Siesta is associated with reduced systolic blood pressure level and decreased prevalence of hypertension in older adults

2015 ◽  
Vol 30 (3) ◽  
pp. 216-218 ◽  
Author(s):  
M Cai ◽  
Y Huang ◽  
X Sun ◽  
Y He ◽  
C Sun
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Systolic Blood Pressure ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Systolic Blood Pressure Level

scholarly journals Comparison of blood pressure levels across the spectrum of hypertension related signs and symptoms in out patients.

2020 ◽  
Vol 27 (11) ◽  
pp. 2383-2388
Author(s):  
Imtiaz Manzoor ◽  
Syed Jibran Ashraf ◽  
Shahid Zafar ◽  
Syeda Nosheen Zehra ◽  
Syed Naqeeb Ali ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Sleep Apnea ◽  
Systolic Blood Pressure ◽  
Blood Pressure Level ◽  
Signs And Symptoms ◽  
Pressure Level ◽  
Care Hospital ◽  
Cross Sectional ◽  
Systolic Blood Pressure Level ◽  
Study Results

Objectives: To compare the blood pressure levels across the categories of hypertension related signs and symptoms among outpatients aged up to 45 years. Study Design: Cross Sectional study. Setting: Sindh Government Urban Health Centre Karachi. Period: July 2017 to February 2018. Material & Methods: A cross-sectional survey was organized in the outpatient department of a secondary care hospital of Karachi. Patients aged up to 45 years with self-reported history of hypertension and taking anti-hypertensive medication were included in the study. All patient related data was recorded by interviewing using the study questionnaire whereas the blood pressure levels were measured through a sphygmomanometer with stethoscope. Data were analyzed on SPSS version 20. Results: The study results showed that systolic blood pressure level was significantly different across categories of headache history (p=0.045), sleep apnea (p=0.043) and palpitation (p=0.03) where for headache history patients without whereas for sleep apnea and palpitation patients with these signs and symptoms had higher mean rank of systolic blood pressure levels. Moreover, the diastolic blood pressure level was not significantly different across categories of any of the sign and symptom of hypertension. Conclusion: Blood pressure levels were found to be significantly different across categories of a number of clinical manifestations of hypertension. Moreover, the observed differences differed among patients with different durations of hypertension.

scholarly journals Association of Normal Systolic Blood Pressure Level With Cardiovascular Disease in the Absence of Risk Factors

2020 ◽  
Vol 5 (9) ◽  
pp. 1011 ◽  
Author(s):  
Seamus P. Whelton ◽  
John W. McEvoy ◽  
Leslee Shaw ◽  
Bruce M. Psaty ◽  
Joao A. C. Lima ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Systolic Blood Pressure ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Systolic Blood Pressure Level

Assessing Children's Blood Pressure—Considerations of Age and Body Size: The Muscatine Study

PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 1081-1090
Author(s):  
Ronald M. Lauer ◽  
Trudy L. Burns ◽  
William R. Clarke
Keyword(s):  
Blood Pressure ◽  
Body Weight ◽  
Body Size ◽  
Systolic Blood Pressure ◽  
High Blood Pressure ◽  
Clinical Setting ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Excessive Body Weight

Blood pressure was assessed in 4,207 children, aged 5 to 18 years, examined in the schools of Muscatine, Iowa during 1981. Overall, 69.9% of the age-sex-specific quintiles and height-sex-specific quintiles of systolic blood pressure were identical. In only 1.0% of children did these quintiles differ by more than one. Children whose blood pressure was in the highest quintile for both age and height were more obese than their peers. Those whose blood pressure was high for age but not for height were proportionately taller and heavier than their age peers. Children whose blood pressure was high for height but not for age were older, shorter, and lighter. Thus, having precocious levels of blood pressure for age during childhood is associated with excessive body weight or precocious height, whereas having high blood pressure for height but not for age is associated with being short for age. The latter suggests that age may be a factor independent of height and weight affecting blood pressure level in childhood. These relationships of body size and age to blood pressure must be considered when evaluating children's blood pressure levels in the clinical setting, and a technique for doing so is presented.

