scholarly journals Blood Pressure Screening, Control, and Treatment for Patients With Developmental Disabilities in General Medicine Practices

2016 ◽  
Vol 32 (6) ◽  
pp. 234-239 ◽  
Author(s):  
Steven R. Erickson ◽  
Kayla Kornexl
Keyword(s):  
Blood Pressure ◽  
Developmental Disabilities ◽  
Group Versus ◽  
General Medicine ◽  
Antihypertensive Medications ◽  
Group Outcomes ◽  
History Of ◽  
Special Patient Population ◽  
Primary Care Practices ◽  
And Control

Background: Little is known about the adequacy of screening for and treatment of hypertension for people with developmental disabilities (DD). Pharmacists may assist in identifying and treating this special patient population. Objective: To characterize and compare the screening, treatment, and control of blood pressure (BP) in patients with DD to patients without DD. Methods: This retrospective study identified adult patients of primary care practices within a large academic health system who had DD (DD group) and a comparator group without DD (GenMed group). Outcomes assessed included percentage of patients screened, mean BP, percentage of patients with controlled BP, and antihypertensive medications prescribed. Results: The DD (n = 183) and GenMed groups (n = 497) were nearly all screened for BP. Mean systolic BP was significantly lower in the DD group (119.9 ± 14.6 mm Hg vs 122.8 ± 15.4 mm Hg GenMed, P = .03), while diastolic BP was no different ( P = .7). Stroke was documented significantly more often in the DD group (5.5% vs 1.4%, P = .005). Of patients with uncontrolled BP, the DD group had significantly higher systolic BP (155.8 ± 14.1 mm Hg vs 147.4 ± 9.5 mm Hg GenMed, P = .02). Hypertension was documented in 32% of DD group versus 38.5% of GenMed group, P = .15. Of this group, 88.1% of the DD group had controlled BP versus 78.0% of the GenMed group, P = .09. Antihypertensive prescribing was not different between the groups. Conclusion: DD group patients had similar outcomes for hypertension therapy compared to patients without DD. Those with uncontrolled BP in the DD group tended to have higher systolic BP. Significantly more DD patients had a history of stroke.

The cuff width influences the toe blood pressure value

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 215-218 ◽  
Author(s):  
Påhlsson ◽  
Jörneskog ◽  
Wahlberg
Keyword(s):  
Blood Pressure ◽  
Limb Ischemia ◽  
Limb Ischaemia ◽  
Patients With Diabetes ◽  
History Of ◽  
Blood Pressures ◽  
Cuff Size ◽  
And Control ◽  
Toe Blood Pressure ◽  
Cuff Width

Background: Toe blood pressure is a valuable and often used parameter when lower limb ischaemia is evaluated in patients with diabetes, but little has been done to standardise the method. The aim of this study was to evaluate if the cuff size influences the toe blood pressure values obtained in patients with diabetes. Patients and methods: Eleven patients with diabetes without a history of peripheral vascular disease, and six age matched healthy subjects were investigated. Their blood pressures were measured in the upper arm and at the ankle level repetitively. For measurement of toe blood pressure two different cuff widths were used. Results: All blood pressures were similar in patients and control subjects, as well as over time. The toe blood pressure values were 18 mmHg higher (p < 0.01) if measured with a 2.0-cm compared to a 2.5-cm wide cuff. There was a relationship (r = 0.63, p < 0.05 for patients) between toe circumference and the toe blood pressure value, where smaller halluxes gave lower values. Conclusions: The cuff width influences the obtained toe blood pressure value and needs to be considered when evaluating limb ischemia in patients with diabetes.

scholarly journals Prevalence, awareness, treatment, and control of hypertension in southwestern China

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Xiao-Bo Huang ◽  
Yang Zhang ◽  
Tzung-Dau Wang ◽  
Jian-Xiong Liu ◽  
Yan-Jing Yi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Educational Achievement ◽  
Southwestern China ◽  
Cluster Sampling ◽  
Multiple Factor Analysis ◽  
Antihypertensive Medications ◽  
Men And Women ◽  
Hypertension Prevalence ◽  
Urban Adults ◽  
And Control

