scholarly journals The condition of parameters of memory, attention and thinking at men of young age officers under the contractwith arterial hypertension.

2009 ◽  
Vol 6 (4) ◽  
pp. 59-63
Author(s):  
Il'ya Mikhaylovich Davidovich ◽  
Oleg Vladimirovich Afonaskov ◽  
Yuliya Konstantinovna Staroverova

Aim: to evaluate memory, attention and thinking functions indices in young hired military officers depending on their 24-hours blood pressure profiles. Materials and methods. The study was made in 49 patients with stage 1-2 arterial hypertension, aged 39,3±0,8, who did not take hypotensive medicines or took them occasionally. 24-hours blood pressure monitoring was performed with assessment of cognitive functions (memory, attention) depending on the stage, degree and duration of the disease. The control group included 12 men with no signs of arterial hypertension. Results. Comparing with the controls the memory, attention and thinking indices in hypertonic patients were found to be lower .even in those who had the first degree of hypertension and duration of the disease less than 5 years. The hypertonic patients showed lowering of attention and semantic memory scopes irrespective of duration of the disease. There was a negative correlation between monitored blood pressure data and memory, attention and thinking indices. Conclusions. Light cognitive dysfunctions can be found in young hired military officers with initial arterial hypertension but they are more typical for stage 2 of the disease

Author(s):  
Domenico Di Raimondo ◽  
Gaia Musiari ◽  
Alida Benfante ◽  
Salvatore Battaglia ◽  
Giuliana Rizzo ◽  
...  

Background: several studies report an increased risk for asthmatic subjects to develop arterial hypertension and the relationship between these two diseases, frequently co-existing, still has some unclear aspects. Methods: The BADA (blood pressure levels, clinical features and markers of subclinical cardiovascular damage of asthma patients) study is aimed to evaluate the prevalence of the cardiovascular comorbidities of asthma and their impact on the clinical outcome. The main exclusion criteria were the presence of other respiratory diseases, current smoking, any contraindication to ambulatory blood pressure monitoring (ABPM). Results: The overall percentage of asthmatics having also hypertension was 75% (30 patients) vs. 45% (18 patients) of the control group (p: 0.012). Reduced level of FEV1 (but not inhaled steroid therapy) was associated to newly-diagnosed hypertension (p: 0.0002), higher day SBP levels (p: 0.003), higher day DBP levels (p: 0.03), higher 24 h-SBP levels (p: 0.005) and higher 24h-DBP levels (p: 0.03). The regression analysis performed taking into account sex, age, diabetes, fasting glucose, and body mass index confirms the independent role played by asthma: odds ratio (OR): 3.66 (CI: 1.29–11.1). Conclusions: hypertension is highly prevalent in asthma; the use of ABPM has allowed the detection of a considerable number of unrecognized hypertensives.


Sensors ◽  
2021 ◽  
Vol 21 (7) ◽  
pp. 2303
Author(s):  
Woojoon Seok ◽  
Kwang Jin Lee ◽  
Dongrea Cho ◽  
Jongryun Roh ◽  
Sayup Kim

Hypertension is a chronic disease that kills 7.6 million people worldwide annually. A continuous blood pressure monitoring system is required to accurately diagnose hypertension. Here, a chair-shaped ballistocardiogram (BCG)-based blood pressure estimation system was developed with no sensors attached to users. Two experimental sessions were conducted with 30 subjects. In the first session, two-channel BCG and blood pressure data were recorded for each subject. In the second session, the two-channel BCG and blood pressure data were recorded after running on a treadmill and then resting on the newly developed system. The empirical mode decomposition algorithm was used to remove noise in the two-channel BCG, and the instantaneous phase was calculated by applying a Hilbert transform to the first intrinsic mode functions. After training a convolutional neural network regression model that predicts the systolic and diastolic blood pressures (SBP and DBP) from the two-channel BCG phase, the results of the first session (rest) and second session (recovery) were compared. The results confirmed that the proposed model accurately estimates the rapidly rising blood pressure in the recovery state. Results from the rest sessions satisfied the Association for the Advancement of Medical Instrumentation (AAMI) international standards. The standard deviation of the SBP results in the recovery session exceeded 0.7.