scholarly journals Perinatal Survival and Predictors of Mortality among Mothers with Hypertensive Disorders of Pregnancy at Antenatal care Clinics in Gamo Zone Public Hospitals

2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Samuel Dessu Sifer ◽  
Fikre Bojola ◽  
Zinabu Dawit ◽  
Habtamu Samuel ◽  
Mulugeta Dalbo
Keyword(s):  
Blood Pressure ◽  
Antenatal Care ◽  
Perinatal Mortality ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Public Hospitals ◽  
Pregnancy Induced Hypertension ◽  
Systolic Blood Pressure Level ◽  
Induced Hypertension

BACKGROUND፡ Pregnancy induced hypertension represents a significant public health problem throughout the world, which may complicate 0.5%–10% of all pregnancies. It is the leading cause of maternal as well perinatal mortality and morbidity worldwide. Pregnancy induced hypertension is a multisystem disorder unique to pregnancy and results in high perinatal mortality. The objective of this study was to determine the survival status, incidence and predictors of perinatal mortality among mothers with pregnancy induced hypertension at antenatal clinics of Gamo Zone public hospitals.METHODS: Facility-based retrospective cohort study was conducted among selected 576(192 exposed and 384 unexposed) antenatal care attendants' record at Gamo Zone public hospitals from 1st January 2018 to 31st December 2018. Data were entered into Epi data version 3.02 and exported to SPSS V 25 for analysis. Kaplan Meier survival curve together with log rank test was fitted to test the survival time. Statistical significance was declared at Pvalue <0.05 using cox proportional hazard model.RESULT: The incidence of perinatal mortality was 124/1000 births. The cumulative proportion of surviving at the end of 4th , 8th, 12th and 16th weeks of follow-up among the exposed groups was 96.9%, 93.5%, 82.1% and 61.6% respectively whereas it was 99.5%, 98.9% and 98.5% at the end of 4th, 8th and 12th weeks of follow-up for the non-exposed groups respectively. Parity of >5(AHR: 6.3; 95%CI: 1.36,10.55), mothers who delivered at<34 weeks of gestation(AHR:7.8; 95%CI: 2.6,23.1), being preterm(AHR:6; 95%CI: 5.3,19.2), perinatal birth weight<2500gm(AHR:6.1; 95&CI: 1.01,37.9), vaginal deliveryn(AHR:2.7; 95%CI:1.13,6.84), maternal highest systolic blood pressure level >160mmHg (AHR: 2.3; 95%CI: 1.02,5.55) and prepartum onset of pregnancy induced hypertension (AHR:6; 95%CI: 5.3,19.2) were statistically significant in multivariable analysis.CONCLUSION: The risk of perinatal mortality was high among the mothers with pregnancy induced hypertension compared to those of pregnancy induced hypertension free mother,s and the perinatal mortality rate was high. High parity, low gestational age, low number of antenatal care visits, low birth weight, vaginal delivery, antepartum onset of pregnancy induced hypertension and highest maternal systolic blood pressure level were the independent predictors of perinatal mortality.

scholarly journals A study of spot urine protein: creatinine ratio as an alternative to 24 hours proteinuria for the diagnosis of pre-eclampsia

2019 ◽  
Vol 9 (1) ◽  
pp. 140
Author(s):  
Ruma Sarkar ◽  
Shilpi Rawat ◽  
Neela Rai Sharma ◽  
Harish Chandra Tiwari
Keyword(s):  
Blood Pressure ◽  
Urine Sample ◽  
Blood Pressure Level ◽  
Protein Detection ◽  
Pressure Level ◽  
Urinary Protein ◽  
Creatinine Ratio ◽  
Urine Protein ◽  
Systolic Blood Pressure Level ◽  
Spot Urine

