scholarly journals Automatized follow-up and alert system for patients with chronic hypertension

2020 ◽  
Vol 26 (4) ◽  
pp. 2625-2636 ◽  
Author(s):  
Claudio Urrea ◽  
Daniel Venegas
Keyword(s):  
Blood Pressure ◽  
Chronic Diseases ◽  
Monitoring System ◽  
Disease Status ◽  
Integrated System ◽  
Chronic Hypertension ◽  
Alert System ◽  
Telecommunication Technology ◽  
Technological Advances

This article presents the development and implementation of a monitoring system for patients with chronic hypertension. Technological advances in wireless communication are increasingly used today to send and receive information through smartphones. This also applies to devices for measuring blood pressure, which can be efficiently integrated with smartphones. Telemedicine is used in a variety of health fields, and in the past 5 years, it has extended its reach to the online monitoring of patients. The objective of this study is to create an integrated system capable of conducting the follow-up, through mobile communication (smartphones), of patients with chronic diseases such as hypertension. An iHealth equipment certified by the Food and Drug Administration is used. The blood pressure values from users are uploaded via Internet and stored in an integral system for processing. The monitoring system developed not only informs users about their disease status but also sends them alerts generated during monitoring. This work uses the telecommunication technology existing through smartphones. The integrated system developed ensures the follow-up of the blood pressure of a large number of users. In addition, this system can be further applied to diseases such as diabetes and metabolic syndrome. The system developed was easy to use and efficient to monitor patients with chronic diseases such as high blood pressure.

A Computer-Based Monitoring System for Follow-Up of Elevated Blood Pressure

Medical Care ◽  
1983 ◽  
Vol 21 (4) ◽  
pp. 400-409 ◽  
Author(s):  
G Octo Barnett ◽  
Richard N. Winickoff ◽  
Mary M. Morgan ◽  
Rita D. Zielstorff
Keyword(s):  
Blood Pressure ◽  
Monitoring System ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Computer Based

scholarly journals Correlation Between Divided Doses of Chronic Antihypertensive Drugs and Pregnancy Outcomes

2017 ◽  
Vol 8 (3) ◽  
pp. 328-332
Author(s):  
Safura Hatamipour Dehno ◽  
Simin Taghavi ◽  
Nayyereh Ayati
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Antihypertensive Drugs ◽  
Gestational Hypertension ◽  
Blood Pressure Monitoring ◽  
Perinatal Outcomes ◽  
Chronic Hypertension ◽  
Pressure Monitoring ◽  
Fetal Complications

Objectives: Hypertension, as a common problem during pregnancy, is a major cause of maternal and fetal morbidity and mortality. Anti-hypertensive drugs are used to prolong the pregnancy or modify perinatal outcomes in pregnant women with hypertensive disorders. Severe monitoring of blood pressure is subsequently essential in these mothers. The aim of this study was to evaluate the correlation between divided doses of chronic hypertensive drugs and the end of pregnancy in mothers with gestational hypertension. Materials and Methods: In this prospective research, 99 pregnant women with chronic hypertension, who were treated with antihypertensive medicines, were studied during pregnancy. During routine follow-up of these mothers, the number of the drug and the divided doses were recorded. The incidence of maternal and fetal outcomes were evaluated according to the number of less or more than 5 divided doses. Results: Maternal and fetal-baby complications were observed in 5.50 and 5.53% cases, respectively. The incidence of maternal and fetal complications were significantly enhanced by increasing the number of up-taken anti-hypertensive drugs. The maternal and fetal-baby complications were higher in mothers who received more than five divided doses compared to those who received less than five doses. Conclusion: Based on our results, chronic hypertension was associated with maternal and fetal-baby complications in half of the cases. It is clarified that precise blood pressure monitoring and regularly taking of anti-hypertensive medicine may decrease the hypertension side effects. The awareness about this field in the pre-pregnancy consulting is considered as the patients’ rights and should be respected.

Abstract 194: Spontaneous Spinal Subarachnoid Hemorrhage: A Mayo Clinic Case Series

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Micah D Yost ◽  
Alejandro A Rabinstein
Keyword(s):  
Blood Pressure ◽  
Subarachnoid Hemorrhage ◽  
Mayo Clinic ◽  
Case Series ◽  
Coarctation Of The Aorta ◽  
Pressure Control ◽  
Cord Compression ◽  
Chronic Hypertension ◽  
Spinal Subarachnoid Hemorrhage

