scholarly journals IMPACT OF ACHIEVED AVERAGE SYSTOLIC BLOOD PRESSURE LEVELS ON FUTURE MORTALITY AMONG A REAL-WORLD POPULATION OF PATIENTS WITH HYPERTENSION

2020 ◽  
Vol 75 (11) ◽  
pp. 2048
Author(s):  
J. Brent Muhlestein ◽  
Benjamin Davies Horne ◽  
Nathan A. Allred ◽  
Erik R. Riessen ◽  
Raymond McCubrey ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Real World ◽  
World Population ◽  
Average Systolic Blood Pressure

ASSESSING THE OUTCOMES OF TREATMENT AND MANAGEMENT, 400 HYPERTENSIVE PATIENTS IN BONG SON GENERAL HOSPITAL, BINH DINH PROVINCE

2016 ◽  
pp. 31-40
Author(s):  
Long Nhon Phan ◽  
Van Minh Huynh ◽  
Thi Kim Nhung Hoang ◽  
Van Nham Truong
Keyword(s):  
Blood Pressure ◽  
Risk Stratification ◽  
Hypertensive Patient ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Blood Pressure Target ◽  
Average Risk ◽  
Hypertensive Patients ◽  
Average Systolic Blood Pressure ◽  
Complications Of Stroke

Objective: To evaluate the results of treatment achieved blood pressure goal (BP goal) and results of hypertensive patient management. Subjects and methods: A study of 400 hypertensive patient intervention, treatment and management after 2 year. To assess the results of BP target, monitor the use of medicines, the situation of hospitalization and complications of stroke. Results: Treatment: -100% of patients using diuretics and angiotensin-converting enzyme inhibitors (ACEIs), 33% of patients using angiotensin receptor blockers (ARBs), 46.25% of patients using calcium channel blockers (CCBs) and 19.5% of patients using beta-blocker. After 24 months of treatment: 50.5% of patients using 1 antihypertensive drug, 22% of patients using 2 drugs, 20.5% of patients using 3 drugs and 7% of patients taking more than 3 drugs. After 24 months of treatment: 91.75% achieved BP target and 8.25% fail. -Average risk stratification: 97.32% achieved BP target, hight risk stratification: 95.91% and very hight risk stratification: 73.03%. After 24 months of treatment. -Stage 1: 88.48% achieved BP target, stage 2: 92.85% achieved BP target and stage 3: 71.08% achieved BP target. After 24 months of treatment. -Hypertesive results before treatment were: 159.80 ± 20,22mmHg average systolic blood pressure and 82.97 ± 5,82mmHg average diastolic blood pressure. After treatment: average systolic blood pressure 125.38 ± 6,88mmHg and average diastolic blood pressure 79.83 ± 1,79mmHg. No adverse change in the index of tests about lipidemia, liver, kidney, glucomia and no recorded cases of drug side effects. Management of patients: -There were 89% non-medical examinational patients 1 month, 5.25% non-medical examinational patients 2 months, 4.25% non-medical examinational patients 3 months and 1.5% non-medical examinational patients 4 months. There were 93.5% drop pill 1 month, 3.25% drop pill 2 months, 4.25% drop pill 3 months and no patient drop pill over 3 months. In 24 months follow-up, 47% hospitalized inpatients <5 times, 44.5% hospitalized inpatients 5-10 times, 3% hospitalized inpatients 11-15 times, 4.75% hospitalized inpatients from 16-20 times and 0.75% hospitalized inpatients > 20 times. -There were 32.75% hospitalized inpatients for reasons of hypertension and 63.75% hospitalized inpatients for other common diseases. -There were a total of 11592 contacts directly by phone for medical advice, medical reminders and examinational reminders during 24 months of management. -There were 0.5% of patients stroked during 24 months of treatment and management. Conclusion: Treatment by protocol and management by phone directly for medical taking and re-examinational reminders is the best resulted method of achieving blood pressure target and reducing complications of stroke for hypertensive patients. Key word: : blood pressure target; risk stratification; treatment; management; stage; phone.

