels of very-low-density lipoprotein (VLDL) cholesterol and triglycerides (0.46 versus 0.41 mmol/L, P = .027, and 1.0 versus 0.85 mmol/L, P = .031) and total triglycerides (1.53 versus 1.33 mmol/L, P = .009) were elevated and HDL cholesterol was reduced in the borderline group compared with the normotensive group (1.17 versus 1.26 mmol/L, P = .043). The HDL subclass HDL2b concentration was lower (0.16 versus 0.24 mmol/L, P = .006), while HDL3b and HDL3c concentrations were higher in the borderline group (0.38 versus 0.32 mmol/L, P = ...
According to recent studies about 1 in 3 American adults have high blood pressure. But unfortunately as they rarely show any symptoms about 1/3 of these do not even know that they have it. So where will people like this go to get information on high blood pressure to understand the condition better and find methods to regulate blood pressure levels?. High blood pressure has become known as the "silent killer". Many people do not show any symptoms until the condition has reached a much later stage of development.. In fact the only real way a person can ever tell if they have high blood pressure is by getting a blood pressure reading, generally from a doctor or health professional. Normally, if a docto fashion jackets r thinks that a patient may have high blood pressure then they may ask them to return to the surgery potentially a few times to have the reading checked again. This is so that an accurate baseline can be established. There are a number of factors that can temporarily increase blood ...
... is a chapter in the book, Cardiovascular Medicine, containing the following 19 pages: Hypertension, Isolated Systolic Hypertension, Hypertension Causes, Hypertension Criteria, Hypertension Evaluation, Hypertension Evaluation Exam, Hypertension Evaluation History, Hypertension Evaluation Labs, Hypertension Management, Hypertension Risk Stratification, Antihypertensive Selection, Resistant Hypertension, Hypertension Management for Specific Comorbid Diseases, Hypertension Management for Specific Populations, Hypertension Management for Specific Emergencies, Hypertension Resources, Pseudohypertension, Hypertensive Encephalopathy, Severe Asymptomatic Hypertension.
PURPOSE OF REVIEW In a society with a steadily increasing population of patients with hypertension, a significant mortality risk factor, it is important that clinicians be cognizant of the changes seen in ophthalmic examination. This paper demonstrates both the acute and chronic stages of the disease. RECENT FINDINGS This paper first presents the history of classifying different stages of hypertensive retinopathy, a condition associated with systemic arterial hypertension, as defined by Keith-Wagener-Barker. The most recent recommendations published in the Seventh Report of the Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure are also described; this report defines the current status and classification of hypertension in the United States, as well as recommendations for its treatment and management. Finally, disease management strategies and currently accepted treatment options are presented. SUMMARY Since systemic arterial hypertension is a
Despite the impressive increase of home blood pressure monitoring (BPM) among hypertensive patients over the last few years, a limited number of studies have analysed the rate of home BPM and its relationship with target blood pressure (BP) control, in representative samples of the hypertensive population. The objectives of the study were first to evaluate the prevalence of home BPM in a large selected group of treated hypertensive patients referred to our outpatient hypertension hospital clinic. Second, to assess the rate of satisfactory clinic BP control in patients with or without familiarity with home BPM. In all, 1350 consecutive hypertensive patients who attended our hypertension centre during a period of 12 months and were regularly followed up by the same medical team were included in the study. After informed consent all patients underwent the following procedures: (1) accurate medical history (implemented by a structured questionnaire on demographic and clinical characteristics, ...
Essential hypertension (also called primary hypertension or idiopathic hypertension) is the form of hypertension that by definition has no identifiable cause. It is the most common type of hypertension, affecting 95% of hypertensive patients, it tends to be familial and is likely to be the consequence of an interaction between environmental and genetic factors. Prevalence of essential hypertension increases with age, and individuals with relatively high blood pressure at younger ages are at increased risk for the subsequent development of hypertension. Hypertension can increase the risk of cerebral, cardiac, and renal events. A recent classification recommends blood pressure criteria for defining normal blood pressure, prehypertension, hypertension (stages I and II), and isolated systolic hypertension, which is a common occurrence among the elderly. These readings are based on the average of seated blood pressure readings that were properly measured during 2 or more office visits. In individuals ...