AbstractThis study investigated the prevalence, awareness, treatment, and control of hypertension and associated factors among urban adults in southwestern China. The study was conducted from 2013–2014 and used a multistage cluster sampling method to select a representative sample of 11,517 people in southwestern China, aged 35–79 years. Hypertension was defined as either systolic blood pressure of 140 mmHg or greater, diastolic blood pressure of 90 mm Hg or greater, or self-reported current treatment for hypertension with antihypertensive medications. In the study population, hypertension prevalence was found to be 38.4%, with rates of 40.0% and 37.5% for men and women, respectively (p = 0.03). Hypertension prevalence increased with age in both men and women (trend p both <0.01). Among hypertensive patients, 47.9% were aware of their hypertension, 40.1% were undergoing antihypertensive treatment, and 10.3% achieved BP control. A multiple-factor analysis revealed that age, male gender, low educational achievement, family history of hypertension, overweight or obesity, abdominal obesity, and hypertriglyceridemia were positively related to hypertension, while physical exercise was negatively related to hypertension. The prevalence of hypertension among urban adults aged 35 to 79 years in southwestern China was high, while levels of awareness, treatment, and control of hypertension were low. Multifaceted interventional measures are needed to solve the unmet needs.

scholarly journals A Medication Synchronization Program and Blood Pressure Levels in a Community Pharmacy: Protocol (Preprint)

2018 ◽  
Author(s):  
Anthony Pattin ◽  
Rebekah L Panak ◽  
Rebecca Hunold ◽  
Abagail Kirwen ◽  
Samantha R Minnich ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Outcomes ◽  
Cardiovascular Complications ◽  
Care Group ◽  
Prescription Medications ◽  
Improve Medication Adherence ◽  
Antihypertensive Medications ◽  
History Of ◽  
The Impact

BACKGROUND The lack of adherence to prescribed antihypertensive medication occurs in 50% of patients and leads to poor health outcomes and increased medical costs. Consistent use of antihypertensive medications among patients with hypertension is essential to the reduction of short- and long-term cardiovascular complications. Strategies to improve medication adherence include syncing prescription medications in the pharmacy, which allow patients to retrieve chronically prescribed medications in one visit. The adoption of medication synchronization has been shown to improve adherence to medications; however, there is a lack of data showing if the intervention reduces blood pressure and improves long-term health outcomes. OBJECTIVE This study aims to determine the association between participation in an appointment-based medication synchronization service and blood pressure levels among patients on antihypertensive medications. METHODS This longitudinal prospective cohort study will observe changes in blood pressure among individuals in a medication synchronization program and those in a usual care group. Patients on at least two antihypertensive medications and four total medications have been recruited to participate in the study. All participants will be required to have at least a 6-month history of filling prescriptions at the pharmacy prior to enrollment in the study. Based on an estimated standard deviation of 14 mmHg, a sample size of 70 participants provides approximately 80% power with a two-sided .05 significance to detect a difference of 9 mmHg blood pressure between the two cohorts. RESULTS As of the publication of this paper, patients are completing final blood pressure visits at the pharmacy and medication data are being collected from the pharmacy. Once patients complete all blood pressure visits, data analysis will begin. CONCLUSIONS This study will link medication synchronization and changes in blood pressure levels among individuals with hypertension. This study will provide preliminary data for a randomized clinical trial that will assess the impact of medication synchronization on blood pressure. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/12527

scholarly journals Associated factors with awareness, treatment and control of hypertension among 3,579 hypertensive adults in China: data from the China Health and Nutrition Survey

2020 ◽  
Author(s):  
junxiang Wei ◽  
Bo Xin ◽  
Yan Li ◽  
Youfa Wang
Keyword(s):  
Blood Pressure ◽  
Associated Factors ◽  
Eastern Region ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Antihypertensive Medications ◽  
Public Health Burden ◽  
Health And Nutrition ◽  
Hypertension Awareness ◽  
And Control

Abstract Background: Hypertension prevalence is high and rising in China, but it is inadequately controlled. This study investigated hypertension awareness, treatment, and control and their associated factors among Chinese adults. Methods: Data collected from the 2011 China Health and Nutrition Survey (CHNS) from 12,991 Chinese adults were used. Hypertension was defined as systolic blood pressure ≥ 140 mm Hg, diastolic blood pressure ≥ 90 mm Hg, self-reported prior diagnosed hypertension, or taking antihypertensive medications. Hypertension awareness, treatment, and control were defined as a self-reported diagnosis of hypertension, current use of antihypertensive medication, and blood pressure < 140/90 mm Hg, respectively. Multivariate logistic regression was performed to examine factors associated with hypertension awareness, treatment, and control. Results: Overall, 3,579 (27.6%) of the CHNS adult participants had hypertension, of whom 55.7% were aware of their diagnosis, 46.5% were treated with antihypertensive medications, but only 20.3% had their blood pressure controlled. Rates of hypertension awareness and treatment varied across population subgroups; higher likelihood was associated with being female (OR = 1.37; 95%CI, 1.12-1.66), older age (1.57; 1.65-4.02), urban residence (1.50; 1.14-1.97), living in the Eastern region (1.52; 1.14-2.01), having overweight/obesity (1.99; 1.39-2.84), and engaging in less healthy lifestyles. Lower control rate was associated with obesity (0.56; 0.42-0.76) and minority ethnicity (0.52; 0.31-0.86). Conclusion: Hypertension is a major public health burden in China. Rates of hypertension awareness, treatment, and control are still low despite efforts that have been made. More intensive screening and treatment intervention programs are needed in the future.