Effects of Aging on the Variability of Arterial Pressure in Essential Hypertensive Patients

1982 ◽  
Vol 63 (s8) ◽  
pp. 411s-414s ◽  
Author(s):  
Jun Ogawa ◽  
Shigeo Takata ◽  
Gakuji Nomura ◽  
Shiro Arai ◽  
Takayuki Ikeda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Stroke Volume ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Pulse Pressure ◽  
Baroreflex Sensitivity ◽  
Peripheral Resistance ◽  
Resistance Index ◽  
Average Systolic Blood Pressure ◽  
Effects Of Aging

1. We studied the effects of aging on the variability of blood pressure in mild to moderate essential hypertensive subjects. 2. Cardiac index was greater and total peripheral resistance index was less in patients under 40 years (by an average of 1.06 litres min−1 m−2 and 9.23 mmHg 1−1 min−1 m−2) than in those over 40 respectively (P < 0.001 for each). 3. Pulse pressure/stroke volume was less by an average of 0.345 mmHg/ml in patients under 40 years than that in those over 40 (P < 0.001). Pulse pressure/stroke volume was correlated with age (r = 0.621), average systolic blood pressure (r = 0.623) and inversely with baroreflex sensitivity (r = −0.494). 4. Baroreflex sensitivity was less by an average of 3.1 ms/mmHg in patients over 30 years than in those under 30 (P < 0.025). Baroreflex sensitivity was inversely correlated with age (r = −0.617) and average systolic blood pressure (r = −0.589). 5. Beat by beat variability of systolic blood pressure was correlated with age (r = 0.460), particularly when the data of those in their twenties were excluded (r = 0.618), and significantly with pulse pressure/stroke volume (r = 0.650), average systolic blood pressure (r = 0.618) and inversely with baroreflex sensitivity (r = −0.477). These relationships were not observed for diastolic blood pressure. 6. Maximum difference in systolic blood pressure in a day was correlated with pulse pressure/stroke volume (r = 0.482) and average systolic blood pressure (r = 0.648) but not with baroreflex sensitivity. These relationships were not observed for diastolic blood pressure. 7. Variability of systolic blood pressure in patients over 30 years gradually increased with age. In contrast, those of systolic and diastolic blood pressures in subjects in their twenties were relatively large. This might be related to factors other than aging, presumably those which underlie the hyperdynamic circulatory state.

scholarly journals Post-Operative Blood Pressure in 24 Hours and 3-Year Major Adverse Cardiac Events in Chinese Patients Undergoing PCI

2021 ◽  
Author(s):  
Lijun Gan ◽  
Dandan Sun ◽  
Yuntao Cheng ◽  
Deyang Wang ◽  
Fen Wang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Linear Relationship ◽  
Diastolic Blood Pressure ◽  
Inflection Point ◽  
Major Adverse Cardiac Events ◽  
Cardiac Events ◽  
Average Systolic Blood Pressure ◽  
Adverse Cardiac Events ◽  
Non Linear

Abstract Background: There is no clear evidence for the target value of blood pressure control within 24 hours after Percutaneous coronary intervention (PCI). Therefore, our study was designed to explore the relationship between blood pressure within 24 hours after PCI and major adverse cardiac events (MACE) during 3-year follow-up. Methods: This study is a prospective study. The study initially collected information of 552 patients. The start and end times of the study are from January 1, 2017 to December 31, 2020. The independent variables of this study are the average systolic blood pressure and the average diastolic blood pressure within 24 hours after PCI. The dependent variable is the occurrence of MACE events in patients within 3 years after PCI. Results: A total of 514 subjects met the inclusion criteria. The average age of the study subjects is 61.92 ± 9.49 years old, of which 67.12% are male. 94 subjects had a MACE event within 3 years, and the occurrence rate was 18.29%. There is no significant non-linear or linear relationship between diastolic blood pressure and MACE events. There is a curvilinear relationship between the average systolic blood pressure within 24 hours of patients after PCI and MACE events within 3 years and the inflection point is 134. On the left side of the inflection point, the effect size and 95% CI are 1.22 and 1.04-1.43, respectively (P=0.017). The impact size and 95% CI at the right inflection point were 0.96 and 0.83-1.11, respectively (P=0.604). Conclusion: There is a non-linear relationship between systolic blood pressure and the occurrence of MACE events in 3 years, and its inflection point is 134mmHg. In the case of ensuring patient safety, we should control the patient's systolic blood pressure within 24 hours after surgery.