View Notes - HYPERTENSION_SEVERE from PNR 182 at Orangeburg-Calhoun Technical College. HYPERTENSION: SEVERE Hypertension is defined by the 1992 Joint National Committee on Detection, Evaluation, and
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Primary hypertension is not just an adult disorder. Current US population data on children and adolescents demonstrate a prevalence of elevated blood pressure (BP) and hypertension combined of over 10%. Recent reports from prospective cohort studies describe an association of high BP in childhood with hypertension in young adulthood. Excess adiposity is strongly associated with higher BP in childhood and increases risk for hypertension in adulthood. In addition to overweight/obesity, other exposures that raise the risk for high BP include low birthweight, dietary sodium, and stress. Using intermediate markers of cardiovascular injury, studies on hypertensive children report findings of cardiac hypertrophy, vascular stiffness, and early atherosclerotic changes. Impaired cognitive function has also been demonstrated in hypertensive children. Recent advances in clinical and translational research support the concept that the evolution of primary hypertension begins in childhood.
Background: Hypertension potentiates cardiovascular risk in survivors of childhood cancer previously exposed to cardiotoxic therapies, so it is important to determine the prevalence and risk factors for hypertensive blood pressure in this high-risk group.. Methods: Participants included 3,016 adult 10-year survivors of childhood cancer who had resting blood pressure measurements performed at St. Jude Childrens Research Hospital (Memphis, TN). We characterized the blood pressure status of participants, calculated standardized prevalence ratios based on U.S. population rates, and examined demographic and treatment factors associated with hypertensive blood pressure using logistic regression.. Results: The age-specific cumulative prevalence of hypertension in survivors increased sharply with age, exceeding 70% by age 50, and was substantially higher in all diagnosis groups than expected on the basis of age-, sex-, race/ethnicity-, and BMI-specific population rates. Specific cancer treatments were ...
1. Franklin SS, Jacobs MJ, Wong ND et al. Predominance of isolated systolic hypertension among middle-aged and elderly US hypertensives: analysis based on National Health and Nutrition Examination Survey (NHANES) III. Hypertension 2001; 37(3): 869-874. 2. Chobanian AV, Bakris GL, Black HR et al. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 Report. JAMA 2003; 289(19): 2560-2572. 3. Hsu CY, McCulloch CE, Darbinian J et al. Elevated blood pressure and risk of end-stage renal disease in subjects without baseline kidney disease. Arch Intern Med 2005; 165(8): 923-928. 4. Sundström J, Arima H, Jackson R et al. Effects of blood pressure reduction in mild hypertension: a systematic review and meta-analysis. Ann Intern Med 2015; 162(3): 184-191. 5. Neal B, MacMahon S, Chapman N et al. Effects of ACE inhibitors, calcium antagonists, and other blood - pressure - lowering drugs: results of prospectively designed ...
Computerized Clinical Records, which are incorporated in primary health care practice, have great potential for research. In order to use this information, data quality and reliability must be assessed to prevent compromising the validity of the results. The aim of this study is to validate the diagnosis of hypertension and diabetes mellitus in the computerized clinical records of primary health care, taking the diagnosis criteria established in the most prominently used clinical guidelines as the gold standard against which what measure the sensitivity, specificity, and determine the predictive values. The gold standard for diabetes mellitus was the diagnostic criteria established in 2003 American Diabetes Association Consensus Statement for diabetic subjects. The gold standard for hypertension was the diagnostic criteria established in the Joint National Committee published in 2003. A cross-sectional multicentre validation study of diabetes mellitus and hypertension diagnoses in computerized clinical
Hypertension is the medical term for high blood pressure. A normal blood pressure is 120/80. A blood pressure reading higher or equal to 140/90 is considered abnormally high. Elevated blood pressure means your heart is working harder than normal, putting both your heart and arteries under great strain. High blood pressure is serious business. On average, people with uncontrolled hypertension are:Seven times more likely to have a stroke. Six times more likely to develop congestive heart failure. Three times more likely to have a heart attack.Different types of hypertensionFrom my research, I didnt find any other types of hypertension.What are some causes?In 90% of cases, the cause of hypertension is unknown. This is called "essential hypertension". The other 10% of cases is called "secondary hypertension". Secondary hypertension is caused by kidney disease, severe narrowing of the aorta, tumors in the adrenal gland, or hardening of the arteries. There are many factors associated with high blood ...
