scholarly journals May Measurement Month 2018: an analysis of blood pressure screening results from Mexico

2020 ◽  
Vol 22 (Supplement_H) ◽  
pp. H89-H91
Author(s):  
Luis Alcocer ◽  
Adolfo Chavez ◽  
Enrique Gomez-Alvarez ◽  
Cutberto Espinosa ◽  
Jose Pombo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Mortality Rate ◽  
Arterial Hypertension ◽  
Health Problem ◽  
Main Risk Factor ◽  
Hypertensive Patients ◽  
Premature Deaths ◽  
Epidemiological Information ◽  
Improve Health

Abstract In 2015, arterial hypertension was responsible for 18.1% of the total deaths in Mexico and its mortality rate has increased to 29.9% in the last 6 years. It is currently the main risk factor for preventable premature deaths of adults in the country. Good quality epidemiological information is the first step to improve health services. May Measurement Month 2018 (MMM18) in Mexico is an opportunistic survey, which follows the previously published methodology. MMM18 included screening 10 139 participants, 2187 (21.6%) of whom were classified as having hypertension. Of these, 42.0% were aware of the condition before measurement, and 38.0% were on medication, of which 66.5% were controlled. Hence, of all hypertensive patients, 25.3% were controlled (<140/90 mmHg). MMM18 in Mexico provides complementary data to the existing information on arterial hypertension in the country and helps to increase the visibility of hypertension: a priority health problem.

scholarly journals Hemodynamic features and metabolic state in hypertensive patients with stroke

2009 ◽  
Vol 15 (3) ◽  
pp. 342-345
Author(s):  
E. Kaya ◽  
M. A. Karpenko ◽  
V. N. Solntsev
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Arterial Hypertension ◽  
Early Onset ◽  
Myocardial Dysfunction ◽  
Metabolic Status ◽  
Contributing Factors ◽  
Metabolic State ◽  
Hypertensive Patients ◽  
Diastolic Hypertension

The study addresses hemodynamics and metabolic status in patients with arterial hypertension (AH), complicated by stroke, and its contributing factors. It was demonstrated, that AH is a leading risk factor in patients, who suffered stroke, and daily profile of blood pressure has certain peculiarities. Thus, these patients show diastolic hypertension and increased variability of blood pressure. Early onset of diastolic myocardial dysfunction is often present in patients with AH, complicated by stroke.

scholarly journals Blood pressure profile, structural and functional cardiac parameters, renal function and metabolic status in hypertensive patients with chronic secondary pyelonephritis

2010 ◽  
Vol 16 (3) ◽  
pp. 256-260 ◽  
Author(s):  
M. E. Statsenko ◽  
M. V. Derevjanchenko
Keyword(s):  
Blood Pressure ◽  
Renal Function ◽  
Arterial Hypertension ◽  
Blood Pressure Monitoring ◽  
Close Relation ◽  
Pressure Profile ◽  
Upper Urinary Tract ◽  
Chronic Pyelonephritis ◽  
Metabolic Status ◽  
Hypertensive Patients

Objective. To study the blood pressure variability, morphofunctional parameters of the heart, kidney and metabolic status in hypertensive patients with secondary chronic pyelonephritis. Design and methods. The study included 110 patients: 55 patients with arterial hypertension and secondary chronic pyelonephritis, who underwent surgery for upper urinary tract, and 55 patients with essential arterial hypertension. All patients underwent 24-hour blood pressure monitoring, echocardiography; relative urine density in the morning urine portion, microalbuminuria, blood creatinine were assessed, glomerular fi ltration rate was calculated using MDRD formula. Results. Patients with arterial hypertension and chronic pyelonephritis have signifi cant changes of the blood pressure profi le, and hypertrophy and diastolic left ventricle dysfunction are more frequently observed in this group. A close relation between renal function and the state of the cardiovascular system is established. We also found higher numbers of total cholesterol, the most atherogenic fractions of cholesterol and triglycerides in this group compared to patients with essential hypertension.