scholarly journals PENGARUH THERAPY BEKAM BASAH TERHADAP TEKANAN DARAH PASIEN HIPERTENSI

2018 ◽  
Vol 6 (2) ◽  
pp. 102-105
Author(s):  
Leli Mulyati
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Cupping Therapy ◽  
Control Group ◽  
Pressure Measurements ◽  
Hypertensive Patients ◽  
Average Systolic Blood Pressure ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

This study aims to determined the effected of wet cupping therapy on blood pressure in hypertensive patients. The study used a quasi-experimental method with one group pre-test and post-test without a control group. The study subjects total 30 respondents consisting of patients with hypertension. All subjects are given wet cupping treatment twice with an interval of 2 weeks. Blood pressure measurements made ​​before and after wet cupping. The results of analysis used a t-dependent, decrease in average systolic blood pressure was 13 333 ± 12 042 wet cupping mmHg and diastolic 4667 ± 3294 mmHg. At week 2 a decrease in average systolic blood pressure mmHg while the 8667 ± 8308 6667 ± 5525 mmHg diastolic. Decrease in average systolic and diastolic blood pressure there were significant differences (p <0.05) in the first wet cupping and second wet cupping. This shows that wet cupping therapy affects blood pressure in hypertension patients.

scholarly journals A single-pieced, fully air-driven, cuff-inserted pseudo-blood pressure generator for on-site pre-screening test of non-invasive blood pressure monitor by nurses

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Young Jun Hwang ◽  
Gun Ho Kim ◽  
Sung Uk Yun ◽  
Kyoung Won Nam
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Large Scale ◽  
Blood Pressure Monitor ◽  
Pressure Monitor ◽  
Average Systolic Blood Pressure ◽  
Non Invasive ◽  
Proposed Model ◽  
Blood Pressure Monitors ◽  
Pressure Generator

Abstract Background It is crucial to frequently inspect the proper operation of non-invasive electronic blood pressure monitors in various sites to prevent accidents from inaccurate blood pressure measurements, especially for large-scale hospitals. However, most conventional blood pressure monitor inspection devices are not suitable for such on-site investigation purpose. In this study, we propose a new single-pieced, fully air-driven pseudo blood pressure generator that is suitable for frequent on-site pre-screening tests of the blood pressure monitor by nurses. Results The proposed model comprises a rigid cylindrical body, two simulated brachial arteries, two air-pumps, an electronic controller, and a pressure sensor. Control algorithm based on polynomial curve fitting was implemented to generate various user-instructed systolic blood pressure and heart-rate conditions automatically. To evaluate the performance and clinical feasibility of the proposed model, various experiments were performed using ten commercial electronic blood pressure monitors. Experimental results demonstrated that the values of the Pearson coefficient between the reference pseudo-blood pressure waveforms and the actually generated pressure waveforms were 0.983, 0.983 and 0.997 at 60, 70 and 80 beats/min, respectively (p < 0.05). Besides, during the experiments using ten commercial blood pressure monitors, the maximum error in average systolic blood pressure was 2.9 mmHg, the maximum standard deviation in average systolic blood pressure was 3.5 mmHg, and the maximum percentage error in average pumping rate was 3.2%, respectively. Conclusions We expect that the proposed model can give an easy and comprehensive way for frequent on-site investigations of the blood pressure monitors by nurses, and improve the safety of patients with abnormal blood pressure, especially in most large-scale hospitals.