Diagnosis of resistant hypertension: In case of clinic blood pressure exceeding the boundary of systolic blood pressure at 140mmHg and diastolic blood pressure at 90mmHg (hereinafter refer to as 140/90mmHg) (130/80mmHg for patients with diabetes mellitus or chronic renal disease) despite triple antihypertensive therapy at optimal dose may be diagnosed as resistant hypertension. Antihypertensive medications used include diuretics. Resistant hypertension may also be diagnosed when clinic blood pressure has reached the target value but quadruple or more of antihypertensives are used ...
About hypertension. Hypertension is a chronic medical condition in which blood pressure in the arteries is elevated. Blood pressure is expressed by two measurements, systolic and diastolic pressures, which are the maximum and minimum pressures, respectively, in the arterial system. Normal blood pressure at rest is within the range of 100-140 mmHg systolic and 60-90 mmHg diastolic. Hypertension is present if the blood pressure is persistently at or above 140/90 mmHg for adults. Sustained hypertension over time is a major risk factor for heart disease, coronary artery disease, stroke, aortic aneurysm, peripheral artery disease and chronic kidney disease. Hypertension affects over 1 billion people worldwide.. About renal denervation. Renal denervation is an interventional approach for the treatment of high blood pressure. A minimally-invasive, endovascular-catheter-based procedure, it uses radiofrequency or ultrasound ablation to treat resistant hypertension. Nerves in the wall of the renal artery ...
The occurrence of the C3F allele was investigated in the following three groups: 69 consecutive referred patients with untreated essential hypertension, including borderline hypertension; 70 patients with established and treated essential hypertension, already attending the same outpatient clinic, and 62 age- and sex-matched normotensive healthy subjects without clinical signs of atherosclerosis or familial predisposition to hypertension. In the three groups the C3F allele was found in 38.2%, 29% and 20%, respectively. Among the treated hypertensive patients with C3F gene, 40% had coronary heart disease (CHD) compared to 6.1% among the C3F negative (P less than 0.005), and the relative risk of CHD among the treated hypertensive patients with this allele was found to be 10.2 (P less than 0.002). The C3F gene was present in 72.7% of the treated patients with CHD. In the untreated patients the occurrence of CHD was low, and no differences between C3F positive and negative patients could be ...
Survey data show that awareness, treatment, and control of hypertension have increased dramatically since 1974. In 1974, only 51% of hypertensive persons were aware that their blood pressure was high. Thirty-six percent of these persons were under treatment, and 16% of those being treated had their blood pressure under control (160 mm Hg systolic or 95 mm Hg diastolic). By 1984, 85% were aware of their condition, and 74% were under treatment (1). In 1984, however, the definition of high blood pressure was changed from 160/95 mm Hg to 140/90 mm Hg. Because of this new definition, surveys conducted during 1982-1984 showed that only 24% of hypertensive patients on medication had their blood pressure under control (2). Because most hypertensive persons have been told that their blood pressure is high, surveys using self-reported blood pressure status have been used to assess awareness, treatment, and perceived control of high blood pressure (3). The Behavioral Risk Factor Surveillance System (BRFSS) ...
There is no cure for primary hypertension, but blood pressure can almost always be lower with the correct treatment. The goal of treatment is to lower blood pressure to levels that will prevent heart disease and other complications of hypertension. In secondary hypertension, the disease that is responsible for the hypertension is treated in addition to the hypertension itself.Successful treatment of the underlying disorders may cure the secondary hypertension. Treatment to lower blood pressure may include changes in diet, getting regular exercise,and taking antihypertensive medications. Patients falling into the pre-hypertension range who dont have damage to the heart or kidneys often are advised to make needed lifestyle changes only.Eat more fruit and vegetables ...
1. Chobanian AV, Bakris GL, Black HR et al (for the National High Blood Pressure Education Program Coordinating Committee). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42(6): 1206-1252. 2. Mancia G, De BG, Dominiczak A, Cifkova R et al. 2007 Guidelines for the Management of Arterial Hypertension: The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens 2007; 25(6): 1105-1187. 3. Mancia G, Laurent S, Agabiti-Rosei E et al. Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 2009; 27(11): 2121-2158. 4. Oh BH, Mitchell J, Herron JR et al. Aliskiren, an oral renin inhibitor, provides dose-dependent efficacy and sustained 24-hour blood pressure control in patients with hypertension. J Am Coll Cardiol. 2007; 49(11): ...