THE COURSE OF MYOCARDIAL INFARCTION IN PATIENTS OF YOUNG AGE WITH ARTERIAL HYPERTENSION

2021 ◽  
Vol 2 (5) ◽  
pp. 17-19
Author(s):  
Latif Akhmedov ◽  
Keyword(s):  
Myocardial Infarction ◽  
Risk Factor ◽  
Essential Hypertension ◽  
Cardiovascular Diseases ◽  
Life Expectancy ◽  
Arterial Hypertension ◽  
Young Age ◽  
Main Risk Factor

Arterial hypertension (AH) is the main risk factor (RF) in the development of cardiovascular diseases worldwide. Almost 95% of patients have essential hypertension. In the structure of mortality from various cardiovascular diseases, including AH, 54% is myocardial infarction (MI). Currently, the widespread prevalence of AH and MI among the labor-capable population, early disability, reduced life expectancy, and low adherenceto treatment are of concern.Keywords: arterial hypertension, myocardial infarction, young age, risk factor

scholarly journals P930 Early myocardial deformation index modification in hypertensive patients without hypertensive cardiomyopathy: the role of speckle tracking echocardiography

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
F A Immordino ◽  
C Nugara ◽  
M Legnazzi ◽  
G Novo
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Predictive Value ◽  
Speckle Tracking ◽  
Speckle Tracking Echocardiography ◽  
Myocardial Dysfunction ◽  
Organ Damage ◽  
Myocardial Deformation ◽  
Hypertensive Patients ◽  
Deformation Index

Abstract BACKGROUND The structural heart modifications especially for left chambers, in chronic hypertensive status are well known but recently, an increased interest in a global assessment of cardiac dysfunction in arterial hypertension is developing especially concerning the preclinical cardiac damage. The two-dimensional speckle tracking echocardiography (2D STE) is a promising technique to detect the preclinical myocardial dysfunction in different circumstances included hypertension. PURPOSE Our aim was to detect and investigate the early changes in myocardial deformation index in hypertensive patients without evident signs of organ damage, using speckle tracking echocardiography. METHOD We enrolled 92 subjects referred to our outpatient clinic for suspected hypertension without history of previous cardiovascular disease. The blood pressure measurements were always gotten with the patients seated after 5 minutes of rest. Among the selected patients 49 were finally diagnosed with essential hypertension (average office blood pressure (BP) ≥ 140/90 mmHg for at least 3 times or valid 24 hours ambulatory blood pressure measurement (ABPM) with an average BP ≥ 135/85 mmHg) while 43 subjects were not and their data were used as controls. A 2D conventional echocardiography was performed prior to other analysis for an internal protocol to exclude all the subjects with structural pathologic findings and all the patients underwent the echocardiography before the starting of any kind of therapy active on BP. Patients with chronic diseases and pregnant women were considered not eligible. We perform STE analysis of LA, LV, RV free wall, and a multilayer STE analysis for LV and RV (epicardial, mid-wall myocardial, endocardial) using specifics offline software. RESULTS All the patients had always conventional echocardiographic parameters in range of normality without particularly difference between the groups except for IVS thickness and E/E’ratio (P < 0,05). Patients with hypertension were usually overweight. The STE analysis show worsening in myocardial deformation index both for LV GLS (P < 0,001), LA STE (P = 0,03) and RV STE (P = 0,01). In multivariate analysis the LV GLS was the best predictive index of preclinical organ damage (P = 0,0004) however adding to same models the values of multilayer analysis result in best predictive value for the mid-wall RV index (P = 0,015). This index was also well correlated with all the global STE and the E/E’ ratio (P < 0,05) CONCLUSION Our study suggest that 2D STE can be considered a useful method to identify early alterations of myocardial dysfunction in hypertensive patients without a clinical organ damage. All ventricular myocardial layers are involved in arterial hypertension likewise the LA walls. A layer specific pattern of alteration looks to be present in the early phases of arterial hypertension however its predictive value needs more investigation first to become of clinical use.

Intrarenal renin-angiotensin system in hypertensive patients with localized kidney cancer.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e17069-e17069
Author(s):  
Roman Osokin ◽  
Ekaterina Komarova ◽  
Igor Aboyan ◽  
Aleksey Yu. Maksimov ◽  
Roman Ischenko ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Kidney Cancer ◽  
Renin Angiotensin System ◽  
Angiotensin System ◽  
Hypertensive Patients ◽  
Renin Angiotensin ◽  
Peritumoral Tissue ◽  
The Relationship ◽  
Angiotensin Converting Enzymes