Background: Spontaneous spinal subarachnoid hemorrhage (SSAH) is a rare but serious condition that can lead to a variety of medical complications. Methods: Using the Mayo Clinic Rochester database, patients admitted to the Mayo Clinic Rochester, MN hospital with spontaneous SSAH (not iatrogenic or traumatic) between January 2000 and December 2015 were retrospectively reviewed. Demographic and clinical data and functional outcomes as described by the modified Rankin Scale (mRS) score at the time of discharge and at post-admission follow-up were assessed. Results: Eight consecutive patients (median age 70 years, range 51-87) were identified. Seven patients presented with acute onset back pain or headache. Seven patients had poorly controlled chronic hypertension. Two patients had vasculitis, and one had an arteriovenous malformation (AVM). An increase in blood pressure was observed in all patients during their acute presentation as compared to their baseline outpatient readings. Complications included cord compression (n = 4), hyponatremia (n = 5), sulcal subarachnoid hemorrhage (n = 2), chronic arachnoiditis (n=1), vasospasm (n=1), and late cord ischemia (n = 1). All eight patients were managed medically including blood pressure control and repeat imaging. One patient had an aneurysm which was embolized, and two received steroids for vasculitis. One patient died during hospitalization, one died within a week of discharge, five had improved mRS score at post-hospitalization follow-up and had unchanged mRS of 1 at discharge and follow-up. Conclusions: To our knowledge this is the first compilation of cases of spontaneous SSAH. Risk factors for spontaneous SSAH are hypertension, AVM, vasculitis, coarctation of the aorta, and malignancy. Symptomatic cord compression is not uncommon, but can be managed conservatively.

Onset of Hypertension in Leflunamide Treated Low Socioeconomic Rheumatoid Arthritis Patients: An Unseen Iceberg

2019 ◽  
Vol 15 (3) ◽  
pp. 242-245 ◽  
Author(s):  
Muhammad Ishaq ◽  
Salma Razzaque ◽  
Fadieleh Shohail ◽  
Ajeet Kumar ◽  
Jibran Sualeh Muhammad
Keyword(s):  
Rheumatoid Arthritis ◽  
Blood Pressure ◽  
Tertiary Care ◽  
Asian Population ◽  
Chronic Hypertension ◽  
Care Hospital ◽  
Low Socioeconomic ◽  
One Year ◽  
Control Study

Objective: To determine the frequency of new-onset hypertension in patients with Rheumatoid arthritis taking leflunomide, in comparison with methotrexate in Asian setting. Material and Methods: Perspective case-control study was conducted in 2014 in a tertiary care hospital located in Karachi, Pakistan. Adult patients, having rheumatoid arthritis were randomly prescribed leflunomide or methotrexate. Patients having chronic hypertension, proteinuria and chronic kidney disease were excluded. Patients were monthly followed for blood pressure and heart rate measurements. Hypertension was defined using JNC 7 criteria. Results: Out of 144 patients enrolled, 80 patients received Leflunomide while 64 were started on methotrexate. Mean systolic blood pressure in leflunomide group at the start and at the end of study was 108.5 and 135.4mmHg, respectively while in methotrexate group, mean systolic BP was 109.8 and 110.5 mmhg, respectively. After one year follow up, 33 out of 80 (41%) patients were receiving leflunomide had pre-hypertension or hypertension, while only 3 out of 64 patients (4.7%) were receiving methotrexate had hypertension. Conclusion: Risk of developing hypertension in patient receiving Leflunomide is much higher in Asian population like Pakistan as compared to western population.

100 Longitudinal follow-up of endothelial function in pregnant women with chronic hypertension and normal blood pressure

2016 ◽  
Vol 6 (3) ◽  
pp. 227
Author(s):  
Mário Dias Corrêa ◽  
Augusto Fulgêncio Brandão ◽  
Guilherme Castro Rezende ◽  
Alim Alves Demian ◽  
Henrique Vitor Leite ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Endothelial Function ◽  
Pregnant Women ◽  
Normal Blood ◽  
Chronic Hypertension ◽  
Normal Blood Pressure

Chronic Hypertension in Pregnancy: New Concepts for Classification and Management

2018 ◽  
Vol 36 (02) ◽  
pp. 161-168 ◽  
Author(s):  
Baha Sibai ◽  
Khalil Chahine
Keyword(s):  
Blood Pressure ◽  
Low Risk ◽  
Chronic Hypertension ◽  
Hypertension In Pregnancy ◽  
New Concepts ◽  
Obstetric Population ◽  
Therapy Target ◽  
Work Up ◽  
In Pregnancy

AbstractChronic hypertension in pregnancy is traditionally classified according to degree of blood pressure (BP) elevation. Alternatively, stratifying women as high or low risk based on the etiology of hypertension, baseline work-up, and comorbid medical conditions will better inform clinicians about thresholds to initiate antihypertensive therapy, target BPs, frequency of antepartum visits, and timing of delivery. Women classified as high-risk chronic hypertension as described here require stricter BP management and more frequent follow-up visits as their associated rates of adverse maternal and/or fetal/neonatal outcomes appear higher than women classified as low-risk chronic hypertension. The latter group can in most cases be managed similarly to the general obstetric population.