Background: Preeclampsia is defined as systolic blood pressure level of 140 mmHg or higher or a diastolic blood pressure level of 90 mmHg or higher that occurs after 20 weeks of gestation with proteinuria. Objective of this study was to study the role of spot urine protein: creatinine ratio as an alternative to 24 hours proteinuria for the diagnosis of pre-eclampsiaMethods: This is a prospective observational study conducted in the department of obstetrics and gynaecology, BRD Medical College Gorakhpur, since October 2016 to September 2017 included 120 pregnant women with hypertension of gestational age more than 20 weeks. Ramdom urine sample of all the patient was taken before 12 noon after first voiding. For 24 hours urine sample patient was asked to collect all her urine she voids during 24 hours. The creatinine was estimated by the alkaline picrate method (Jaffe's Reaction) modified by the Bonsnes and Taussky, 1945. Creatinine in a protein free solution reacts with the alkaline picrate and produces red colour complex which is measured colorimeterically. Urinary protein was estimated in all the subjects by the Turbidimetric method. Urinary protein was precipitated by 3% sulphosalicylic acid and turbidity so produced was measured colorimetrically.Results: Protein: creatinine ratio in a random urine sample is better than random urine protein detection by dipstick method in cases of emergency when there is no time for detection of 24 hours urine protein.Conclusions: If cut-off level for urine protein: creatinine ratio in random urine sample is taken as 0.25 or more then sensitivity and specificity become same as 24 hours urine protein.                                 

Abstract P216: Blood Pressure Level as Predictor for Developing Diabetes Type 2

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Christina Stahl-Heden@ ◽  
Lena M Bjorck ◽  
Masuma Novak ◽  
Wai Giang Kok ◽  
Per-Olof Hansson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Diastolic Blood Pressure ◽  
Blood Pressure Level ◽  
Diabetes Type 2 ◽  
Diabetes Type ◽  
Pressure Level ◽  
Normal Range

Introduction and Aim: The link between diabetes type 2 and hypertension is a well established with both factors parts of the metabolic syndrome. Whether hypertension is an independent predictor for diabetes type 2 development has been examined in previous studies, however with divergent findings. The aim of this study was to investigate whether hypertension, including mildly elevated blood pressure within the normal range predicted subsequent development of diabetes type 2 over an extended follow-up. Methods and Results: Data were derived from participants of the intervention group of the Gothenburg primary prevention study where a random sample of 7333 men aged 47-55 years and free of diagnosed diabetes underwent a screening investigation in 1970 to 1973. During a 32-year follow-up, 956 men (13%) were diagnosed with diabetes according to the Swedish hospital discharge register. Development of diabetes type 2 was positively correlated to age, BMI, systolic blood pressure (SBP) and diastolic blood pressure (DBP), serum cholesterol, hypertension treatment, non-manual occupation, high tobacco use, sedentary lifestyle at the midlife screening. In a Cox regression model which adjusted for BMI and other risk factors we calculated the multiple adjusted hazard ratio for developing diabetes type 2 according to blood pressure level. Compared to a reference level of systolic blood pressure (SBP) below 130 mm Hg, men with SBP of 130-139 mmHg, 140-149 mmHg and > 150 mmHg had a multiple adjusted hazard ratios (HRs) of 1.41 (95% confidence interval) 1.11–1.80), 1.38 (1.08–1.75) and 1.67 (1.35–2.07), respectively. Mid-life diastolic blood pressure over 90 mmHg was associated to an increased risk of developing diabetes type 2 (multiple adjust HRs of 1,60 1,21–2,11) Conclusion: In this population, at mid-life, hypertension as well as moderately elevated systolic blood pressure levels within the normal range was shown to be independent predictors of diabetes type 2.

scholarly journals Association between the systolic arterial blood pressure level and inter-arm asymmetry

2014 ◽  
Vol 95 (3) ◽  
pp. 472-474
Author(s):  
P I Petrov
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Arterial Blood Pressure ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Hand Position ◽  
Arterial Blood ◽  
Automatic Blood Pressure ◽  
Systolic Arterial Blood Pressure ◽  
The Right