e17069 Background: In the last decade, the relationship between arterial hypertension and the risk of developing kidney cancer has been pointed out. Some studies have shown that the metabolic imbalance of the components of the renal renin-angiotensin system (RAS) is associated with the development and progression of kidney cancer. Aim: To study the state of RAS in tumor and peritumoral tissues in hypertensive patients with kidney cancer. Methods: In patients with localized kidney cancer T1N0M0 and grade I-II arterial hypertension without special treatment (n = 40; KC + AH) in the samples of tumor (TT), peritumoral (PTT) and histologically unchanged tissue (HUT), the levels of angiotensin 1 and 2, 1-7 (AT1 and AT2, AT (1-7)) of angiotensin-converting enzymes (ACE and ACE2) were determined by ELISA. The comparison group consisted of patients with RC without impaired blood pressure (n = 55, KC). Results: In patients with KC, the level of AT1 is 1.5 times higher (p < 0.05), and AT2 is 1.6 times higher (p < 0.05) in TT against the background of unchanged content in PTT compared with HUT. The level of ACE is higher than HUT by 2.7 times, ACE2 - by 1.6 times (in all cases p < 0.05), and in PTT it is identical in HUT. In patients with KC + AH, the level of AT1 and AT2 in the TT is 1.8 times higher (p < 0.05) and 2.1 times (p < 0.01), respectively, the content of AT(1-7) is 1.6 times (p < 0.01). In PTT, AT1 is 1.6 times higher (p < 0.01) and AT2 is 1.9 times higher (p < 0.05), significantly lower than only AT2 in the TT (1.2 times at p < 0, 05). The level of AT(1-7) in the PTT is identical to the values in the GNT. The content of ACE and ACE2 in TT is 3.6 and 2.9 times higher, respectively, and in PTT is identical to that in TT. Correlation analysis revealed a reliable direct relationship in the studied groups for all parameters, while in the PTT of hypertensive patients, the relationship between the average blood pressure and the RAS peptide content had a higher tightness. Conclusions: An increase in the levels of angiotensin 1 and 2, angiotensin-converting enzymes ACE and ACE2 in the tumor tissues and peritumoral tissue in patients with localized kidney cancer, regardless of the presence of arterial hypertension at initially higher values in hypertensive patients, was shown. The presence of arterial hypertension in patients with KC changes the metabolism of local RAS in peritumoral tissue and is associated with an increase in the correlation between changes in the components of RAS and arterial hypertension.

scholarly journals Improvement of Hypertension after Parathyroidectomy of Patients Suffering from Primary Hyperparathyroidism

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
P. D. Broulik ◽  
A. Brouliková ◽  
S. Adámek ◽  
P. Libanský ◽  
J. Tvrdoň ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Uric Acid ◽  
Risk Factor ◽  
Parathyroid Hormone ◽  
Primary Hyperparathyroidism ◽  
Cardiovascular Mortality ◽  
Smoking Status ◽  
Control Group ◽  
Metabolic Complications ◽  
Hypertensive Patients

Background. Primary hyperparathyroidism (PHPT) is one of the most common endocrine conditions and is accompanied by hypertension and increased cardiovascular mortality. The purpose of this study was to evaluate the effect of parathyroidectomy on systolic and diastolic blood pressure (BP) in hypertensive patients with PHPT and whether hypertension occurs more frequently in PHPT than in control group.Methods. A total of 1020 patients with proved PHPT who underwent surgery were compared with with 1020 age, sex, BMI, and smoking status matched controls. We evaluated changes in serum calcium, parathyroid hormone (PTH), uric acid, and BP before and 6 months after surgery.Results. Parathyroidectomy corrected PHPT and resulted in a substantial fall in both mean systolic (150±3.8to138±3.6 mmHg) and mean diastolic pressures (97±3to88±2.8 mmHg) of the hypertensive subjects;P<.01. In these patients, PTH, calcium, and uric acid normalized. 726 patients from 1020 with PHPT (69.8%) were found to be hypertensive whilst only 489 (47.8%) from 1020 of our control group.Conclusion. Parathyroidectomy in hypertensive patients reduces systolic and diastolic BP. PHPT is accompanied by a variety of metabolic complications, which are a risk factor for hypertension, and parathyroidectomy can improve these metabolic complications.

scholarly journals THE RESULTS OF PREVENTIVE MEDICAL EXAMINATION FOR ADULTS IN SHPAKOVSKY DISTRICT OF STAVROPOL REGION IN 2015–2017

2018 ◽  
pp. 16-18
Author(s):  
N.E. Afanasev ◽  
A.K. Shishmanidi ◽  
I.V. Koshel
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Blood Pressure ◽  
Risk Factor ◽  
Medical Examination ◽  
Endocrine Disorders ◽  
Main Risk Factor ◽  
Genitourinary System ◽  
Stavropol Region ◽  
Unbalanced Diet