2019 ◽  
Vol 18 (1) ◽  
pp. 73-81 ◽  
Author(s):  
I. Е. Deneka ◽  
A. V. Rodionov ◽  
V. V. Fomin

Aim.To evaluate the effectiveness of telmisartan as a component of triple antihypertensive therapy in patients with obesity and refractory arterial hypertension.Material and methods.The study included 30 patients with obesity and refractory arterial hypertension. All patients received an angiotensin II receptor blocker (ARB) or an angiotensin-converting enzyme inhibitor (ACE inhibitor) in an adequate dosage as part of a triple antihypertensive therapy that also includes a calcium antagonist and thiazide diuretic. Participants were randomly divided into two equal groups. In the main group, telmisartan (Dr. Reddy’s Laboratories) was prescribed at a dosage of 80 mg/day instead of the previously taken ARB or ACE inhibitor. In the control group, patients continued to receive a previously prescribed ARB or an ACE inhibitor. The primary end point was a decrease in mean daily systolic and/or diastolic blood pressure (SBP and DBP) according to 24-hour blood pressure monitoring at 10 mm Hg and more than 20 weeks after the start of the study. The secondary end point was a decrease in the concentration of inflammatory markers and an increase in the level of adiponectin by 15%.Results.After 20 weeks, in the telmisartan group, we noted a significant decrease in the average daily SBP and DBP: in the main group from 145,9±5,4/95,6±4,8 mm Hg to 134,8±3,0/84,9±4,2 mm Hg, in the control group with 147,2±4,9/96,4±5,6 mm Hg to 142,4±4,3/96,9±62 mm Hg. We also determined an increase in the serum adiponectin concentration from 9,3±5,6 μg/ml to 13,4±6,6 μg/ml in the main group and a decrease from 8,8±5,2 μg/ml to 8,6±5,6 μg/ml in the control group, as well as a decrease in the concentration of highly sensitive C-reactive protein (main group from 8,8±3,0 to 6,0±2,8 mg/l and the control group from 7,4±3,8 to 6,9±4,9 mg/l) and interleukin-6 (main group from 16,2±6,1 to 12,3±2,8 pg/ml, control group from 22,5±4,2 to 19,9±5,2 pg/ml).Conclusion.Telmisartan can be considered as a drug of choice as part of multi-component therapy in the treatment of patients with obesity and refractor arterial hypertension.


Author(s):  
Maria Anita Yusiana ◽  
Heru Suwardianto

Introduction: Many patients with hypertension have not got the proper treatment in controlling blood pressure (BP). The purpose of this study was to analyze the effectiveness of deep breathing (DB) and slow-stroke back massage (SSBM) in BP reduction to patients with hypertension. Method: The design was a True Experiment the Solomon Three-Group Design. Sampling technique was group randomized plan as many as 60 people. The treatment given was BP and SSBM. Blood pressure data retrieval used mercury spigmomanometer. Results: The results were ρ of BP values (systolic) was 0,000, while the value of ρ (diastolic) was 0,000. The value ρ of SSBM (systolic) was 0.000 while the value of ρ (diastolic) was 0.001. The statistical results of the effectiveness BP systolic reduction was the significant difference in both interventions with a control group with ρ = 0.000 and the most effective was the DB compare to SSBM with ρ = 0.05 (4.0 mmHg). While there are differences in BP diastolic reduction significantly in both interventions with the control group with ρ = 0.000 and the most effective was DB than SSBM with ρ = 0.01 (6.6 mmHg). Discussion: It can be concluded DB and SSBM are effective to lower BP (systolic mean difference of 9.3 mm Hg of DB and SSBM 5.3 mmHg, while diastolic mean DB 11.2 mmHg and SSBM. Keywords: deep breathing, slow stroke back massage, blood pressure, hypertension


