scholarly journals Study of occurrence of childhood hypertension in school going children attending pediatrics OPD in Moradabad city

2021 ◽  
Vol 9 (9) ◽  
pp. 2687
Author(s):  
Monika Khari ◽  
Anshuman Srivastava
Keyword(s):  
Blood Pressure ◽  
Family History ◽  
Dietary Habits ◽  
Developed Countries ◽  
Organ Damage ◽  
Elevated Blood Pressure ◽  
Calorie Intake ◽  
Elevated Blood ◽  
Diet Intake ◽  
Childhood Hypertension

Background: In developed countries, childhood hypertension is a proven indicator of adult hypertension and organ damage and is estimated to be great concern. This study was conducted to assess the occurrence of childhood hypertension in school going children attending pediatrics OPD.Methods: An observational study was performed at TMMC and RC among 500 school going children attending pediatrics OPD in TMMC and RC over a period of 1 year. Socio-demographic variables including age, gender, family history of hypertension, parental smoking habits were recorded in a proforma. Dietary habits including consumption of junk food, fruits and daily calorie intake was evaluated utilizing number of times diet intake questionnaire and 24 hour recall method. Height was measured by stadiometer with candidate posing in bare feet. Weight assessment was done with bare footed and candidate clad in light clothing with weighing instrument of electronic type rounded to nearest unit.Results: Elevated blood pressure and hypertension was reported among 9.4% and 6.8% of the subjects respectively. High blood pressure was significantly associated with presence of family history, stress and lack daily physical activity. Chances of elevated blood pressure and hypertension increase along with the increase in subject height, weight and BMI.Conclusions: Performing the BP measurements in routine consultations becomes essential for diagnosis and early intervention.

Diagnosis, assessment, and treatment of essential hypertension

2010 ◽  
pp. 3039-3057
Author(s):  
Bryan Williams ◽  
John D. Firth
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Subsequent Treatment ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Assessment And Treatment

Essential hypertension is almost invariably symptomless, and usually detected by routine screening or opportunistic measurement of blood pressure. Key questions to answer in the assessment of a person presenting with an elevated blood pressure are: (1) Do they have hypertension, i.e. is the blood pressure persistently elevated? (2) Are there any associated clinical features that might warrant further evaluation to exclude secondary causes of hypertension? (3) Are there factors that might be contributing to an elevated blood pressure, including lifestyle or dietary factors or concomitant medication? (4) Is there any associated target organ damage or comorbidity that influences the overall cardiovascular disease risk and subsequent treatment of the patient?...

scholarly journals Elevated Ambulatory Blood Pressure Measurements Are Associated With a Progressive Form of Fabry Disease

2020 ◽  
Author(s):  
Federica Rossi ◽  
Einar Svarstad ◽  
Hassan Elsaid ◽  
Agnese Binaggia ◽  
Letizia Roggero ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Fabry Disease ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Organ Damage ◽  
Elevated Blood Pressure ◽  
Masked Hypertension ◽  
Elevated Blood ◽  
Pressure Monitoring

Abstract Background and objectivesPublished data on hypertension incidence and management in Anderson-Fabry disease are scanty and it remains to be shown how much an elevated blood pressure contributes to the patient’s organ damage. Therefore, we have assessed blood pressure values and their correlations with clinical findings in a cohort of Fabry patients.MethodsBetween January 2015 and May 2019, all adult Fabry patients (n = 32; n = 24 females, n = 8 males) referred to our institute were enrolled. Data regarding hypertension were obtained by ambulatory blood pressure monitoring, home self-monitoring and repeated office measurements. Organ involvement and hypertension risk factors were also evaluated.ResultsThe ambulatory monitoring revealed elevated blood pressure in 18.75% (n = 6) of the Fabry population and 50% of this group was diagnosed with masked hypertension. All these patients were females and they presented a lower glomerular filtration rate and a more advanced cardiac hypertrophy compared with normotensive subjects. They were mostly (66.7%) affected by a progressive form of the disease while the majority of the normotensives (84.6%) were stable. No correlation was found between the category of GLA mutation and the development of hypertension.ConclusionNewly detected hypertension can be found in a restricted portion of stable Fabry patients while it becomes more prevalent among clinically progressive cases. The use of the ambulatory blood pressure monitoring is of paramount importance to reveal masked hypertension which can contribute to the progressive worsening of the organ damage. Therefore, a proper diagnosis and therapy of hypertension may improve the outcome of Fabry patients.