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.

scholarly journals Biochemical and Chemical Lipid Profile and Blood Pressure Assessment in Arterial Hypertension with Chronic Kidney Disease

2020 ◽  
Vol 71 (7) ◽  
pp. 425-435
Author(s):  
Teim Baaj ◽  
Ahmed Abu-Awwad ◽  
Mircea Botoca ◽  
Octavian Marius Cretu ◽  
Elena Ardeleanu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Arterial Hypertension ◽  
Lipid Profile ◽  
Blood Pressure Monitoring ◽  
Hdl Cholesterol ◽  
Night Time ◽  
Hypertensive Patients ◽  
Lipid Disorders

Accelerated atherosclerosis and cardiovascular diseases are frequent complications in hypertensive patients with chronic kidney disease (CKD), being mainly driven by cardiovascular risk factors as lipid disorders and an unfavorable blood pressure profile. The objectives of the study were to evaluate the lipid profile and to assess the characteristics of blood pressure (BP) in patients with primary arterial hypertension associating chronic kidney disease (CKD) in a primary care population in Timis County, Romania. Lipid disorders were highly prevalent in hypertensive patients with CKD, consisting in hyper LDL-cholesterolemia in 50.3%, hypertriglyceridemia in 52%, low HDL-cholesterol levels in 35.8%. More than 2 lipid abnormalities were present in 68.8% of CKD hypertensive. CKD hypertensive patients, compared with those without CKD, presented a BP profile with higher systolic and diastolic office BP. On ambulatory blood pressure monitoring they also registred higher systolic and diastolic BP, the systolic BP (SBP), both for 24 h SBP, day-time and night-time SBP being statistically significant higher than in hypertensive patients without CKD. The circadian 24 h BP profile demonstrated in the CKD hypertensive population an unfavourable nocturnal profile in 67%, consisting of a high prevalence of the non-dipping profile and of nocturnal riser pattern.

scholarly journals RASIONALITAS PENGGUNAAN OBAT ANTIHIPERTENSI PADA PASIEN HIPERTENSI RAWAT INAP DI RS DAERAH Dr. A. DADI TJOKRODIPO BANDAR LAMPUNG

2021 ◽  
Vol 9 (1) ◽  
pp. 27-35
Author(s):  
Mashuri Yusuf ◽  
◽  
Subur Widodo ◽  
Diah Pitaloka ◽  
◽  
...  
Keyword(s):  
Blood Pressure ◽  
Risk Factor ◽  
Public Hospital ◽  
Sample Selection ◽  
Sampling Technique ◽  
Reference Standard ◽  
Main Risk Factor ◽  
Descriptive Research ◽  
Contagious Diseases ◽  
Male Patients

Abstract Hypertension is one of non contagious diseases marked by the increase of systolic blood pressure > 140 mmHg and diastolic blood pressure > 90 mmHg. Hypertension becomes the main risk factor of other cardiovascular diseases. The number of hypertension occurance with or without companion increases every year. The purpose of this research is to know the rationality of anti - hypertension medicine usage on hypertension inpatients at RSUD of Dr. A. Dadi Tjokrodipo Bandar Lampung year of 2019 based on precise patient, precise indication, precise medicine, and precise dosage using reference standard of Guidelines JNCVIII. This research was a descriptive research with data collection of medical record retrospectively. The technique of sample selection used purposive sampling technique. The research results obtained from 82 samples based on the patients’ characteristics of genders such as 50 female patients (60,98%) and 42 male patients (39,02%). The patients’ characteristics based on age obtain mostly the patients are at age of 46-55 years old in the amount of 39 patients (47,6%). The patients’ characteristics based on the pattern of medicine usage obtain the most anti-hypertension used is amlodipin CCB class in the amount of 54 patients (45%). Rationality evaluation of anti-hypertension medicine usage obtains precise patient in the amount of 81 patients (99,8%), precise indication in the amount of 82 patients (100%), precise medicine in the amount of 61 patients (74,4%), and precise dosage in the amount of 82 patients (100%). The conclusion of this research is the usage of hypertension on the hypertension inpatients at Public Hospital of Dr. A. Dadi Tjokrodipo Bandar Lampung is already rational. Keywords: Anti-hypertension, Hypertension, Rationality of Medicine Usage

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