On One Hand: Chronic Hypertension Can Affect PregnancyWhen a woman has high blood pressure before becoming pregnant, it is referred to as chronic hypertension. According to the National Heart, Lung, and Blood Institute, expectant mothers with chronic hypertension are more likely to experience complications, such as low birth weight, preterm delivery and preeclampsia. However, carefully monitoring chronic hypertension can prevent serious problems from occurring during pregnancy.On the Other: Gestational Hypertension Is More SeriousGestational hypertension (also called pregnancy induced hypertension, toxemia or preeclampsia) is a condition t...
TY - JOUR. T1 - Age-race subgroup compared with renin profile as predictors of blood pressure response to antihypertensive therapy. AU - Preston, Richard A.. AU - Materson, Barry J.. AU - Reda, Domenic J.. AU - Williams, David W.. AU - Hamburger, Robert J.. AU - Cushman, William C.. AU - Anderson, Robert J.. PY - 1998/10/7. Y1 - 1998/10/7. N2 - Context. - Renin profiling and age-race subgroup may help select single- drug therapy for stage 1 and stage 2 hypertension. Objective. - To compare the plasma renin profiling and age-race subgroup methods as predictors of response to single-drug therapy in men with stage 1 and 2 hypertension as defined by the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Design. - The Veterans Affairs Cooperative on Single-Drug Therapy of Hypertension, a randomized controlled trial. Setting. - Fifteen Veterans Affairs hypertension centers. Patients. - A total of 1105 ambulatory men with entry diastolic blood pressure ...
The World Health Organization has identified hypertension, or high blood pressure, as the leading cause of cardiovascular mortality.[162] The World Hypertension League (WHL), an umbrella organization of 85 national hypertension societies and leagues, recognized that more than 50% of the hypertensive population worldwide are unaware of their condition.[162] To address this problem, the WHL initiated a global awareness campaign on hypertension in 2005 and dedicated May 17 of each year as World Hypertension Day (WHD). Over the past three years, more national societies have been engaging in WHD and have been innovative in their activities to get the message to the public. In 2007, there was record participation from 47 member countries of the WHL. During the week of WHD, all these countries - in partnership with their local governments, professional societies, nongovernmental organizations and private industries - promoted hypertension awareness among the public through several media and public ...
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Controlling High Blood Pressure is very crucial, especially when you are aging. Hypertension is a condition which should be prevented because it can be the reason for your frequent illness. According to a Harvard University Research, more than 15% of Americans die because of hypertension and related health problems. It shows no indications, but hypertension increases the risks of killer disease like kidney failure, cognitive decline, heart attack, etc. American Heart Association (A.H.A) research says, more than 25% of the US population has hypertension, but they arent aware of it. In case you didnt have yourself checked up in the last 2 years, do it at the earliest.. You can get relief from High Blood pressure, if you take medicines. But even the medicines have side effects like sleep disorders, Leg Cramps, etc. But usually people are able to bring down the High Blood Pressure without taking any medicines.. Below are the some tips to lower your high blood pressure. 1. Start Power ...
randomised controlled trials (RCTs) that compared interventions aimed at improving BP with no intervention or usual care in patients with treated or untreated essential hypertension and assessed mean systolic (SBP) or diastolic BP (DBP), control of BP, or proportion of patients followed up at clinic. Studies of interventions not intended to increase BP control by organisational or educational means (eg, drug trials) were … ...
The majority of hypertensive patients are overweight or obese [1]. The issue is clinically relevant for several reasons. First, obesity and arterial hypertension can be additive in terms of cardiovascular and metabolic risk. For example, obesity and arterial hypertension predispose a person to left ventricular hypertrophy. The risk is increased further in patients burdened by both risk factors. Second, obesity can cause or exacerbate arterial hypertension. In the third National Health and Nutrition Examination Survey hypertension risk was increased in overweight and more so in obese individuals [2]. Third, blood pressure control is more difficult to achieve, and treatment-resistant arterial hypertension is an important problem in obese patients. The latter topic has been the focus of a recent joint scientific statement by the European Society of Hypertension and the European Association for the Study of Obesity in this Journal [3]. Indeed, the average BMI in the recently published controlled ...
