High blood pressure after heart attack carries high risk

2008 ◽  
Vol 22 (35) ◽  
pp. 15-15
2021 ◽  
Vol 3 (3) ◽  
pp. 346
Author(s):  
Fithriyani Fithriyani ◽  
Vevi Suryenti Putri

Hypertension or high blood pressure is characterized by increased blood pressure. The incidence of hypertension continues to increase, the dangers of complications that arise, and the risks of long-term pharmacological treatment. The prevalence of hypertension tends to increase recently. Hypertension that is not treated properly has a high risk of complications including stroke, pulmonary edema, heart attack, and kidney failure. One of the efforts to prevent complications of hypertension is by controlling blood pressure regularly and controlling hypertension, one of which is by using family medicinal plants (TOGA) which are widely grown around residents' homes. The method of activities carried out is in the form of socialization by providing counseling on how to control hypertension by utilizing TOGA. Implementation of activities carried out on residents in the Lebak Bandung Village, Jambi City. The purpose of this activity is to provide an understanding to residents about how to control hypertension through TOGA and can apply it in their respective yards


2015 ◽  
Vol 18 (6) ◽  
pp. 572-580 ◽  
Author(s):  
Soohyun Nam ◽  
Robin Whittemore ◽  
Sangchoon Jeon ◽  
Melissa A. Davey-Rothwell ◽  
Carl Latkin

Author(s):  
Priscilla O Okunji ◽  
Johnnie Daniel ◽  
Anthony Wutoh

Background: The effects of blood pressure on outcomes of inpatients with cardiovascular related diseases in teaching and non teaching hospitals are not well known. In this study we are investigating the prevalence of hypertension and other co-morbidities on the length of stay and transfers of inpatients’ with heart attack in teaching and non teaching hospitals. Method: Patients were selected using International Classification of Diseases-9-Clinical Modification primary diagnosis codes from the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) database. Data were retrospectively extracted from 1,056 hospitals in 42 States with 8,158,381 samples in 2008. Multivariate statistical techniques were used to examine patient characteristics and outcomes of inpatient with heart attack, diabetes and other co-morbidities in teaching and non teaching hospitals. Results: The percentage of hospital length of stay for a day or less than one day was higher in non- teaching than in teaching hospitals for patients’ co-morbidities. Especially for hypertension, the percentage was higher in non-teaching hospitals, X 2 = 25.236, df = 6, p =.000. The percentage of longer lengths of stay (7-13 days) for congestive heart failure (CHF) was also higher in non teaching hospitals (34.9%) than teaching hospitals (25%). The results correlate with the symptomatic effects of heart attack. High blood pressure resulting into rupture, clot and necrotic tissues which limits blood circulation, hence heart attack. In addition, inpatients’ with chronic pulmonary disease (X 2 = 37.225, df = 4, p =.000) and hypertension (X 2 = 46.058, df = 4, p =.000) had higher transfer rates in non-teaching hospitals. The difference between teaching and non-teaching hospitals was statistically significant for chronic pulmonary disease and hypertension was large enough to affect clinical policy. Conclusions: This study has ascertained that the effect of hypertension on the length of stay and transfers of inpatients with cardiovascular events in teaching and non teaching hospitals is highly significant. Hence, it is suggested that there should be a policy in place to screen all patients for hypertension and other co-morbidities on admission to prevent cardiovascular complications.


2013 ◽  
Vol 21 (3) ◽  
pp. 726-733 ◽  
Author(s):  
Nilba Lima de Souza ◽  
Ana Cristina Pinheiro Fernandes de Araújo ◽  
Iris do Ceu Clara Costa

OBJECTIVE: To identify the meanings attributed by mothers to hypertensive disorders of pregnancy (HDPs) and their consequences, such as premature birth and hospitalization of the infant in the neonatal intensive care unit (NICU). METHOD: A qualitative study, based on the Central Nucleus Theory, with 70 women who had hypertensive disorders of pregnancy and preterm delivery. We used the technique of free word association (FWAT) with three stimuli: high blood pressure during pregnancy, prematurity and NICU. RESULTS: We obtained 1007 evocations, distributed as follows: high blood pressure during pregnancy (335) prematurity (333) and NICU (339). These constituted three thematic units: representation of HDPs, prematurity and the NICU. The categories death and negative aspects were inherent to the three units analyzed, followed by coping strategies and needs for care present in HDPs and prematurity. CONCLUSION: The study had death as its central nucleus, and highlighted the subjective aspects present in the high risk pregnancy and postpartum cycle. It is hoped that this research will contribute to qualifying nursing care for women confronting the problem of HDPs, so that they can cope with less impacts from the adverse effects of high risk pregnancy and birth.