Abstract 240: Prevalence of Intense Systolic Blood Pressure Control in Unselected Real World Non-Diabetic Hypertensive Patients

2017 ◽  
Vol 10 (suppl_3) ◽  
Author(s):  
Ravinder Valadri ◽  
Sandhya Reddy ◽  
Chien-Wen Yang ◽  
Hussain Azizi ◽  
Dan Loughran ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Clinical Practice ◽  
Systolic Blood Pressure ◽  
Real World ◽  
Current Trend ◽  
Diabetic Patients ◽  
Hypertensive Patients ◽  
Cardiovascular Morbidity And Mortality ◽  
End Stage ◽  
Clinic Visits

Background: Recent data from SPRINT trial demonstrated that, intense systolic blood pressure (ISBP) control to <120 mm Hg was associated with lower cardiovascular morbidity and mortality, compared to standard systolic BP (St-SBP) control to <140 mm Hg. We sought to determine current trend in the clinical practice in terms of intense SBP control. Methods: Electronic medical records from 3 different ambulatory clinics were reviewed to identify hypertensive patients with at least 3 consecutive clinic visits. Patients with diabetes, with <3 clinic visits, end-stage renal failure, and end stage liver failure were excluded. Cohort was categorized in to ISBP group and St-SBP group, when more than 50% of the clinic encounters had SBP ≤ 120 mm HG and > 120 mm Hg respectively. Results: 1644 non diabetic patients with HTN included in the analysis. 1389 (84.5%) patients had St-SBP control whereas only 255 (15.5%) patients had ISBP control. ISBP group had significantly lower mean (±SD) SBP compared to St-SBP group; 116(±6.4) mm Hg vs. 136(±11.6) mm Hg respectively; P<0.0001. Baseline characteristics shown in table 1. ISBP group and St-SBP group had similar comorbid profile, except slightly greater prevalence of COPD in ISBP 46 (18.0%) vs 165 (11.9%); P=0.007. Conclusion: There is significant variation in SBP control in non-diabetic hypertensive patients in clinical practice, despite comparable comorbid profile. Furthermore, ISBP control is not a common practice in real world. Quality improvement measures should focus on promoting ISBP control in non-diabetic hypertensive patients.

Smoking impairs baroreflex sensitivity in humans

1997 ◽  
Vol 273 (3) ◽  
pp. H1555-H1560 ◽  
Author(s):  
G. Mancia ◽  
A. Groppelli ◽  
M. Di Rienzo ◽  
P. Castiglioni ◽  
G. Parati
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Systolic Blood Pressure ◽  
Baroreflex Sensitivity ◽  
Pulse Interval ◽  
Average Systolic Blood Pressure ◽  
Carotid Baroreceptor ◽  
Baroreceptor Stimulation ◽  
Finger Blood Pressure ◽  
Carotid Baroreceptor Stimulation

In 10 healthy smokers, finger blood pressure was recorded continuously for 1 h in a supine control condition and for 1 h while smoking four cigarettes, one every 15 min. Smoking increased average systolic blood pressure (+19%, P < 0.01) and its variability and reduced pulse interval (reciprocal of heart rate, -22%, P < 0.01) and its variability. Baroreflex sensitivity, as assessed by the slope of spontaneous hypertension/bradycardia or hypotension/tachycardia sequences and by the alpha-coefficient (squared ratio between pulse interval and systolic blood pressure spectral powers at 0.1 Hz) was significantly decreased (P < 0.01) during smoking, whereas there were no effects of smoking on the reflex changes in pulse interval induced by carotid baroreceptor stimulation through a neck suction device. Sham smoking by a drinking straw had no effects on any of the above parameters. Thus, when assessed in the absence of laboratory maneuvers in daily life conditions, baroreflex sensitivity is markedly impaired by smoking. This impairment may contribute to the smoking-induced increase in blood pressure and heart rate as well as to the concomitant alterations in their variability.