Obesity and hypertension are closely associated. Hypertension occurs frequently in industrialized populations that gain weight with advancing age, and is infrequent in primitive populations that are not obese. There are two reasons for concern about the relationship of obesity to hypertension. Weight gain in young adult life is a potent risk factor for later development of hypertension. Weight reduction in obese hypertensive persons often reduces arterial pressure. Mechanisms of obesity hypertension are as yet unidentified; an earlier hypothesis that it is related to salt intake has not been supported by recent studies. Hemodynamic studies have shown that obesity is associated with an elevated cardiac output and expanded blood volume; in normotensive obese persons peripheral vascular resistance is reduced, and in hypertensive persons it is normal or elevated. Studies of hormonal and neural factors have failed to explain the presence of hypertension in some obese persons and its absence in others. ...
The overall purpose of hypertension treatment is 2-fold. First, patients often have symptoms that are related to their high blood pressure and although subtle in many instances may be improved dramatically by blood pressure control. The main reason for blood pressure treatment, however, is to reduce the burden of cardiovascular complications and end organ damage related to the condition. This may be considered the ultimate goal of blood pressure treatment. In this respect, actual blood pressure measurements may be seen as surrogate end points as the organ protective effects of two antihypertensive agents may differ significantly even though their blood pressure lowering effects are similar. Thus beta-blockers, once seen as first-line treatment of hypertension for most patients, now are considered as third- or fourthline agents according to the latest NICE guidelines (National Institute for Health and Clinical Excellence, www.nice.org.uk/CG034). On the other hand, agents that inhibit the activity ...
RESULTS Forty-three (52%) subjects were hypertensive, and 30 subjects were classified as having nocturnal hypertension. cIMT was higher in the nocturnal hypertensive group than in the normotensive group (0.44 ± 0.03 vs. 0.42 ± 0.04 mm, P = 0.026). Among children and adolescents with nonhypertensive blood pressure levels in clinic blood pressure monitoring, cIMT and daytime blood pressure were higher in the nocturnal hypertensive group. All ABPM parameters were significantly related to cIMT in multiple linear regression analysis. ...
Prazosin hydrochloride capsules USP are indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wide variety of pharmacologic classes, including this drug. Control of high blood pressure should be part of comprehensive cardiovascular risk management, including, as appropriate, lipid control, diabetes management, antithrombotic therapy, smoking cessation, exercise, and limited sodium intake. Many patients will require more than one drug to achieve blood pressure goals. For specific advice on goals and management, see published guidelines, such as those of the National High Blood Pressure Education Programs Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC). Numerous antihypertensive drugs, from a variety of ...
BACKGROUND: Urine albumin excretion in the high normal range [urine albumin to creatinine ratio (UACR) 10-29 mg/g)] predicts hypertension in European-origin populations. However, the prognostic significance of UACR in the high normal range for incident hypertension is unclear in Indo-Asians. The objective of this study was to examine the relationship of normal to high normal levels of UACR and incident hypertension. METHODS: We conducted a nested cohort study within a cluster randomized controlled trial in Pakistan on 1272 normotensive non-diabetic adults aged ≥ 40 years with UACR/g. Incident hypertension was defined as new onset of systolic blood pressure (SBP) ≥ 140 mmHg or diastolic ≥ 90 mmHg or initiation of antihypertensive therapy. RESULTS: A total of 920 (72.3%) participants completed the 2-year final follow-up. During this time, 105 (11.4%) developed incident hypertension. In the multivariable model, the odds [95% confidence interval (CI)] for incident hypertension were 2.45(1.21-4.98)
TY - JOUR. T1 - Hypertension in chronic kidney disease and dialysis. T2 - Pathophysiology and management. AU - Agarwal, Rajiv. PY - 2005/8. Y1 - 2005/8. N2 - Hypertension affects 24% of the adult US population. In the United States, 3% of the adult population has an elevated serum creatinine level, and 70% of these patients have hypertension. The prevalence of hypertension in chronic kidney disease (CKD) depends on the patients age and the severity of renal failure, proteinuria, and underlying renal disease. As patients with CKD progress to end-stage renal disease (ESRD), 86% are diagnosed with hypertension. It has long been recognized that kidney function affects and is affected by hypertension. This article discusses the pathophysiology and management of hypertension in patients with CKD.. AB - Hypertension affects 24% of the adult US population. In the United States, 3% of the adult population has an elevated serum creatinine level, and 70% of these patients have hypertension. The prevalence ...