scholarly journals Awareness, treatment, and control of hypertension and related factors in adult Iranian Population

2020 ◽  
Author(s):  
Mohsen Mirzaei ◽  
Masoud Mirzaei ◽  
Behnam Bagheri-Fahraji ◽  
Ali Dehghani
Keyword(s):  
Blood Pressure ◽  
Health Workers ◽  
Public Awareness ◽  
Public Health Problem ◽  
Iranian Population ◽  
Uncontrolled Hypertension ◽  
National Committee ◽  
Female Sex ◽  
History Of ◽  
And Control

Abstract Background: Hypertension, known as the silent killer, is a major risk factor for cardiovascular disease. Awareness and treatment of hypertension is not appropriate in the world, and this has led to an increase in mortality and morbidity caused by uncontrolled hypertension.This study aims to estimate awareness, treated, and controlled hypertensive and relevant predictors in an adult Iranian population.Methods: This cross-sectional study was conducted on 10000 adults aged 20-69 years in Yazd, Iran. They were selected through multi-stage random cluster sampling in 2015-2016. Blood pressure was measured three-time with standard protocol by trained health workers. Those with a positive history of hypertension and using anti-hypertensive drugs, prescribed by a physician, were considered hypertensive. Hypertension was defined as systolic blood pressure ≥140 mmHg and/or diastolic BP of ≥90 mmHg. Uncontrolled hypertension was defined in accordance with recommended treatment targets by the Joint National Committee (JNC7). Logistic regression was used to assess the predictors of hypertension awareness, treatment and control.Results: The prevalence of hypertension was 37.3%, and the prevalence of pre-hypertension was 46.4%. 49.7% of People with hypertension were aware of their disease, and 71.5% of them were using antihypertensive drugs prescribed by physicians. Blood pressure was controlled in 38.9% of the treated patients. In the adjusted model, older age, female sex, and history of diabetes mellitus were positively associated with higher awareness. High physical activity, tobacco smoking, and diabetes are the only predictors of treated high blood pressure. Younger age, female sex, and higher education were determinants of controlled hypertension. Having health insurance was significantly correlated with awareness and control of hypertension.Conclusion: Hypertension is a public health problem in this population, which is not well controlled. Half of the patients were unaware. Intervention for increased screening coverage is needed. It should plan to raise public awareness about hypertension and improve hypertension control under the supervision of physicians. Implement a family physician program is recommended in the health system.

scholarly journals ASSESSMENT OF PROFESSIONAL’S ADHERENCE TO JOINT NATIONAL COMMITTEE 8 GUIDELINES IN THE MANAGEMENT OF HYPERTENSION

2019 ◽  
Vol 12 (1) ◽  
pp. 101
Author(s):  
Schnell Jennifer D’souza ◽  
Ancel Neethu Mani ◽  
Nimisha Kurian ◽  
Jaikanth C
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
General Medicine ◽  
Joint National Committee ◽  
Optimal Choice ◽  
National Committee ◽  
Care Hospital ◽  
Antihypertensive Medications ◽  
Dialysis Unit ◽  
Pressure Threshold