Author(s):  
Tamara Haiduk ◽  
Olha Haiduk ◽  
Irene Gubar

Abstract: Objective: To investigate the significance of 24-hr ambulatory blood pressure monitoring (ABPM) data and metabolism indicators, as well their correlation in predicting the risk of left ventricular hypertrophy (LVH) in children and adolescents with arterial hypertension (AH). Methods: We studied 118 children and adolescents, M±m 15.51±0.25 yrs, Boys/Girls – 104/14, with AH: 60 stable, 40 labile, 18 prehypertension (high-normal blood pressure), and a control group of 13 normotensive children, M±m 15,19±0,41 yrs, Boys/Girls – 10/3. All patients underwent a comprehensive anamnestic, clinical, laboratory, and instrumental examination, including 24-hr ABPM; indicators were standardized by gender and age. On Doppler echocardiography (echoCG), the left ventricular myocardial mass index (LVMI) was calculated. Lipid spectrum parameters were determined by biochemical method, venous blood glycemia by GOD-PAP, blood serum basal immunoreactive insulin by ELISA methods, insulin resistance (IR) by HOMA parameters calculation. Statistical processing was performed using the package of statistical analysis software STATISTICA. Results: Of a range of metabolism indicators, BMI, TG level, LDL/HDL ratio, HOMA index, 24-hr DBP index, and the stable character of AH identified as the most significant factors in predicting the risk of LVH in hypertensive children. All multivariate models of logistic regressions, which include BMI, can predict the probability of LVH with an accuracy of 79.7-84.7%, sensitivity - 57.5-77.5%, specificity - 86.4-91.0%. Conclusions: Obtained satisfactory concordance of the actual data with predictive models' results indicate the possibility of their use to predict the risk of LVH in children and adolescents with AH.


Author(s):  
G. I. Obraztsova ◽  
T. V. Cheremnykh ◽  
Yu. R. Kovalev ◽  
O. A. Spetsakova ◽  
N. I. Vitina ◽  
...  

Three hundred and eighty children and adolescents (286 boys and 102 girls) aged 7 to 18 years who had elevated blood pressuie (BP) - BP elevation being recorded at least 3 times on individual visits to a doctor - were examined 24-hour BP monitoring was made in all the examinees to confirm the presence of arterial hypertension (AH) and to specify its grade Analyzing the find mgs indicated that in 24% of the examinees, BP values were in the normal range (daily pressure load was less than 25%), 43% of the patients were found to have labile AH (daily pressure load was within 25-50%), stable hypertension (daily pressure load was more than 50%) was recorded in 33% The predominant form of arterial hypertension m children with stable AH (daily pressure load was more than 50%) was a steady-state increase in systolic BP Reduced nocturnal BP dipping was observed in 29% of all the examinees The study of BP variability indicated a significant increase in this parameter depending on the degree of hypertension burden Thus, the findings suggest that the examinees had increased vascular tonicity and the impairments associated with the development of cardiovascular events m adulthood


2010 ◽  
Vol 16 (4) ◽  
pp. 390-394
Author(s):  
N. A. Karoli ◽  
A. A. Roschina ◽  
A. P. Rebrov

Objective. The aim of study is asses of the endothelial functional features in patient with bronchial asthma with different types of blood pressure (BP) circadial rhythm. Design and methods. 62 patients with bronchial asthma (from 25 to 60 years old) were included in our study. Control group was represented by 30 healthy people for examination of endothelial function and 77 patients with essential arterial hypertension for 24-h blood pressure rhythm analysis. We described 2 groups of patients («dippers» and «non-dippers») by ambulatory 24-h blood pressure monitoring. Results. «Non-dipper» type was significantly prevalent in patient with asthma in comparative with patients with essential arterial hypertension (51,6% opposite 33,7%). The flow-depended endothelial dysfunction is most common in patient with asthma (dippers and non-dippers) than in control group. Negative correlation between nitroglycerin-depended vasodilatation and night-depressing systolic and diastolic blood pressure degree was presented in the study. Conclusion. We founded associations between endothelial dysfunction and BP circadial rhythm in patients with bronchial asthma, especially in «non-dippers».


2020 ◽  
Vol 111 (6) ◽  
Author(s):  
Ramón C. Hermida ◽  
Artemio Mojón ◽  
José R. Fernández ◽  
Alfonso Otero ◽  
Juan J. Crespo ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document