Impact of Endocrine Disorders on Blood Pressure

Author(s):  
Federico Carbone ◽  
Aldo Bonaventura ◽  
Luca Liberale ◽  
Alessandra Vecchiè ◽  
Matteo Casula ◽  
...  
Endocrinology ◽  
2020 ◽  
pp. 29-58
Author(s):  
Federico Carbone ◽  
Aldo Bonaventura ◽  
Alessandra Vecchiè ◽  
Matteo Casula ◽  
Luca Liberale ◽  
...  

Author(s):  
N.E. Afanasev ◽  
A.K. Shishmanidi ◽  
I.V. Koshel

The article presents the results analysis of preventive medical examination for adults in the Shpakovsky region of Stavropol region for 2015–2017. In the disease structure cardiovascular diseases ranks first, endocrine disorders has the second highest rate of incidence, genitourinary system diseases ranked third. The main risk factor for the chronic non-communicable diseases is unbalanced diet (35,74 %). Low physical activity ranks second accroding to the results of questionnaire (31,23 %) and high blood pressure ranked third (24,45 %). Frequency rate of chronic non-comminicable risk factors detection had been decreased during the years.


2021 ◽  
Vol 25 (11) ◽  
pp. 1233-1233
Author(s):  
S. M. Raysky

Schnitter (Mnch. Med. Wschr. No. 4, 1929) refutes the established belief that chronic lead poisoning usually causes high blood pressure and insists that it is usually normal or even lower than normal if anemia or toxic-endocrine disorders. The increased blood pressure in chronic. lead poisoning, according to the author, speaks of the simultaneous presence of other causes of it.


2005 ◽  
Vol 29 (6) ◽  
pp. 210-212 ◽  
Author(s):  
Jayne Greening

Aims and MethodThe aim of this survey was to determine details recorded about the physical health of patients in rehabilitation and recovery. All medical and nursing notes from January 1998 to March 2003 were reviewed. Case notes from 63 patients were studied.ResultsThere was mention in less than 13 of the patients' notes (18%) of smoking, diet, exercise or prolactin levels; weight, blood pressure, electrocardiogram, erythrocyte sedimentation rate or lipids were mentioned in less than 20 (30%). A blood sugar test was performed in only 16 patients (25%) in the past year and 38 patients (59%) had a record of a test in the past 5 years. These results suggest that there is inadequate recording of the physical health parameters in patients in rehabilitation and recovery.Clinical ImplicationsThe physical healthcare of patients with schizophrenia is prioritised in the National Institute for Clinical Excellence (NICE) clinical guidelines, which specifically mention the monitoring of endocrine disorders such as diabetes and hyperprolactinaemia, cardiovascular risk factors, such as blood pressure and lipids, and lifestyle factors such as smoking. Routine recording of physical health indices should be mandatory and staff may need further training to enable them to do this.


2021 ◽  
pp. 74-75
Author(s):  
Jitendra Kumar ◽  
Manish narayan ◽  
Bindey Kumar

Arterial hypertension represents a major global health concern; more than one fourth of the population is affected by high blood pressure. Albeit the underlying cause of the disease remains unclear in the vast majority of the cases, ~10% are of secondary origin. Endocrine disorders are common illnesses and some of them may lead to elevated blood pressure, among which thyroid diseases are of high prevalence and often overlooked, especially in mild cases. Overt and subclinical hyper- and hypothyroidism can both lead to (mostly mild) hypertension; however, the underlying mechanisms are only partially understood. The results of clinical studies are often controversial. During the past decades, some genetic mutations in the hypothalamus-pituitary-thyroid axis with cardiovascular consequences were revealed. Atherosclerotic changes resulting from lipid abnormalities due to thyroid dysfunction also affect the vasculature and can cause elevated blood pressure. The review gives a synopsis of our knowledge how thyroid hormone metabolism and functional thyroid diseases affect the cardiovascular system, their negative impact and causative role in the development of hypertension.


1993 ◽  
Vol 2 (1) ◽  
pp. 35-39 ◽  
Author(s):  
C. Spieker ◽  
M. Barenbrock ◽  
K.-H. Rahn ◽  
W. Zidek

2021 ◽  
Vol 8 ◽  
Author(s):  
Lede Lin ◽  
Lina Gong ◽  
Liang Cheng ◽  
Zhihong Liu ◽  
Sikui Shen ◽  
...  