scholarly journals Longitudinal relation between blood pressure, antihypertensive use, and cerebral blood flow, using arterial spin labelling MRI

2020 ◽  
pp. 0271678X2096697
Author(s):  
Jan Willem van Dalen ◽  
Henri JMM Mutsaerts ◽  
Jan Petr ◽  
Matthan WA Caan ◽  
Eric P Moll van Charante ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Cerebral Autoregulation ◽  
Community Dwelling ◽  
Arterial Spin Labelling ◽  
Chronic Hypertension ◽  
Prospective Longitudinal ◽  
Spin Labelling

Consistent cerebral blood flow (CBF) is fundamental to brain function. Cerebral autoregulation ensures CBF stability. Chronic hypertension can lead to disrupted cerebral autoregulation in older people, potentially leading to blood pressure levels interfering with CBF. This study tested whether low BP and AHD use are associated with contemporaneous low CBF, and whether longitudinal change in BP is associated with change in CBF, using arterial spin labelling (ASL) MRI, in a prospective longitudinal cohort of 186 community-dwelling older individuals with hypertension (77 ± 3 years, 53% female), 125 (67%) of whom with 3-year follow-up. Diastolic blood pressure, systolic blood pressure, mean arterial pressure, and pulse pressure were assessed as blood pressure parameters. As additional cerebrovascular marker, we evaluated the ASL signal spatial coefficient of variation (ASL SCoV), a measure of ASL signal heterogeneity that may reflect cerebrovascular health. We found no associations between any of the blood pressure measures and concurrent CBF nor between changes in blood pressure measures and CBF over three-year follow-up. Antihypertensive use was associated with lower grey matter CBF (−5.49 ml/100 g/min, 95%CI = −10.7|−0.27, p = 0.04) and higher ASL SCoV (0.32 SD, 95%CI = 0.12|0.52, p = 0.002). These results warrant future research on the potential relations between antihypertensive use and cerebral perfusion.

scholarly journals Telecardiology for patients with chronic heart diseases during COVID-19 pandemic

2020 ◽  
Vol 26 (4) ◽  
pp. 40-45
Author(s):  
Radostina Ilieva ◽  
Rumena Savova ◽  
Nataliya Spasova ◽  
Desislava Somleva ◽  
Bozhidar Krastev ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Diseases ◽  
Chronic Diseases ◽  
Clinical Characteristics ◽  
Heart Diseases ◽  
The Elderly ◽  
Suboptimal Control ◽  
The Mean ◽  
Chronic Cardiovascular Diseases

Background: Telemedicine is an alternative to the standard consultation with a specialist during COVID-19 pandemic. Though their benefits are not well studied, the phone consultations are a potential effective resource for providing medical and psycho-social help to patients with chronic diseases during social isolation. Aim: To assess the demographic and clinical characteristics of patients, who looked for cardiology help on the phone, and the most common reasons for these consultations. Material and Methods: We analyzed the data of 196 consecutive patients with chronic cardiovascular diseases, who called for cardiology consultation at the National Patients’ Organization between 22.04.2020 and 31.07.2020. Results: The mean age of the included patients was 71,7 ± 11,3 years (17 ÷ 92), and 149 of them (76%) were above the age of 65 years (who we defi ned as elderly). 114 (58%) of the consulted on the phone were females. 96 patients (49%) called from Sofi a. The mean duration of the call was 8,5 minutes. The most common reasons for teleconsultation were unstable blood pressure – in 30% of the patients (n = 59) and anxiety – 17% (n = 33). Other reasons for seeking cardiology help were adjusting the therapy (different from the antihypertensive one) – 8%, chest pain – 7%, dyspnea – 7%, questions about follow-up of a chronic disease – 7%, palpitations – 6%, monitoring of INR – 4%, second opinion before an operation or a procedure – 2%, problems getting medications or protocols – 1,5%, administrative issues (TELK/LKK) – 1,5%. The most common chronic diseases of the consulted were: arterial hypertension (89%), heart failure (31%), ischemic heart disease (25%), diabetes mellitus (22%) and atrial fibrillation (15%). Conclusion: During COVID-19 pandemic the elderly and the women more often look for cardiology help on the phone. The suboptimal control of the blood pressure and the anxiety, caused by the pandemic, are the most common reasons for phone consultations of the patients with chronic cardiovascular diseases.

A Monitoring System for Chronic Diseases— Determining the Parameters Involved

1983 ◽  
Vol 22 (03) ◽  
pp. 149-150 ◽  
Author(s):  
Rina Chen
Keyword(s):  
Early Detection ◽  
Chronic Diseases ◽  
Monitoring System

A procedure for determining the parameters required for implementing a recently suggested monitoring system is described. A table of these parameters is also presented. While the parameters originally suggested were determined so as to increase the efficiency of a single analysis, the parameters presented here are aimed at the early detection of slightly increased rates of occurrences within a number of analyses.

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