scholarly journals Comparative characteristics of hemodynamics in the right and left main arteries in elderly patients with hypertension and its change in complex treatment involving physical training

2013 ◽  
Vol 4 (4) ◽  
pp. 5-9
Author(s):  
G. G Efremushkin ◽  
N. A Lomakina
Keyword(s):  
Elderly Patients ◽  
Physical Training ◽  
Blood Circulation ◽  
Hemodynamic Parameters ◽  
Complex Treatment ◽  
Left Main ◽  
Hypertensive Patients ◽  
Elderly Hypertensive ◽  
Definition Of ◽  
The Right

The aim of the following work was to study the hemodynamics in symmetric main arteries (MA) and its changes in elderly patients with arterial hypertension (AH) under the complex treatment involving physical training (PT).Materials and methods. The study included 122 hypertensive patients aged 60-90 years (76,8 ± 1,3 years). Common carotid (CCA), femoral (FA) and the shoulder (SA) arteries with the definition of velocity and volumetric hemodynamic parameters in them were examined using complex dopplerography.Results. In elder hypertensive patients the MA were increased in comparison with healthy intima-media and the diameter of the arteries at lower speed and volume of blood flow indices mainly in the CCA. Drug treatment of several patients improved these figures only in the FA and SA. PT, when included in the medical complex of elderly patients with hypertension proved to have positively influenced the hemodynamics not only in the FA and SA, but in the CCA as well.Conclusion. Complex treatment of elderly hypertensive patients using PT improves blood circulation of the limbs and brain, increasing the oxygen supply of the latter.

scholarly journals HEMODYNAMIC CHANGES IN THE COMPLEX TREATMENT OF PERIODONTAL DISEASES, AND PARTIAL LOSS OF TEETH

2018 ◽  
Vol 22 (6) ◽  
pp. 288-291
Author(s):  
S. N Garazha ◽  
Malkan Abdrashitovna Amhadova ◽  
E. N Grishilova ◽  
Z. S Hubayev ◽  
D. Yu Rakhaeva ◽  
...  
Keyword(s):  
Laser Radiation ◽  
Blood Circulation ◽  
Periodontal Diseases ◽  
Hemodynamic Parameters ◽  
Complex Treatment ◽  
Partial Loss ◽  
Hemodynamic Changes ◽  
Periodontal Tissues ◽  
Steady Improvement ◽  
Metal Ceramic

Inflammatory periodontal disease is a common pathology and in some cases determine the partial loss of teeth. Studied hemodynamic indicators point to a steady improvement of blood circulation in the periodontal tissues after treatment by combination of immobilized diarizing, and laser radiation. Hemodynamic parameters of patients using clasp dentures with acrylic teeth are significantly lower than those of patients using clasp dentures with metal-ceramic teeth.

scholarly journals STATE OF THE PLATELET HEMOSTASIS IN THE MIDDLE-AGED AND THE ELDERLY HYPERTENSIVE PATIENTS

2020 ◽  
Vol 2 (12) ◽  
pp. 120-125
Author(s):  
V. S. Pasko
Keyword(s):  
Essential Hypertension ◽  
Elderly Patients ◽  
The Elderly ◽  
Control Group ◽  
Middle Aged ◽  
Hypertensive Patients ◽  
Group I ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients ◽  
Induced Aggregation

