Online care helps control blood pressure

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)

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Causes of Resistant Hypertension Detected by a Standardized Algorithm

International Journal of Hypertension ◽

10.1155/2012/392657 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Livia Beatriz Santos Limonta ◽

Letícia dos Santos Valandro ◽

Flávio Gobis Shiraishi ◽

Pasqual Barretti ◽

Roberto Jorge da Silva Franco ◽

...

Keyword(s):

Blood Pressure ◽

Resistant Hypertension ◽

Secondary Hypertension ◽

Control Blood Pressure ◽

Primary Level ◽

Standardized Protocol ◽

Frequent Use ◽

Drug Classes ◽

Treatment Of Hypertension ◽

Secondary Causes

Resistant hypertension (RH) is characterized by blood pressure above 140 × 90 mm Hg, despite the use, in appropriate doses, of three antihypertensive drug classes, including a diuretic, or the need of four classes to control blood pressure. Resistant hypertension patients are under a greater risk of presenting secondary causes of hypertension and may be benefited by therapeutical approach for this diagnosis. However, the RH is currently little studied, and more knowledge of this clinical condition is necessary. In addition, few studies had evaluated this issue in emergent countries. Therefore, we proposed the analysis of specific causes of RH by using a standardized protocol in Brazilian patients diagnosed in a center for the evaluation and treatment of hypertension. The management of these patients was conducted with the application of a preformulated protocol which aimed at the identification of the causes of resistant hypertension in each patient through management standardization. The data obtained suggest that among patients with resistant hypertension there is a higher prevalence of secondary hypertension, than that observed in general hypertensive ones and a higher prevalence of sleep apnea as well. But there are a predominance of obesity, noncompliance with diet, and frequent use of hypertensive drugs. These latter factors are likely approachable at primary level health care, since that detailed anamneses directed to the causes of resistant hypertension are applied.

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Effect of infused epinephrine after ganglionic block on histamine depressor response

American Journal of Physiology-Legacy Content ◽

10.1152/ajplegacy.1962.202.6.1244 ◽

1962 ◽

Vol 202 (6) ◽

pp. 1244-1246

Author(s):

James G. Hilton

Keyword(s):

Blood Pressure ◽

Carotid Artery ◽

Control Period ◽

Blood Pressure Level ◽

Pressure Level ◽

Control Blood Pressure ◽

Pentobarbital Sodium ◽

Depressor Response ◽

Blood Pressure Responses ◽

Mercury Manometer

The effects of infusion of epinephrine to a fixed maintained blood pressure level, after blockade of the ganglia by the administration of hexamethonium, on the blood pressure responses to histamine have been studied in the dog anesthetized by the intravenous injection of 30 mg/kg of pentobarbital sodium. The blood pressure levels maintained by the infusion of epinephrine were 100, 130, and 160 mm Hg. The doses of histamine tested were 1.0, 5.0, and 10.0 µg/kg. Blood pressure was measured from the carotid artery by means of a mercury manometer. Following each dose of histamine during the control period and at each infusion-maintained blood pressure level the blood pressure responses were analyzed in terms of minimum attained blood pressure, actual fall in blood pressure (depressor response), and duration of fall in blood pressure. The results of these experiments have shown that the depressor response to histamine is not affected by the blockade of the ganglia or the infusion of epinephrine. The minimum attained blood pressure is directly related to the level of the blood pressure at the time of the histamine administration and therefore a function of the quantity of epinephrine infused. From these results it has been concluded that epinephrine is not antagonistic to the histamine depressor response, but will alter the minimum blood pressure through its effects on the preinjection control blood pressure.

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Volume Control, Blood Pressure and Cardiovascular Function

Nephron Physiology ◽

10.1159/000070242 ◽

2003 ◽

Vol 93 (4) ◽

pp. p94-p101 ◽

Cited By ~ 53

Author(s):

Bernard Charra ◽

Charles Chazot

Keyword(s):

Blood Pressure ◽

Cardiovascular Function ◽

Volume Control ◽

Control Blood Pressure

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Clinical evaluation of intravenous nitroglycerin for neurosurgery

Journal of Neurosurgery ◽

10.3171/jns.1978.48.5.0704 ◽

1978 ◽

Vol 48 (5) ◽

pp. 704-711 ◽

Cited By ~ 46

Author(s):

Julian S. Chestnut ◽

Maurice S. Albin ◽

Evelyn Gonzalez-Abola ◽

Philippa Newfield ◽

Joseph C. Maroon

Keyword(s):

Blood Pressure ◽

Intracranial Pressure ◽

Intravenous Nitroglycerin ◽

Control Blood Pressure ◽

Content Type ◽

Cerebrovascular Autoregulation ◽

Ideal Agent ◽

Neurosurgical Patient ◽

Moment Control ◽

The Ideal

✓ Moment-to-moment control of blood pressure is important in the management of the neurosurgical patient. The ideal agent to control blood pressure or induce hypotension should be non-toxic, maintain cerebrovascular autoregulation, and not alter cardiac output or change intracranial pressure. Intravenous nitroglycerin has been used to control blood pressure in 54 neurosurgical cases. This agent produces a rapid, controllable, but not precipitous fall in blood pressure without rebound, is non-toxic, may not alter cerebrovascular autoregulation, and does not raise intracranial pressure. Our clinical experience with intravenous nitroglycerin indicates that it has an important role as a hypotensive agent for the neurosurgical patient.

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Effects of ganglionic blockade by hexamethonium on blood pressure responses to histamine

American Journal of Physiology-Legacy Content ◽

10.1152/ajplegacy.1960.199.5.745 ◽

1960 ◽

Vol 199 (5) ◽

pp. 745-747 ◽

Cited By ~ 1

Author(s):

James G. Hilton

Keyword(s):

Blood Pressure ◽

Nervous Activity ◽

Blocking Agent ◽

Sodium Pentobarbital ◽

Autonomic Nervous Activity ◽

Control Blood Pressure ◽

Acid Phosphate ◽

Before And After ◽

Blood Pressure Responses ◽

Ganglionic Blocking

The effects of blockade of the autonomic ganglia by administration of hexamethonium on blood pressure responses to histamine were studied in the dog anesthetized with sodium pentobarbital. A series of graded doses of histamine acid phosphate were administered before and after the blockade of the ganglia, and blood pressure responses elicited by these doses of histamine were analyzed for minimum attained blood pressure and actual fall and duration of fall in blood pressure. In all cases the minimum attained blood pressure was lower after administration of the ganglionic blocking agent than before. The amount of lowering of the minimum attainable blood pressure was about the same as that of lowering of the control blood pressure produced by the ganglionic blocking agent. Actual fall in blood pressure was unaffected by administration of the ganglionic blocking agent but duration of the fall following all the larger doses of histamine was markedly prolonged by this same procedure. Prolongation of depressor response and lowering of minimum attained blood pressure seem to be more related to the presence or absence of autonomic nervous activity than to the level of control blood pressure.

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