Author(s):  
Jie Jack Li

Cardiovascular diseases are the leading cause of death worldwide and are projected to remain in the lead through 2025. Heart-related diseases include angina, arrhythmia, atrial fibrillation, congestive heart failure, hypertension, atherosclerosis, myocardial infarction (heart attack), and sudden cardiac death. More than 300,000 Americans suffer sudden heart attacks each year. In addition, one of the more important recently identified drug-induced cardiac events, which has occasionally resulted in drugs being withdrawn, is drug-induced torsade des pointes. This is a rare, fatal arrhythmia that has been associated with some drugs that prolong the QT interval of the electrocardiogram (ECG). Hypertension is America’s number one chronic disease. Fifty million Americans, one in six, suffer from high blood pressure. Similarly, high blood pressure affects about one-sixth of the world’s population (1 billion people) worldwide—mostly in the developed world. If uncontrolled, it can lead to heart attack, heart failure, stroke, and other potentially fatal events. Great strides have been made during the past 50 years in conquering cardiovascular diseases. Cardiopulmonary resuscitation (CPR) was developed by a group of researchers at the Johns Hopkins University in 1961. The 1960s also saw the emergence of beta-blockers. Calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, and statins appeared in the 1980s and the 1990s. Angiotensin II receptor blockers (ARBs) also emerged in the 1990s. The heart, about the size of a person’s fist, beats about 2.8 billion times in a lifetime, pumping blood and oxygen through the body. Although its function was shrouded in mystery for centuries, mankind has come a long way in understanding how the heart works anatomically and physiologically, although we haven’t made much progress in understanding its “emotional” nature. Greek philosopher and anatomist Aristotle (384–322 B.C.) was the founder of biology. He was very interested in human and animal anatomy, especially the cardiovascular systems in higher animals. In his books he described, for the first time, the human blood system with an emphasis on the deeper-lying vessels. He incorrectly believed that the heart was the organ in which emotions were generated, whereas the function of the brain was to cool the blood. More than 500 years later, the German-born Roman physician Galen (130–200 A.D.) made two revolutionary discoveries about the cardiovascular system.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250489
Author(s):  
Pearl A. McElfish ◽  
Christopher R. Long ◽  
Zoran Bursac ◽  
Aaron J. Scott ◽  
Harish E. Chatrathi ◽  
...  

Introduction Hypertension is a leading risk factor for heart attack and stroke. Undiagnosed hypertension increases the risk of heart attack and stroke. The risk of hypertension is increased for those with type 2 diabetes mellitus (T2DM). Diabetes self-management education (DSME) has been shown to be effective at improving clinical outcomes, including reducing blood pressure, but few studies have evaluated the effects of DSME for Native Hawaiians and Pacific Islanders. Methods This study examined the baseline prevalence of diagnosed hypertension and undiagnosed high blood pressure and differences in health care access between those with diagnosed hypertension versus undiagnosed high blood pressure. The sample consisted of 221 Marshallese adults with T2DM participating in a DSME randomized controlled trial in northwest Arkansas. The study also examined the effects of DSME interventions on participants’ blood pressure, comparing an Adapted-Family DSME with a Standard DSME. Results Nearly two-thirds of participants had blood pressure readings indicative of hypertension, and of those, over one-third were previously undiagnosed. The frequency of doctor visits was significantly lower for those with undiagnosed high blood pressure. There were no differences in health insurance coverage or forgone medical care between those with undiagnosed high blood pressure versus diagnosed hypertension. Across all participants, a significant reduction in systolic blood pressure occurred between baseline and post intervention, and a significant reduction in diastolic blood pressure occurred between baseline and post-intervention, 6 months, and 12 months post-intervention. No differences were observed by study arm. Conclusion This study is the first to document the prevalence of diagnosed hypertension and undiagnosed high blood pressure, as well as the effects of DSME on blood pressure among a sample of Marshallese adults with T2DM.


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