Objectives: Hypertension is the most insidious ailment in primary care with its management being a daily affair. The avail of antihypertensive medications has affirmed their efficacy in blood pressure alleviation. Yet, the methodical choice of medication with which treatment ought to commence at the precise blood pressure threshold and maintained at a target level was undiscerned. Consequently, the Eighth Joint National Committee grants an evidence-based tool, which was employed in the appraisal of professional’s adherence to joint national committee 8 guidelines.Methods: A prospective, observational study was governed. Aggregate patients with hypertension with/without diabetes mellitus (DM) and/ or chronic kidney failure admitted in general medicine and the dialysis unit of the tertiary health care hospital, for 4 months were enrolled. The rationality of antihypertensive medications and target blood pressure was noted.Results: Patients matriculated to 125, 90 males and 35 females. Average age perceived was between 51 and 60 years, with the length of stay 14.39 (standard deviation [SD]±1.52) and 9.3 (SD±0.46) days in the respective unit. The gross medication endorsed represents 1085 medications, incorporating 337 antihypertensive medications. The optimal choice of an antihypertensive medicine was clonidine and amlodipine. Adherence in the populace with lone hypertension was cent percent, trailed by hypertension with DM 82.35% and minimal in hypertension with chronic kidney disease.Conclusion: 86-medication compiled adherence to the guidelines (25.52%). Rationality of medication depicts 25.6% were rational and 73.6% distinguish as non-rational, amid a demise of a sole victim. A significant high-grade defiance of health-care practitioners to the Eighth Joint National Committee guidelines was evidenced from our study.

Blood Pressure Elevation in a Patient Treated with Salsalate

2002 ◽  
Vol 36 (4) ◽  
pp. 624-627 ◽  
Author(s):  
Beth Bryles Phillips ◽  
Jacqueline D Joss ◽  
Paul L Mulhausen
Keyword(s):  
Blood Pressure ◽  
Older Patients ◽  
Blood Pressure Monitoring ◽  
Antiinflammatory Drug ◽  
Nonsteroidal Antiinflammatory Drug ◽  
Prior History ◽  
Antihypertensive Medications ◽  
Blood Pressure Elevation ◽  
History Of ◽  
Diagnosis Of Hypertension

OBJECTIVE: To report a case of increased blood pressure associated with the use of salsalate in an elderly patient with no prior history of hypertension. CASE SUMMARY: A 78-year-old white man with no prior history of hypertension initiated salsalate therapy for low-back pain. Over the 15 months prior to the initiation of salsalate, his blood pressure averaged 127 ± 7 mm Hg systolic and 84 ± 6 mm Hg diastolic (mean ± SD). After initiation of salsalate, he experienced significant elevations in blood pressure, which led to a preliminary diagnosis of hypertension. Blood pressure after initiation of salsalate averaged 150 ± 13 mm Hg systolic and 95 ± 5 mm Hg diastolic. No changes in medications or medication doses (with the exception of warfarin) occurred in the 18 months prior to or during salsalate therapy. His weight remained stable. A detailed review of his medical records and history revealed no other causes for these elevations in blood pressure. Salsalate therapy was discontinued and his blood pressure returned to normotensive levels (119 ± 2 mm Hg systolic and 81 ± 2 mm Hg diastolic). DISCUSSION: Nonsteroidal antiinflammatory drug (NSAID)–induced elevations in blood pressure have been well documented in patients receiving antihypertensive medications. Due to its relative weak inhibition of cyclooxygenase and lack of published literature in hypertensive patients, salsalate is considered to have little or no effect on blood pressure. Our report documents a possible case of salsalate-induced hypertension in a previously normotensive elderly man. Observational studies suggest that NSAID use may increase the risk of developing hypertension in older patients. CONCLUSIONS: Clinicians should be aware of the possible effects of NSAIDs on blood pressure. Blood pressure monitoring following the initiation of salsalate may be warranted, particularly in older patients.

Increased Erythrocyte Lithium-Sodium Countertransport in Essential Hypertension: Its Relationship to Family History of Hypertension

1981 ◽  
Vol 61 (s7) ◽  
pp. 13s-15s ◽  
Author(s):  
M. Canali ◽  
L. Borghi ◽  
E. Sani ◽  
A. Curti ◽  
A. Montanari ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Family History ◽  
High Blood Pressure ◽  
Degree Relative ◽  
Mean Values ◽  
The Family ◽  
History Of ◽  
Family History Of Hypertension ◽  
And Control

1. Erythrocyte lithium—sodium counter-transport was measured in 46 normotensive healthy controls without family history of hypertension, 15 subjects with essential hypertension, but without evidence of family history of high blood pressure, and 43 subjects with essential hypertension and at least one hypertensive first-degree relative. 2. Mean values (mmol h−1 l−1 of erythrocytes) were 0.248 ± 0.092 in controls, 0.258 ± 0.087 in hypertensive subjects without family history (not significant vs controls), 0.360 ± 0.115 in hypertensive subjects with family history of hypertension (P &lt; 0.001 vs controls), 0.334 ± 0.117 in all hypertensive subjects, both with and without family history (P &lt; 0.001 vs controls). 3. Our data confirm the finding of an increased erythrocyte lithium-sodium counter-transport, but with a significant overlap between essential hypertension and control values. Lithium-sodium countertransport is higher only in hypertensive subjects with at least one hypertensive first-degree relative. 4. We suggest that the increase of lithium-sodium countertransport in erythrocytes is not a consistent marker of essential hypertension. It seems to be associated with the family prevalence and/or the hereditability of hypertension, rather than with high blood pressure per se.

