Relationship between high blood pressure and cardiovascular outcomes in elderly frail patients: A systematic review and meta-analysis

2016 ◽  
Vol 37 (5) ◽  
pp. 385-392 ◽  
Author(s):  
Xiu-E. Zhang ◽  
Bei Cheng ◽  
Qian Wang
2018 ◽  
Vol 45 (6-8) ◽  
pp. 457-462 ◽  
Author(s):  
Wen Jiang ◽  
Chengyang Hu ◽  
Fengli Li ◽  
Xiaoguo Hua ◽  
Xiujun Zhang

Heart ◽  
2012 ◽  
Vol 98 (Suppl 2) ◽  
pp. E146.4-E147
Author(s):  
Xiaofan Guo ◽  
Liqiang Zheng ◽  
Jun Wang ◽  
Yang Li ◽  
Xingang ◽  
...  

2020 ◽  
Vol 20 (5) ◽  
pp. 447-470 ◽  
Author(s):  
Emilio Antonio Francischetti ◽  
Virginia Genelhu de Abreu ◽  
Luiz Felipe da Silva Figueiredo ◽  
Rômulo Sperduto Dezonne ◽  
Evandro Silva Freire Coutinho

2021 ◽  
Vol 33 ◽  
pp. 100725
Author(s):  
Jamie L. Benham ◽  
Jane E. Booth ◽  
Ronald J. Sigal ◽  
Stella S. Daskalopoulou ◽  
Alexander A. Leung ◽  
...  

2017 ◽  
Vol 27 (7) ◽  
pp. 1295-1305 ◽  
Author(s):  
Thomas G. Day ◽  
MinHae Park ◽  
Sanjay Kinra

AbstractHigh blood pressure is a risk factor for atherosclerosis in adults, but whether the same is true in children and young people is not known. This is important to guide management of high blood pressure in children and young people. We aimed to investigate the association in children and young people between blood pressure and carotid intima-media thickness, a non-invasive marker of atherosclerosis, through a systematic review. Studies were retrieved from MEDLINE and EMBASE. Articles were eligible for inclusion if they included at least one measurement of blood pressure and at least one measurement of ultrasound-derived carotid intima-media thickness, both measured during childhood (0–19 years), and a measure of effect size or correlation between the two measurements. A total of 3748 studies were identified in the initial search, of which 28 studies were included in this review. The results were mixed, but the largest and highest-quality studies suggested an independent positive association between blood pressure and carotid intima-media thickness in children and young people, even after adjustment for other cardiovascular risk factors. There was no indication of a clear threshold level for the effect of blood pressure on carotid intima-media thickness, hence there are insufficient data to support a pharmacological treatment threshold for the treatment of high blood pressure in children and young people to prevent future cardiovascular disease. The studies included varied widely in terms of quality and design, and it was not possible to combine the data in a meta-analysis. There is likely to be an independent association between blood pressure and carotid intima-media thickness in childhood, but it is not clear at what point this should be treated.


2021 ◽  
Vol 10 (4) ◽  
pp. 367-374
Author(s):  
Nasrollah Moradifar ◽  
Ali Asghar Kiani ◽  
Navid Bakhtiari ◽  
Morteza Amraei ◽  
Arash Amin

Vasodilators are drugs that induce or start the widening of blood vessels and are commonly applied to treat disorders with irregularly high blood pressure, including hypertension, congestive heart failure, and angina. The present study aims to systematically review the studies on the vasodilation effects of medicinal herbs. The study was done according to the 06- Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and registered in the CAMARADES-NC3Rs Preclinical Systematic Review and Meta-Analysis Facility (SyRF) database. Various English databases, such as Scopus, PubMed, Web of Science, EMBASE, and Google Scholar, were used to find publications about the vasodilation effects of medicinal herbs with no date limitation. The searched terms and keywords words were: "medicinal herbs", "medicinal plants", "vasodilator", "vasorelaxant", "hypertension", "high blood pressure", "vasodilation", "extract", "essential oil". Out of 1820 papers (up to 2020), 31 papers met the inclusion criteria and were reviewed. The most important medicinal plants with vasodilation/vasorelaxant activity belonged to the family Asteraceae (19.4%) followed by Zingiberaceae (9.7%). Aerial parts (30.5%), leaves (30.5%), followed by roots (11.1%) were the most common parts used in the studies. The findings showed that ethanolic extract (33.3%), followed by aqueous extract (22.2%) and methanolic extract (19.4%) was the frequency used extraction methods, whereas the essential oil (13.9%) and hydroalcoholic extract (8.3%) were the second most used herbal remedies. The results of the current review study revealed that the plant vasodilatory agents were might be used as an alternative and complementary source to treat hypertension as they had lower important toxicity. Nevertheless, more investigations, particularly clinical trials, are needed to clear this suggestion.


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