It has long been known that complications of essential hypertension are associated mostly with disorders of blood coagulation system and degree of absolute risk of cardiovascular events is growing with increasing of age. That is why much attention is paid to more detailed study of mechanisms of thrombosis as the component of complications of essential hypertension through lens of hemostatic changes at present. Therefore, regulatory mechanisms of initiation of thrombus formation and participation of platelet hemostasis are studied in hypertensive patients insufficiently today. The aim of the study was to identify the baseline levels of the platelet hemostasis indices in the middle-aged and the elderly hypertensive patients. Material and methods. We performed the comparative assessment of status of the platelet hemostasis in 63 middle-aged (group I) and 53 elderly patients (group II) respectively to clarify this issue in our work. Patients of the surveyed groups were comparable in age, sex and related pathology. The control group consisted of 15 patients for every of the surveyed groups (group III the middle-aged and group IV the elderly respectively) matched with basic by age and gender. Conclusions. Therefore, there is the increase in platelet activity depending on age in the middle-aged and the elderly hypertensive patients that is manifested by adrenaline stimulation most clearly. In addition, the most significant changes are determined in the spontaneous and the adrenaline-induced aggregation namely in amplitude and slope of aggregation in the spontaneous and time of maximal aggregation in the adrenaline-induced aggregation in the patients of older age group compared with the middle-aged patients. The substantial deceleration of time of maximal aggregation during the adrenaline stimulated aggregation in 1,6 times (p<0,001) in the elderly patients confirms the expressed thrombogenicity and sensitiveness to neurohumoral influences too. Thus, the blood plasma thrombogenicity revealed in the study of the platelet hemostasis in the elderly indicates a high probability of thrombotic complications developing in this category of the patients and this is consistent with literature.

scholarly journals Impact of Pharmacist Counselling on Medication Adherence among Elderly Patients on Antihypertensive Therapy in a Tertiary Care Hospital of Nepal

2019 ◽  
Vol 1 (1) ◽  
pp. 40-47
Author(s):  
Sumitra Shrestha ◽  
Renu Karki ◽  
Mamita Ghimire
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Elderly Patients ◽  
Intervention Group ◽  
The Elderly ◽  
Control Group ◽  
Care Hospital ◽  
Hypertensive Patients ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients

Background: Poor adherence (compliance) is common with antihypertensive medications among elderly patients. As the elderly people are prone to multiple comorbidities, they are at higher risk of polypharmacy and therefore may present with a higher risk of non-adherence to medications compared to the younger population. The study was conducted to investigate the impact of pharmacist counseling on medication adherence among elderly hypertensive patients. Methods: The elderly hypertensive patients who visited the out-patient department at Chitwan Medical College (CMC) between August to November 2018. The face-to-face interview was conducted among 332 elderly hypertensive patients, selected with the purposive sampling technique. A paired t-test was used to show the difference between pre-test and post-test medication adherence. Results: It was found that 13.85% of patients were poor adherent and 86.14% low adherent in the intervention and the control group. The major reason for non-adherence was found to be carelessness about taking medicine (97%). The adherence score for intervention group changed from 1.60±0.83 to 3.95±0.56 (p-value < 0.001) while in the control group the average score before and after follow up was 1.48±0.77 and 1.51±0.80 (p=0.373) respectively. Blood pressure status improved in the intervention group than the control group (p<0.001). Polypharmacy was 27.71%, 15.66% of whom experienced adverse drug reactions. Conclusion: The patient medication counseling had a good impact on hypertensive patients. All factors of the Morisky Green Levine adherence scale improved after counseling and motivation. Pharmacist-led counseling improved medication adherence among elderly hypertensive patients. Keywords: Blood Pressure, Counseling, Elderly, Hypertension, Medication Adherence, Pharmacist

scholarly journals EDUKASI EFEKTIF UNTUK PASIEN HIPERTENSI LANSIA PADA BAKTI SOSIAL

2019 ◽  
Author(s):  
Hamzah Haryo Prakoso
Keyword(s):  
Health Services ◽  
Elderly Patients ◽  
The Elderly ◽  
Medical Services ◽  
Special Treatment ◽  
Patient Knowledge ◽  
Hypertensive Patients ◽  
Life Threatening ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients

Baksos is one of the usual health services. Usually this activity provides free medical services so that many people are interested in coming to see their health. Elderly patients are chosen because elderly patients have special treatment and are vulnerable to life-threatening diseases. whereas hypertensive patients are chosen because the elderly patients who come are the majority who experience the disease. the condition is exacerbated by the lack of patient knowledge about hypertension and the patient's willingness to control routinely. with the existence of good and correct education it is expected that elderly hypertensive patients can be handled properly.