BACKGROUND:. Appropriately increased interest and concern about high blood pressure as a major public health problem coincided with the indication that the risks of hypertension-related morbidity and mortality could be reduced by reduction of blood pressure. Consensus suggestions that individualized approaches be used in treating patients with mild hypertension stimulated further investigations of non-pharmacological methods. Such investigations were also of considerable interest in relation to understanding the physiology of blood pressure control as well as the development of less costly non-drug therapies. Interest was heightened by information suggesting that there might be distinctly harmful side effects related to antihypertensive drug therapy, particularly thiazide diuretics, in some settings. Studies of non-drug therapies included dietary modifications primarily involving weight reduction and sodium restriction with increasing recent concern about other factors such as alcohol intake, ...
The World Health Organization has identified hypertension, or high blood pressure, as the leading cause of cardiovascular mortality.[162] The World Hypertension League (WHL), an umbrella organization of 85 national hypertension societies and leagues, recognized that more than 50% of the hypertensive population worldwide are unaware of their condition.[162] To address this problem, the WHL initiated a global awareness campaign on hypertension in 2005 and dedicated May 17 of each year as World Hypertension Day (WHD). Over the past three years, more national societies have been engaging in WHD and have been innovative in their activities to get the message to the public. In 2007, there was record participation from 47 member countries of the WHL. During the week of WHD, all these countries - in partnership with their local governments, professional societies, nongovernmental organizations and private industries - promoted hypertension awareness among the public through several media and public ...
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High blood pressure is often difficult to control. Resistant hypertension is blood pressure above goal despite adherence to a combination of at least three antihypertensive medications of different classes, optimally dosed and usually including a diuretic. The approach to blood pressure that is apparently difficult to control begins with an assessment of the patients adherence to the management plan, including lifestyle modifications and medications. White-coat hypertension may need to be ruled out. Suboptimal therapy is the most common reason for failure to reach the blood pressure goal. Once-daily fixed-dose combination pills may improve control through the synergism of antihypertensive agents from different classes and improved adherence. Truly drug-resistant hypertension is commonly caused by chronic kidney disease, obstructive sleep apnea, or hyperaldosteronism, all of which can lead to fluid retention. Higher doses of diuretics (or a change to a loop diuretic) are usually needed. Other strategies
Purpose: To investigate the effect of awareness of arterial hypertension on quality of life in hypertensive patients in Greece.Materials and methods: This was a prospective observational study that included 189 aware hypertensive patients on treatment with antihypertensive therapy. Patients were ambulatory men or women ⩾18 years old, with diagnosed essential hypertension.Results: The mean BDI score was 9.9±6.9 and 58%, 25%, 8.9%, 7.3% were identified without, with minimal, moderate and 0.8% with severe depression respectively. The mean score for physical component summary (PCS-36) was 48.9±7.6 and the mean score for mental component summary (MCS-36) was 46.0±10.6. The stage of hypertension was not an independent predictor for any of the SF-36 dimensions. Dippers had not different levels of health related quality of life as compared with non-dippers. LV hypertrophy was associated with lower scores on bodily pain (pConclusions: The stage as well as awareness of arterial hypertension does not affect
A fundamental change in the way hypertension is measured, and studies to identify evidence-based blood pressure goals have been highlighted as top priorities by one of Swedens prominent hypertension specialists, Prof. Björn Dahlöf, during the European Meeting on Hypertension.. Milan, Italy - New goals for blood pressure need to be identified by conducting randomized studies, and other investigations need to be made to look at the relevance of central - rather than brachial - blood pressure, according to a leading researcher here.. But in an interview during the European Society of Hypertension meeting Björn Dahlöf MD, PhD, from Sahlgrenska University Hospital in Göteborg, said that - before this - the immediate need was to reach existing goals for antihypertensive treatment because these are still not being achieved in a minority of patients.. But he emphasised that unlike present goals - which were derived by interpreting the relationship between achieved blood pressures and outcomes in ...
As part of NPSs latest education program, Treating hypertension, prescribers are encouraged to assess absolute cardiovascular risk in all patients with uncomplicated hypertension and consider holistic treatment options that centre on lifestyle changes.. "Hypertension affects more than 2 million Australians and is the leading cause of death in Australian women, yet lowering blood pressure even slightly can have significant effect," NPS CEO, Dr Lynn Weekes said.. "Lowering systolic blood pressure by 10 mmHg or diastolic blood pressure by 5 mmHg reduces the relative risk of cardiac events by about 25 per cent and stroke by about 33 per cent. This is irrespective of whether an antihypertensive is prescribed.". The program encourages health professionals to emphasise that lifestyle changes can substantially improve blood pressure so patients may not need to start an antihypertensive or can delay starting or reduce the number of drugs required to control blood pressure.. "We all know that lifestyle ...
