scholarly journals Arterial hypertension in a patient with non‑ specific aortoarteritis (Takayasu disease) and AA-amyloidosis: a case report

2018 ◽  
Vol 24 (3) ◽  
pp. 331-338
Author(s):  
T. S. Sveklina ◽  
A. N. Kulikov ◽  
G. K. Matsievskaya ◽  
K. R. Gustaynis
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Clinical Features ◽  
High Blood Pressure ◽  
Correct Diagnosis ◽  
Cardiovascular Disorder ◽  
Diagnostic Methods ◽  
Reactive Protein ◽  
Takayasu Disease ◽  
Chronic Course

Arterial hypertension (HTN) is the most common cardiovascular disorder around the world. High blood pressure is a manifestation of essential hypertension (EHTN) in the majority of cases. The exclusion of symptomatic HTN is crucial for correct diagnosis. We present a case of a very rare symptomatic HTN caused by nonspecific aortoarteritis (Takayasu disease). Morphological substrate of Takayasu disease is arteritis associated with the total wall damage of aortic brunches. The diagnosis is very difficult due to the chronic course, nonspecific signs and a variety of clinical masks. That often leads to late diagnosis and complications. Clinical features of Takayasu aortoarteritis include unilateral pulse weakening, blood pressure asymmetry on right and left arms, bruit on damaged artery, laboratory signs of inflammation: accelerated erythrocyte sedimentation rate (ESV), anemia, thrombocytosis, C‑reactive protein (CRP) elevation. Ultrasound vessel duplex scanning is important, but angiography of aorta and aortic branches are still the “gold standard”. We draw attention to clinical features, diagnostic methods and the course of the Takayasu disease in a young woman with high blood pressure.

HYPERTENSION IN EMBRYOMA (WILMS' TUMOR)

PEDIATRICS ◽  
1949 ◽  
Vol 3 (2) ◽  
pp. 201-207
Author(s):  
JAMES G. HUGHES ◽  
HERMAN ROSENBLUM ◽  
LACY G. HORN
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
Clinical Features ◽  
Wilms Tumor ◽  
Hypertensive Encephalopathy ◽  
Renal Ischemia ◽  
Cerebral Anoxia ◽  
Cardiac Decompensation ◽  
First Case ◽  
The Right

A case of Wilms' tumor of the right kidney is presented, in which the dominant clinical features were extreme elevation of blood pressure and hypertensive encephalopathy, associated with cardiac decompensation and death. Generalized convulsions and right hemiplegia developed, believed to have been due to cerebral anoxia incident to angiospasm. No metastases were found, and no other cause for arterial hypertension was discovered. This patient is thought to be the first case reported where death from Wilms' tumor was due to the hypertensive factor. The literature with reference to the association of hypertension with Wilms' tumor is reviewed. The mechanisms by which Wilms' tumors may produce unilateral renal ischemia with arterial hypertension are discussed. The presence of clearcut hypertension in a child with a kidney area mass points toward the probability of a Wilms' tumor.

scholarly journals EVALUATION OF ESOPHAGEAL ACHALASIA: FROM SYMPTOMS TO THE CHICAGO CLASSIFICATION

2018 ◽  
Vol 31 (2) ◽  
Author(s):  
Rafael Melillo LAURINO-NETO ◽  
Fernando HERBELLA ◽  
Francisco SCHLOTTMANN ◽  
Marco PATTI
Keyword(s):  
Clinical Features ◽  
Digestive System ◽  
Correct Diagnosis ◽  
Esophageal Achalasia ◽  
Diagnostic Techniques ◽  
Diagnostic Methods ◽  
Esophageal Disease ◽  
Barium Swallow ◽  
High Resolution Manometry ◽  
Therapeutic Decision Making

ABSTRACT Introduction: The diagnosis of achalasia may be suggested by clinical features but a complete work-up is required not only to confirm the diagnosis but also to grade the disease by severity or clinical subtype. Objective: To review the current evaluation of esophageal achalasia and its correct comprehension. Method: The literature review was based on papers published on Medline/Pubmed, SciELO and Lilacs, crossing the following headings: “esophageal achalasia”; “deglutition disorders”; “diagnostic techniques”, “digestive system”; “endoscopy, digestive system”; “manometry”. Results: The diagnosis of achalasia is suggested by clinical features but is not sufficient to distinguish this from other esophageal disease. It must be confirmed by further diagnostic tests, such as esophagogastroduodenoscopy, barium swallow and manometry. Recent advances in diagnostic methods, including high resolution manometry might even help predicting outcome or selected more appropriate procedures to treat the disease. Conclusion: A detailed and systematic study of achalasia patients allows not only a correct diagnosis but also contributes to therapeutic decision making and prognosis.

scholarly journals Observation of adolescents with high blood pressure, involved in physical activity

2017 ◽  
Vol 8 (2) ◽  
pp. 16-19
Author(s):  
L. A Balykova ◽  
S. A Ivianskiy ◽  
A. A Shirokova ◽  
N. V Shchekina ◽  
K. A Varlashina
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Young People ◽  
Arterial Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Physical Exertion ◽  
Foreign Experience ◽  
Diagnostic Approaches ◽  
Points Of View

The article provides a brief overview of the literature data on the prevalence and causes of hypertension in athletes. Different points of view on the effect of regular physical exertion on the level of arterial pressure are considered. In addition, the available diagnostic approaches to the detection of high blood pressure are described. Based on the available data, domestic and foreign experience, oftimal algorithms for diagnosing arterial hypertension in young people involved in sports are presented.

scholarly journals Estrogen therapy for arterial hypertension in menopansal females