Blood pressure control in patients receiving bevacizumab in an outpatient cancer center

2010 ◽  
Vol 17 (4) ◽  
pp. 333-338 ◽  
Author(s):  
Sal Bottiglieri ◽  
Benyam Muluneh ◽  
Stephanie Sutphin ◽  
Lew Iacovelli ◽  
Val Adams
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Antihypertensive Agents ◽  
Common Adverse Effect ◽  
Pressure Control ◽  
Organ Damage ◽  
Cancer Center ◽  
Antihypertensive Medications ◽  
Average Systolic Blood Pressure ◽  
Induced Hypertension

Purpose. Hypertension is a common adverse effect of vascular endothelial growth factor (VEGF) signaling inhibitors, such as bevacizumab, with an incidence upwards of 35%. The management of bevacizumab-induced hypertension is important in order to avoid dose interruption/discontinuation and/or end organ damage. The efficacy of antihypertensive medications for this cause of hypertension has not been demonstrated. This study seeks to determine if antihypertensives are effective in treating anti-VEGF-induced hypertension from bevacizumab and determine which classes of antihypertensive agents are effective. Methods. A retrospective review of all patients who received bevacizumab between January 2007 and September 2009 at two medical centers was conducted. Patients were included if they experienced new onset or exacerbation of preexisting hypertension, during bevacizumab treatment. Efficacy of antihypertensives was determined by recording a 28-day change in systolic blood pressure from the initiation or dose increase of individual antihypertensive medications. Secondary endpoints included an efficacy analysis of antihypertensive classes. Results. Five-hundred thirteen patients were identified as receiving bevacizumab during the indicated time period. Fifty-seven patients met the full inclusion/exclusion criteria for analysis. The average systolic blood pressure declined by 23 mm Hg with 4 weeks of treatment ( p < 0.0001). Each class had a statistically significant decline in systolic blood pressure of 15.5–57 mm Hg with the exception of diuretics and a group of miscellaneous antihypertensives. Conclusions. This is the first data that demonstrates individual classes of antihypertensives are effective in bevacizumab-induced hypertension. Most antihypertensives were effective in reducing blood pressure, with the exception of diuretics and miscellaneous antihypertensives, which may be due to a limited sample size.

scholarly journals GAMBARAN FAKTOR RISIKO TEKANAN DARAH SISTOLIK PADA PEKERJA TAMBANG BATU KAPUR DI KLAPANUNGGAL, BOGOR, JAWA BARAT

2020 ◽  
Vol 43 (2) ◽  
pp. 95
Author(s):  
ANNISA WARDA IRVANI
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Noise Intensity ◽  
Prolonged Exposure ◽  
Influential Factor ◽  
Smoking Habits ◽  
Patient Death ◽  
Cross Sectional ◽  
Average Systolic Blood Pressure ◽  
Before And After

Hypertension is a disease that often lead to patient death as it does not have specific symptoms. The high prevalence in Bogor Regency caused by minimal health facilities, so there was no guarantee of occupational health for workers and the workers lack of knowledge. Objective: To determine the risk factors that affected systolic blood pressure in limestone miners in Klapanunggal. Method: Uses observational analytic study with cross sectional design with a total of 47 people. Result: The measurement of noise intensity are 83.2 dB on a breaker and 91.7 dB on a stone crusher. The average systolic blood pressure before and after work was 110.28 mmHg and 126.23 mmHg. The results of one-way ANOVA test, a correlation between noise intensity, working period, prolonged exposure, and smoking habits with systolic blood pressure with p=0.001 was obtained. According to dummy regression test, noise intensity were the most influential. Workers exposed to noise with an intensity normal had an average increase 10.45 mmHg, while those exposed to an intensity abnormal 22.27 mmHg. Conclusion: Noise intensity, working period, prolonged exposure, and smoking habits affect systolic blood pressure and the most influential factor was noise intensity.

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