Comparison of a Long-Acting Form of Propranolol and Conventional Propranolol in the Treatment of Hypertension in Elderly Patients

1987 ◽  
Vol 15 (3) ◽  
pp. 128-133
Author(s):  
A. U. Khan
Keyword(s):  
Elderly Patients ◽  
Second Line ◽  
Double Blind ◽  
Once Daily ◽  
Hypertensive Patients ◽  
Treatment Of Hypertension ◽  
Blood Pressures ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients ◽  
Long Acting

Nineteen elderly hypertensive patients already being treated with a diuretic and, where necessary, another anti-hypertensive agent, were studied in a double-blind, randomized, crossover comparison of conventional propranolol, 40 mg three times daily, with a long-acting propranolol formulation, 160 mg once daily, as a second line agent. Patients were assessed before taking the morning's allocated medication. This was done as near as possible to 24 h after the last dose of once daily propranolol and as near as possible to 15 h after the last dose of three times daily conventional propranolol. Assessment was carried out at the time of randomization and after 4 weeks' treatment with both propranolol formulations. Heart rate and blood pressures were measured in the supine and standing positions and after exercise. Both propranolol formulations were effective as second line agents in these elderly patients and both were well tolerated. Patient compliance on both propranolol formulations was very good although the long-acting formulation may be of value in improving this still further.

scholarly journals Methodology of Conducting Physical Training Classes for Primary Schoolers with Impaired Posture

2016 ◽  
pp. 27-33 ◽  
Author(s):  
В. В. Спіцин
Keyword(s):  
Physical Education ◽  
Physical Training ◽  
Secondary School Teachers ◽  
Skeletal Development ◽  
Physical Development ◽  
Physical Exercises ◽  
Program Content ◽  
Definition Of ◽  
The Right ◽  
Primary School Age

Research objective: to determine the program content and methodological peculiarities of physical education of primary schoolers with impaired posture during the physical training classes. Research methods: analysis of scientific, methodological and special literature; definition of physical development and physical preparedness (control tests); pedagogical observation; mathematical and statistical data processing. Research results. The primary school age being the period of growth and skeletal development, it is very important to pay particular attention to primary schoolers’ correct posture development, as it directly defines the condition of their physical health. Faults in children’s posture are a condition that we can stop from progressing and correct provided that we take prompt preventive measures. The right use of specially selected complexes of physical exercises, active games and regular workouts at home prove to have improved physical development in children with impaired posture. Secondary school teachers of physical training can qualitatively manage the process of pupils’ physical education in class by carrying out systematic pedagogical control, using the specific program content and accounting for the methodological peculiarities in the physical education of primary schoolers with impaired posture.

scholarly journals Hemodynamics Study of Different Take-Off Angles of the Left Coronary Artery

2017 ◽  
Author(s):  
John J. Asiruwa ◽  
Aaron M. Propst ◽  
Stephen P. Gent
Keyword(s):  
Fluid Dynamics ◽  
Computational Fluid Dynamics ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Aortic Root ◽  
Blood Circulation ◽  
Left Coronary Artery ◽  
Left Main ◽  
Computational Fluid Dynamics Cfd ◽  
The Right

Coronary arteries are located on the surface of the heart and supply oxygenated blood to the myocardium and other components of the heart. The two coronary arteries located above the aortic arch are the Left Coronary Artery (LCA) and Right Coronary Artery (RCA). The LCA branches into the Left Anterior Descending (LAD) and the Left Circumflex (LCx) while the RCA branches into the Right Marginal Artery (RMA) and Post Descending Artery (PDA). The coronary arteries are likened to a complex tube-like structure, and the motion of the heart cause changes in pressure, which allows proper blood circulation during the systolic and diastolic phases [1]. Since it is essential to understand the physiological and hemodynamical behavior of the heart and coronary arteries, numerous studies have been conducted at different artery locations in the heart. Most of the research has focused on the branches between the LAD and LCx, with little or no attention directed towards the take-off angle the LCA makes with the aortic root. Although it has been reported that certain take-off angles of left main (LM) can be considered anomalous, findings have documented that such take off angles can make the artery prone to atherosclerosis and sudanophilia diseases [2]. Computational Fluid Dynamics (CFD) has in recent years been used to solve a wide variety of fluid flow challenges, and can be used for this study. The goal of this study is to use CFD techniques to study the hemodynamics of the different take-off angles of the left coronary artery from the aortic root. This will help identify areas in the left coronary artery that could be prone to atherosclerosis buildup.

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