2003 ◽  
Vol 49 (4) ◽  
pp. 51-54
Author(s):  
A. N. Karachentsev ◽  
I. V. Kuznetsova
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Estrogen Therapy ◽  
Cardiovascular Morbidity ◽  
Morbidity And Mortality ◽  
Rational Pharmacotherapy ◽  
Cardiovascular Morbidity And Mortality ◽  
History Of ◽  
Practical Recommendations

The epidemiology of arterial hypertension in women with menopause Arterial hypertension, according to many experts, "is the greatest non-infectious pandemic in the history of mankind that determines the structure of cardiovascular morbidity and mortality"; Thus, only in Russia AG about 40% of the population suffers. Due to the wide prevalence of hypertension, it has become an interdisciplinary problem, and today doctors of different specialties need practical recommendations for rational pharmacotherapy of high blood pressure in specialized patients.

scholarly journals Physicians’ assessment of the high blood pressure risk and their attitude towards the prevention of arterial hypertension

2012 ◽  
Vol 11 (6) ◽  
pp. 63-67
Author(s):  
A. E. Manoylov
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Target Organ Damage ◽  
Disease Model ◽  
Organ Damage ◽  
Preventive Strategy ◽  
Prediction And Prevention ◽  
Hypertensive Crises ◽  
And Training

Aim. To study the physicians’ knowledge of the high blood pressure (BP) risk and to assess their attitude towards the prevention of arterial hypertension (AH). Material and methods. In total, 118 internal disease specialists from three Russian regions participated in an anonymous questionnaire survey on the knowledge of high BP risk and the attitude towards the prevention of AH and its complications. The mean age of participants (13 men and 105 women) was 46,53±11,64 years. The respondents’ answers were compared to the information in the current clinical AH guidelines. Results. More than one-half of the respondents demonstrated inadequate professional knowledge on prediction and prevention of AH complications. These physicians use the “traditional” disease model and do not consider elevated BP as a risk factor; predict the risk of AH complications using subjective complaints of their patients; do not realise the importance of the target organ damage (TOD) prevention; and limit their preventive strategy only to the prevention of hypertensive crises. Conclusion. The demonstrated attitude towards AH management could be a serious barrier for effective AH prevention. This group of physicians needs extensive education and training, in order to modify their attitude and to increase their commitment to preventive strategies.

Physiological rehabilitation of students with borderline arterial hypertension by means of physical culture

1982 ◽  
Vol 63 (2) ◽  
pp. 22-25
Author(s):  
F. G. Sitdikov ◽  
S. B. Bondar
Keyword(s):  
Blood Pressure ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Physical Activities ◽  
Medical Examination ◽  
Physical Culture ◽  
Functional Disorders ◽  
Physical Exercises ◽  
Pressure Indicators ◽  
Static Nature

Abstract. The results of a survey of 130 students are presented. arterial hypertension was diagnosed during the initial medical examination. The most depressive types of physical exercises, walking and running for students with arterial hypertension were established. It is shown that among students with high blood pressure, along with other physical activities, exercises of a static nature are also hypotensive. The classes that are most adequate for this contingent of persons, contributing to the restoration of functional disorders of hemodynamics, primarily blood pressure indicators, have been determined. Developed and tested a differentiated, scientifically grounded methodology of classes for students with borderline arterial hypertension.

Diagnosis and management of hypertension in athletes

2019 ◽  
pp. 447-452
Author(s):  
Stefano Caselli ◽  
Josef Niebauer
Keyword(s):  
Blood Pressure ◽  
Risk Stratification ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Clinical Management ◽  
Sport Participation ◽  
Diagnostic Approach ◽  
Competitive Sport ◽  
Competitive Sports ◽  
Cardiovascular Abnormality

Arterial hypertension is the most common cardiovascular abnormality reported in the setting of pre-participation screening of large athletic populations. Identification of high blood pressure values during the evaluation of an athlete may raise concern about appropriate management and indications with respect to competitive sport participation, representing a potential cause for exclusion from competitive sports. The diagnostic approach, risk stratification, and clinical management of hypertension in athletes are extensively reviewed and discussed in this chapter.

scholarly journals Growth achieved and correlation with blood pressure levels in schoolchildren

2018 ◽  
Vol 64 (10) ◽  
pp. 896-901
Author(s):  
Jane Laner Cardoso ◽  
Claudio Leone
Keyword(s):  
Blood Pressure ◽  
Public Schools ◽  
Arterial Hypertension ◽  
High Blood Pressure ◽  
Z Score ◽  
Sectional Study ◽  
Older Children ◽  
The North ◽  
National High Blood Pressure ◽  
South Of Brazil

SUMMARY INTRODUCTION: The prevalence of systemic arterial hypertension in childhood has increased progressively OBJECTIVE: To analyze blood pressure and height reached by children in public schools in the South of Brazil. METHODS: This is a sectional study of a randomized sample of 1,082 students of six to seven and nine to ten years old used to evaluate blood pressure and height. Blood pressure levels were classified by percentile for gender, age and stature according to the North American reference of National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. RESULTS: Schoolchildren presented adequate growth, which was, on average, higher than the WHO reference values. Blood pressure levels were altered in 13.8% of children, with a higher frequency in the nine and ten year olds (17.6%). The isolated analysis of systolic and diastolic Blood pressure revealed a similar trend, with blood pressure levels higher than the greater the value of the Z-score for stature. CONCLUSION: The schoolchildren in the study evidenced adequate growth and an elevated prevalence of pre-hypertension and arterial hypertension, which tended to be higher in older children and/or those that achieved a greater stature growth.

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