scholarly journals HYPERTENSION

2015 ◽  
Vol 22 (02) ◽  
pp. 250-255
Author(s):  
Nasim Ilyas ◽  
Kashif Rahim ◽  
Azka Waqar
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Urban Areas ◽  
Preventive Measures ◽  
Causative Factor ◽  
Rural And Urban Areas ◽  
Frequent Use ◽  
Rural And Urban ◽  
History Of ◽  
And Control

Hypertension is a common term to define a state of raised blood pressure, and theraised blood pressure is 140 mm Hg mean systolic blood pressure of and mean diastolic bloodpressure of at least 90 mm Hg. Objectives: To assess awareness about Hypertension amongpatients attending Medical OPD at THQ Hospital Hassan Abdal. Materials and Methods: A totalof 150 male, female patients belonging to both rural and urban areas attending Medical OutPatient Department at THQ Hospital Hassan Abdal using a self constructed mixed questionnaire(In English and Urdu). Results: Following findings were observed among patients attendingTHQ hospital, Hassan Abdal: Family history of HTN was found to be 49% and 26% was unawareof family history of HTN. 33% found to have diabetes, 38% were unaware of having or not.29.3% found to have HTN, 48.6% were unaware of having HTN or not. 34% of hypertensivepatients showed compliance to the anti-hypertensive treatment while (66%) showed noncompliance.60.6%, 78%, 62%, 74%, 68% considered the obesity, lack of exercise, cigarettesmoking, anxiety and high cholesterol respectively as causative factor of HTN. Excessive intakeof salt was considered by 56% as causative factor of HTN. 29% considered diabetes Mellitus ascausative factor of HTN. 42%, 31%, 46% and 34% considered the cardiac disease, renal failure,brain hemorrhage and loss vision respectively as complication of HTN. Stroke was consideredcomplication by (54%). 55%, 65%, 53% and 58% considered the regular exercise reduced saltintake, no smoking and keeping weight under-Control respectively as preventive measures ofHTN. Less than half of the respondents considered frequent use of vegetables, excessive intakeof sweets, as the preventive measures of HTN. Conclusions: The assessment of awarenessabout Hypertension among population of various areas can be beneficial in effective planningfor disease prevention and control.

scholarly journals Awareness, Treatment, and Control of Hypertension Among 10663 Adults in Kherameh: A Population-Based Study

2021 ◽  
Author(s):  
Abbas Rezaianzadeh ◽  
Fatemeh Jafari ◽  
Seyed Ebrahim Sadeghi ◽  
Salar Rahimikazerooni ◽  
Ehsan Bahramali ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Diseases ◽  
Antihypertensive Drugs ◽  
Population Based ◽  
Related Factors ◽  
Cross Sectional ◽  
Dependent Variables ◽  
History Of ◽  
And Control ◽  
Second Degree

Abstract Background: Hypertension (HTN) is known to be a modifiable risk factor for Cardiovascular Disease (CVDs), stroke, and kidney disease. The present study aimed to determine awareness, treatment, and control of HTN and the related factors in Kherameh, Iran.Methods: This cross-sectional study was performed on 10663 individuals over 40 years of age using Kherameh cohort data. HTN was defined as either Systolic/Diastolic Blood Pressure (SBP/DBP) ≥140/90 mmHg or taking medications. Logistic regression was used to examine the relationship between awareness, treatment, and control and their related factors. Results: Awareness, treatment, and control rates were 80.3%, 78%, and 53.6%, respectively among the individuals with HTN. Age, gender, body mass index, and CVD were associated with all dependent variables in the regression model. In addition, occupation, diabetes, chronic diseases, history of CVD in the first- and second-degree relatives, and history of chronic diseases in the second-degree relatives were related to all dependent variables, except for treatment.Conclusion: The results indicated that despite the high level of awareness, the proportion of patients under treatment and control gradually decreased, such a way that about half of the patients had abnormal blood pressure. Hence, educational intervention is recommended to increase the patients’ awareness to ensure the continuous use of antihypertensive drugs in order to help control the disease more efficiently.

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