The American Society of Health-Systems Pharmacists reported in February that a group appointed by the National Heart, Lung and Blood Institute, the Eighth Joint National Committee (JNC 8), released its guidelines regarding the treatment of hypertension.. In addition, a panel endorsed by the American Society of Hypertension and the International Society of Hypertension (ASH-ISH) released its own guidelines about the same time as the JNC 8.. As a result, pharmacists and other clinicians now have two treatment guidelines when it comes to treating hypertension.. When it comes to recommended systolic and diastolic blood pressure readings, both sets of guidelines believe that the best goal is ,140 mm HG for systolic and ,90 mm HG for diastolic. These recommendations are for adults and includes those who have chronic kidney disease or diabetes.. This is a change from the JNC 8 panel back in 2003, which had set lower blood pressure goals for those patients with pre-existing conditions. The panel is ...
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Poorly controlled hypertension is a common finding in the outpatient setting. When patients present with severely elevated blood pressure (i.e., systolic blood pressure of 180 mm Hg or greater, or diastolic blood pressure of 110 mm Hg or greater), physicians need to differentiate hypertensive emergency from severely elevated blood pressure without signs or symptoms of end-organ damage (severe asymptomatic hypertension). Most patients who are asymptomatic but have poorly controlled hypertension do not have acute end-organ damage and, therefore, do not require immediate workup or treatment (within 24 hours). However, physicians should confirm blood pressure readings and appropriately classify the hypertensive state. A cardiovascular risk profile is important in guiding the treatment of severe asymptomatic hypertension; higher risk patients may benefit from more urgent and aggressive evaluation and treatment. Oral agents may be initiated before discharge, but intravenous medications and fast-acting oral
High body weight in children and adolescents is strongly associated with the likelihood of hypertension, according to a Kaiser Permanente Southern California study published in The Journal of Clinical Hypertension.. Researchers found that young people who are overweight are twice as likely as their normal-weight peers to have hypertension; moderately obese youths have four times higher risk; and extremely obese children and adolescents are 10 times more likely to have hypertension. The study also found 10 percent of youths who are extremely obese have hypertension and nearly half have occasional blood pressure measurements in the hypertensive range. Earlier studies showed that between 1 to 5 percent of youth have hypertension.. "This studys findings suggest that pediatricians need to be particularly vigilant about screening overweight and obese children for hypertension because high blood pressure can be asymptomatic for many years," said Corinna Koebnick, PhD, lead author and researcher at ...
This study aimed at investigating whether impaired fasting glucose (IFG) is an independent risk factor for incident hypertension among middle-aged Japanese subjects with optimal blood pressure (OBP). This retrospective cohort study was conducted in 2943 non-diabetic and non-hypertensive subjects aged 40-64 years, who participated in a voluntary health check-up program during the baseline (1998-2002) and follow-up periods (2002-2006). A multiple logistic regression model was utilized to calculate the odds ratio (OR) of incident hypertension among men and women with IFG and OBP. OBP was defined as systolic blood pressure (SBP) |120 mmHg and diastolic blood pressure (DBP) |80 mmHg, with no known history of hypertension. In this study, hypertension was defined as SBP ≥140 mmHg and DBP ≥90 mmHg or by a self-reported clinical diagnosis of hypertension. After the mean follow-up period of 5.6 years, the incidence of hypertension in men and women was 5.7% (73/1270) and 3.8% (62/1673), respectively. The age
by Habibat Aziz Garuba, MD, FRCPC. What is hypertension/high blood pressure? Hypertension is the medical term for high blood pressure above a certain threshold. Blood pressure (BP) is the force of blood flow against the walls of our arteries (the blood vessels that carry blood away from the heart and distribute it to the rest of the body).. Blood pressure has two components: systolic pressure, (the top number) is the pressure when the heart beats, and diastolic pressure (the bottom number) is the pressure when the heart relaxes. Normal blood pressure is usually less than 120/80. "Pre-hypertension" is when the top number is between 120-139 and the bottom number is between 80-89 (although certain resources may call this Stage I hypertension). In Canada, hypertension is usually diagnosed when a persons blood pressure is consistently above 140/90 (for patients with diabetes, hypertension is a blood pressure consistently above 130/80).. Hypertension can be diagnosed by repeated measurements of blood ...