scholarly journals Carotid Doppler as a screening tool for silent cerebral Stroke in hypertensive patients

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Hesham Farouk ◽  
Osama Galal ◽  
Nada Nagy
Keyword(s):  
Screening Tool ◽  
Cerebral Stroke ◽  
Hypertensive Patients ◽  
Carotid Doppler

scholarly journals Hypertensive retinal changes, a screening tool to predict microalbuminuria in hypertensive patients: a cross-sectional study

2010 ◽  
Vol 25 (6) ◽  
pp. 1839-1845 ◽  
Author(s):  
G. P. S. Shantha ◽  
A. A. Kumar ◽  
E. Bhaskar ◽  
K. Sivagnanam ◽  
D. Srinivasan ◽  
...  
Keyword(s):  
Screening Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hypertensive Patients

scholarly journals Aldosterone to Renin Ratio as Screening Tool in Primary Aldosteronism

2018 ◽  
Vol 127 (02/03) ◽  
pp. 84-92
Author(s):  
Katharina Schilbach ◽  
Riia Junnila ◽  
Martin Bidlingmaier
Keyword(s):  
Primary Aldosteronism ◽  
Screening Test ◽  
Screening Tool ◽  
Secondary Hypertension ◽  
Hypertensive Patients ◽  
Assay Methods ◽  
Aldosterone To Renin Ratio

AbstractPrimary aldosteronism (PA) is a severe and often underdiagnosed form of secondary hypertension. Determining the aldosterone to renin ratio (ARR) in hypertensive patients has been shown to be a valuable screening test for identification of patients suffering from PA. Since the introduction of a more widespread ARR screening the number of PA patients significantly increased worldwide. Interpretation of ARR might be challenging: Several factors from posture to interfering drugs affect the ARR and need to be taken into account when collecting samples. In addition, the wide variety of available assay methods and lack of well-established cut-offs present a challenge to the clinician. This review discusses the usefulness and possible difficulties of ARR screening.

scholarly journals Influence of the previous antihypertensive therapy on the course of cerebral stroke

2010 ◽  
Vol 9 (4) ◽  
pp. 145-147
Author(s):  
I. G. Kolchu ◽  
T. V. Volchenkova ◽  
Ye. V. Isakova ◽  
S. V. Kotov
Keyword(s):  
Treatment Outcome ◽  
Antihypertensive Therapy ◽  
Functional Recovery ◽  
Hemorrhagic Stroke ◽  
Cerebral Stroke ◽  
Direct Influence ◽  
Hypertensive Patients ◽  
Course Features

Influence of the previous antihypertensive therapy on the course of cerebral stroke was analyzed in 188 hypertensive patients. Stroke course features and treatment outcome were analyzed in patients receiving regular antihypertensive therapy before stroke and in those not treated or treated irregularly. Direct influence of previous antihypertensive therapy on the rate of hemorrhagic stroke development, its course severity, and subsequent functional recovery was revealed.

scholarly journals Sub-clinical atherosclerosis in hypertension.

2020 ◽  
Vol 27 (10) ◽  
pp. 2093-2098
Author(s):  
Farhat Bashir ◽  
Nadia Shams ◽  
Ayesha Nageen
Keyword(s):  
Risk Factors ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Glycemic Indices ◽  
Rising Incidence ◽  
Relationship Of ◽  
Study Setting ◽  
Carotid Doppler

Objectives: In the presence of the rising incidence of cardiovascular disease in the developing world, it is imperative to focus on prevention. Many cardio-metabolic risk factors are responsible for development of atherosclerosis in hypertensive patients. It is important to know which factors contribute the most to this condition. Study Design: Cross Sectional study. Setting: Departments of Medicine and Radiology at Creek General Hospital, United Medical and Dental College, Karachi. Period: June 2015 to June 2016. Material & Methods: Planned and the subjects were selected by consecutive sampling. Physical examination data and laboratory reports were obtained. All the subjects underwent Carotid Doppler studies. The data as analyzed on SPSS ver.20.0. Relationship of the variables to CIMT was ascertained by Pearson’s Correlation in both hypertensive and non-hypertensive subjects. P-value of <0.05 was considered significant. Results: All the variables like age, BMI, glycemic indices and the different fractions of the lipid profile were significantly higher in hypertensive patients. CIMT was significantly higher in hypertensive patients. The studied cardiometabolic variables were related to CIMT in both groups of patients but these variables were related more strongly in subjects without hypertension confirming the assumption that hypertension plays a major role in atherosclerosis. Conclusion: Hypertension is one of the most potent modifiable risk factors contributing to atherosclerosis.

Role of Nail Fold Capillaroscopy as A Method of Early Detection of Atherosclerosis in Systemic Lupus Erythematosus Patients

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hanan Mohamed Farouk ◽  
Rasha Mahmoud Mohamed ◽  
Fatma Mohammad Aboud ◽  
Huda Taha Hussein
Keyword(s):  
Cardiovascular Disease ◽  
Lupus Erythematosus ◽  
Screening Tool ◽  
Intima Media Thickness ◽  
Systemic Lupus Erythematosis ◽  
University Hospitals ◽  
Systemic Lupus ◽  
Highly Sensitive ◽  
Carotid Doppler

Abstract Background The development of atherosclerosis and cardiovascular disease as a consequence Systemic Lupus Erythematosis is a common and dangerous complication in patients with SLE. However, since the prevalence of atherosclerosis and cardiovascular disease is variable and increasing by time, universal screening would imply a large number of unnecessary carotid Doppler. Objective To study the early prediction of atherosclerosis and the cardiovascular risk in SLE patients by Nail fold capillaroscopy and the Intima media thickness of the Carotid artery. Patients and Methods All Patients were subjected to full history taking, full clinical examination, laboratory investigations, carotid Doppler and nail fold capillaroscopy. In this study, we prospectively collected data on 30 consecutive patients referred to Ain Shams University hospitals and The National Research Institute. Results However, nail fold changes was significantly higher in patients with IM thickness changes indicative of atherosclerosis with SLE: it was proved to be highly sensitive and adequately specific in predicting the atherosclerosis in those patients. Conclusion IM thickness and nail fold capillaroscopy could be used as a guiding noninvasive screening tool in patients with SLE to predict the atherosclerosis and CV risk. Nail fold changes is correlated to the atherosclerotic changes happening in SLE patients. These results may lead to a reduction in the number of SLE patients with undiagnosed atherosclerosis and CV risk. Nail fold capillarscopy may also help alleviate the financial and disinfection burdens of radiology units as well as the medical costs associated with atherosclerosis and CV risk. Nail fold capillaroscopy can be used as a screening tool before doing carotid Doppler.

Triumphs and Challenges of Implementing a Nursing Bedside Swallow Screening Tool: A Stroke Coordinator's Perspective

2009 ◽  
Vol 18 (4) ◽  
pp. 129-133 ◽  
Author(s):  
Kelly Poskus
Keyword(s):  
Screening Tool ◽  
Hospital Setting ◽  
Swallow Screening

Abstract The bedside swallow screen has become an essential part of the evaluation of a patient after stroke in the hospital setting. Implementing this type of tool should be simple. However, reinforcement and monitoring of the tool presents a challenge. Verifying the consistency and reliability of nurses performing the bedside swallow screen can be a difficult task. This article will document the journey of implementing and maintaining a reliable and valid nursing bedside swallow screen.

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