Aim. To determine the association between the systolic arterial blood pressure level and the inter-arm asymmetry measurements in healthy individuals. Methods. 580 healthy volunteers aged 20 to 60 years (401 females, 179 males) were included in the study. Arterial blood pressure was measured in both left and right wrists using an automatic blood pressure sensor with the detector of hand position in a quiet, comfortable environment. Depending on the systolic arterial blood pressure level on the left arm, subjects were distributed to 5 groups: the 1st - blood pressure of 99 mm Hg and lower; 2nd - 100-119; 3rd - 120-129; 4th - 130-139; 5th -140 and over. Each group were further subdivided to 3 subgroups depending on the inter-arm blood pressure level asymmetry (difference of blood pressure levels on both arms): 1st - symmetry, 2nd - acceptable asymmetry (not exceeding 15 mm Hg), 3rd - abnormal asymmetry (16 mm Hg and over). Results. The major part of the examined subjects had systolic arterial blood pressure level between 100 and 119 mm Hg, systolic blood pressure below 99 mm Hg was registered more rarely. Among 580 examined subjects, abnormal asymmetry was more frequently seen in patients with blood pressure below 99 mm Hg and exceeding 140 mm Hg, the lowest frewuency was in the group with blood pressure between 120 and 129 mm Hg. The right arm was the dominating arm for the asymmetry in subjects with blood pressure below 119 mm Hg, in other cases the dominating arm was not determined. Conclusion. The study demonstrates the presence of vascular inter-arm asymmetry in systolic blood pressure in individuals who perceive themselves as healthy. Inter-arm asymmetry depended on the level of systolic arterial blood pressure.

scholarly journals Results of kidney function measurement and blood pressure in population from endemic region of Vitina

2008 ◽  
Vol 61 (7-8) ◽  
pp. 400-403 ◽  
Author(s):  
Zvonimir Stasevic ◽  
Gordana Subaric-Gorgieva ◽  
Jelica Krcmarevic ◽  
Radojica Stolic ◽  
Goran Trajkovic
Keyword(s):  
Blood Pressure ◽  
Renal Function ◽  
Creatinine Clearance ◽  
Systolic Blood Pressure ◽  
Kidney Function ◽  
Kidney Diseases ◽  
Blood Pressure Level ◽  
Pressure Level ◽  
Function Impairment ◽  
Endemic Nephropathy

Introduction. The analysis of frequency of kidney diseases, causes of terminal renal failure in patients subjected to repeated dialysis in major dialysis centers in the region of Kosovo and Metohija as well as mortality rate in these patients showed a stable number of patients with kidney diseases, evidencing that the populations of Vitina and Gnjilane were the most commonly affected. These towns are designated as regions with the highest incidence of Balkan endemic nephropathy. The present analysis was aimed at: 1. establishing the incidence rate of hypertension and renal function impairment by using clinical and laboratory analyses in individuals from Vitina and neighboring villages, and 2. investigating the correlation between creatinine clearance, age and arterial blood pressure in the studied group. Material and methods. The analysis included 510 individuals (excluding diabetics) over the one-month period during 2004 (201 males with their age ranging from 18 to 90 years). Blood pressure measurements were performed in all the individuals, while renal function was determined by glomerular filtration rate (GFR), as calculated according to Cockcroft-Gault formula. Results. Creatinine clearance was lower than 100 ml/min in 237 (46.5%) individuals, out of whom 62 (12%) had GFR below 60 ml/min. Among the remaining 273 (53.5%) individuals with GFR above 100 ml/min, 68 individuals had GFR above 140 ml/min. The distribution of patients depending on their systolic blood pressure values revealed that systolic blood pressure was lower in 44 subjects and higher in 302 subjects (59%). The correlation test revealed significant association between the studied parameters. The positive correlation between patients' age and kidney function means the higher the age of subjects the lower creatinine clearance value (r=-0.622, p<0.001). The negative correlation of the systolic blood pressure value and kidney function was found, meaning that higher the systolic blood pressure is accompanied by lower creatinine clearance (r= -0.204, p<0.001). Moreover, patients' age was significantly correlated with the systolic blood pressure level (r=0.511, p<0.001), as well as with the diastolic blood pressure level (r= 0.299, p<0.001). The former means that higher values of both systolic and the diastolic pressures were found in older subjects. No correlation was found between the diastolic blood pressure level and kidney function (the results are not presented). Conclusion. The results obtained in the study confirm significant incidence of renal function impairment measured according to creatinine clearance values in patients from the endemic nephropathy region. Reduced kidney function is found in both elderly individuals and those with high systolic blood pressure. In order to establish the correlation with the incidence and presence of BEN or other kidney diseases additional population screening is necessary.

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