scholarly journals Investigating the incidence and risk factors of hypertension: A multicentre retrospective cohort study in Tabuk, Saudi Arabia

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262259
Author(s):  
Umar Yagoub ◽  
Nasrin S. Saiyed ◽  
Bandar Al Qahtani ◽  
Attiya Mohammed Al Zahrani ◽  
Yassir Birema ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Logistic Regression ◽  
Saudi Arabia ◽  
Cohort Study ◽  
Family History ◽  
Retrospective Cohort ◽  
Smoking Status ◽  
Elevated Blood Pressure ◽  
Elevated Blood

Background Hypertension is a major global health concern affecting approximately 1.13 billion people worldwide, with most of them residing in developing countries. The aim of this study was to determine the incidence of different stages of hypertension and its associated modifiable and non-modifiable risk factors among patients in military-setting hospitals in Tabuk, Saudi Arabia. Methods This retrospective cohort study was conducted at two hospitals in Tabuk, Saudi Arabia. The data were collected from hospital electronic records from 1 January 2019 to 31 December 2019. The blood pressure levels of patients from the last three separate medical visits were recorded. Descriptive statistics and multinomial logistic regression were used for the data analysis. Results The study included 884 hypertensive patients. The incidences of stage of elevated BP, stage 1, stage 2, and hypertension crisis were 60.0, 29.5, 7.0, and 3.5 cases per 1000 persons. Multivariate analysis indicated that progression from the stage of elevated blood pressure to hypertension crisis was significantly associated with advanced age (odds ratio [OR] = 3.62, 95% confidence interval [CI] = 1.99–8.42), male sex (OR = 2.84, 95% CI: 0.57–5.92), and a positive family history of hypertension (OR = 1.95, 95% CI: 1.23–3.09). Other key determinants of the development of stage of elevated blood pressure to hypertension crisis were current smoking status (OR = 1.74, 95% CI: 1.23–4.76), and physical inactivity (OR = 6.48, 95% CI: 2.46–9.14). Conclusion The incidence stage of elevated blood pressure was high among the patients investigated at armed forces hospitals in Tabuk, Saudi Arabia. The logistic regression model proposed in the present study can be used to predict the development of different stages of hypertension. Age, sex, marital status, family history, smoking status, and physical activity play an important role in the development of hypertension. Better strategies to improve awareness, screening, treatment, and management of hypertension are required in Saudi Arabia.

Elevated blood pressure, cardiometabolic risk and target organ damage in youth with overweight and obesity

2020 ◽  
Vol 30 (10) ◽  
pp. 1840-1847 ◽  
Author(s):  
Procolo Di Bonito ◽  
Lucia Pacifico ◽  
Maria Rosaria Licenziati ◽  
Claudio Maffeis ◽  
Anita Morandi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Cardiometabolic Risk ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Overweight And Obesity ◽  
Target Organ ◽  
Elevated Blood Pressure ◽  
Elevated Blood

ROLE OF THE THYROID GLAND IN DEVELOPMENT AND MAINTENANCE OF RENAL HYPERTENSION IN RATS

1960 ◽  
Vol XXXIV (III) ◽  
pp. 411-429 ◽  
Author(s):  
Melvin J. Fregly ◽  
Kenneth M. Cook
Keyword(s):  
Blood Pressure ◽  
Rate Increase ◽  
Renal Hypertension ◽  
The Other ◽  
Elevated Blood Pressure ◽  
Unit Weight ◽  
Elevated Blood ◽  
Inhibition Of Growth ◽  
Testicular Size

ABSTRACT The anti-thyroid drugs, thiouracil, propylthiouracil, and methimazole, prevented both development of elevated blood pressure and cardiac hypertrophy usually accompanying kidney encapsulation with latex envelopes. These drugs also reduced elevated blood pressure of rats with hypertension of 13 to 40 weeks' duration prior to drug administration. Addition of desiccated thyroid powder to diet containing an anti-thyroid drug overcame the anti-hypertensive effect of the latter. Withdrawal of thyroid powder only was followed by return of blood pressure to previous low level within 3 weeks. The results suggest that the anti-hypertensive effect of these drugs is related directly to the hypothyroidism produced rather than to extrathyroidal effects of the drugs. Comparison of potencies of the 3 drugs in terms of anti-hypertensive effect, inhibition of growth rate, increase in testicular size, and increase in thyroid size suggests that propylthiouracil and methimazole are equally potent per unit weight of drug. Thiouracil has approximately half the potency of the other two.

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