Background: Adrenal myelolipoma (AML) is a nonfunctional benign neoplasm from the adrenal cortex, composed of mature fat and hematopoietic tissue. Usually, patients have no symptoms. However, some patients with hypertension and blood pressure normalize after AML surgery, indicating some connections between AML and hypertension.Materials and Methods: This was a retrospective cohort study of 369 patients diagnosed with AML from September 2008 to December 2018 collected in the Urology Department of West China Hospital, Chengdu, Sichuan, China. We collected clinical records of patients before surgery. Postoperative follow-up was also carried out for those with hypertension and whether patients needed to take antihypertensive drugs and postoperative blood pressure were recorded. We aim to explore the characteristics of both patients with AML having hypertension and having remission of hypertension in 1 year after surgery.Results: There were 369 patients with AML included in the study, 156 men and 213 women, aged 49.86 ± 11.61 years old. Among them, 121 (32.8%) patients presented with hypertension. Body mass index was significantly higher in the hypertension group than that in the nonhypertension group, even after adjusting other variables (26.26 ± 3.43 vs. 24.28 ± 3.38 kg/m2, P < 0.001 for both univariate and multivariate analyses). Sixty patients were followed up for 1–9 years, with a median follow-up of 52 months. The duration of hypertension in the remission group was shorter than that in the non-remission group (P = 0.020), and the tumor lateralization was significantly different between the two groups (P = 0.005).Conclusions: Nearly one-third of patients with AML suffered from hypertension in our study, and there existed some potential links between AML and hypertension. To be more specific, AML-related hypertension was more likely to result from obesity and renal compression by perirenal fat than from endocrine disorders or blood vessels compression. Patients with AML and with more than 3 years of hypertension might have less possibility to recover.


Author(s):  
Анна Сергеевна Смольянникова ◽  
Ирина Сергеевна Добрынина ◽  
Анна Александровна Зуйкова ◽  
Елена Анатольевна Ханина ◽  
Марина Николаевна Муравицкая

Эректильная дисфункция - патология, связанная не только с наличием у больного урологических, психических или эндокринных нарушений. Нарушению эректильной функции способствуют многочисленные факторы, в том числе кардиоваскулярные заболевания, к которым в частности относится атеросклеротическое поражение сосудов на фоне дислипидемии. Эректильная дисфункция часто является первым симптомом системного атеросклероза. Целью исследования является изучение связи эректильной дисфункции и уровня тестостерона крови с дислипидемией и частными проявлениями сердечно-сосудистой патологии для своевременного выявления и начала лечения латентных форм кардиоваскулярных заболеваний. Была проведена оценка соответствующих показателей у выделенных групп исследуемых: основная группа - больные, обратившиеся за помощью по поводу эректильной дисфункции, контрольная группа - относительно здоровые исследуемые, не предъявляющие жалоб на эректильную функцию. В результате оценки полученных данных между количеством баллов, набранных по тесту-опроснику МИЭФ-5, уровнем тестостерона и показателями сАД, дАД, SCORE, общего холестерина и коэффициентом атерогенности выявлены связи умеренной и высокой силы. Пациенты, обратившиеся за амбулаторной помощью по поводу эректильной дисфункции, имели высокие показатели коэффициента атерогенности, что свидетельствует о высокой вероятности атеросклеротического поражения сосудов и в дальнейшем развития сердечно-сосудистой патологии Erectile dysfunction is a pathology associated not only with the presence of urological, mental or endocrine disorders in the patient. Numerous factors contribute to the development of erectile dysfunction, including cardiovascular diseases, which in particular include atherosclerotic vascular damage on the background of dyslipidemia. Erectile dysfunction caused by arteriosclerosis of the penile arteries is often the first symptom of systemic arteriosclerosis. The aim of this research is to study the relationship of erectile dysfunction and blood testosterone levels with dyslipidemia and particular manifestations of cardiovascular pathology for the timely detection and initiation of treatment of latent forms of cardiovascular diseases. To do this, the corresponding indicators were evaluated in the selected groups of subjects: the main group - patients who sought help for erectile dysfunction, the control group-relatively healthy subjects who did not complain about their erectile function. As a result of evaluating the data obtained between the number of points scored according to the MIEF-5 test-questionnaire, the level of testosterone and indicators of systolic blood pressure, diastolic blood pressure, SCORE, total cholesterol and the coefficient of atherogenicity, moderate and high strength relationships were revealed. Patients seeking outpatient care for erectile dysfunction had high rates of atherogenic coefficient, which indicates a high probability of atherosclerotic vascular lesions and further development of cardiovascular pathology


Author(s):  
Sheetal Ratankumar Gatagat

Introduction: Metabolic syndrome (MS) is described as insulin resistance, clusters of abnormalities including abdominal obesity, hypertension, hyperglycaemia, increased triglycerides, and decreased high-density lipoprotein cholesterol (HDL-C). In maintaining thermogenesis and metabolic homeostasis Thyroxine and Triidothryronine play an important role. Thyroid is established by thyroid stimulation hormone (TSH). Thyroid hormones up-regulate metabolic pathways relevant to resting energy expenditure, hence obesity and thyroid functions are often correlated. It is still not clear whether these alterations in thyroid hormones are a cause or an effect of obesity. Hypothyroidism is well known to cause diastolic hypertension, endothelial dysfunction, hyperlipidemia and cardiovascular disease. The functions of thyroid affect the components of metabolic syndrome including triglycerides (TG), HDL–cholesterol (HDL-C), blood pressure and plasma glucose. The impact of various degree of thyroid dysfunction on components of metabolic syndrome, however, continues to be debatable. On components of metabolic syndrome, Thyroid dysfunction is also risk factor for ASCVD mediated by the effects of thyroid hormones on glucose metabolism, lipid and blood pressure. In India about onethird of the urban population in large cities has metabolic syndrome with the overall prevalence varying between 11% and 56%. Worldwide Thyroid diseases are most prevalent endocrine disorders. According to various studies it showed that about 42 million people in India suffer from thyroid diseases. Aim: The main aim of this study was to study thyroid dysfunction in metabolic syndrome. Material and Methods: In this study 150 patients with different age group from 20 years to 60 years old were included with metabolic syndrome diagnosed as per IDF criteria. From all the patients who visit hospital as OPD and IPD patients’ detailed history was recorded and also laboratory examination were done. Result: In this study total 150 patients with metabolic syndrome were included in which there were 82 were males and 68 were females.  In this study there were maximum numbers of male patients in comparing with female patients as 43.3% and 54.7% respectively with different age group from 20 years to 60 years old. Out of total patients age group of 35 to 50 years old shows maximum and the age group 50- 60 years old showed least as 37% and 23% respectively. In this study in the age group of 35-50 had abnormal TGL values, compared to the other age groups. While HDL values were low in the 50-60 age group compared to others. Conclusion: Thyroid dysfunction is common in metabolic syndrome patients. The prevalence of hypothyroidism is more common in metabolic syndrome. Therefore early detection and thyroxine replacement could reduce the significant cardiovascular risk. However, there is still a controversy whether the patients with subclinical hypothyroidism would be benefited from thyroxine replacement. Hence Subclinical hypothyroidism should be picked up and treated at the earliest. Keywords: Metabolic syndrome, Thyroid dysfunction, hypothyroidism, HDL


2019 ◽  
Vol 66 (2) ◽  
pp. 50-54
Author(s):  
Eric Pinashin ◽  
Craig Stern

An elevation in systolic and diastolic blood pressure, known as hypertension, is characterized as a condition where blood pressure values are above the normal values, ranging around 120/80mmHg for most adults. There are two forms of hypertension, primary hypertension and secondary hypertension. Primary or essential hypertension accounts for 90–95% of patients with hypertension, with its etiology unknown, while secondary hypertension accounts for 5–10% of the population, due to chronic kidney disease, endocrine disorders, or usage of ibuprofen or venlafaxine.(1) If left untreated, hypertension can lead to heart attack, stroke, heart failure, vision problems, kidney damage, and a variety of other problems, depending on which vessels it affects. As seen in Figure 1, either having low or high systolic or diastolic blood pressure can be detrimental to one's health. Having low blood pressure can lead to hypoperfusion of vital organs, whereas elevated blood pressure can lead to end organ damage, stroke, and myriad related instances.


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