scholarly journals Prevalence of Hypertension in Patients with Nephrolithiasis

Author(s):  
I. Adhavan ◽  
S. Prasanna Karthik

Introduction: Kidney stone disease, also known as nephrolithiasis, is a prevalent illness that affects people of all ages and genders. Hypertension is defined as persistent elevation of systemic arterial blood pressure (systolic pressure ≥ 140 mmHg and/or diastolic pressure ≥ 90 mmHg). Methodology: This was a prospective study conducted over a period of 3 months between February 2021 and April 2021 at the Department of General Medicine in our tertiary care center. A total of 280 patients who came to the outpatient department (OPD) were included in the study as study participants. After recording blood pressure, participants were classified as normotensives (218) and hypertensives (62).  The study participants were examined for the development of kidney stone disease. In those study participants who had clinical features suggesting nephrolithiasis, the diagnosis was confirmed by Ultrasonography. Results: It was observed that 25 of 62 hypertensives and 47 of 218 normotensives developed nephrolithiasis. And there were 43 men and 29 women among the 72 stone formers. Conclusion: Our study showed a male preponderance for stone formers. And it is also evident that nephrolithiasis is more prevalent among hypertensives than normotensives though not statistically significant.

2002 ◽  
Vol 38 (6) ◽  
pp. 521-526 ◽  
Author(s):  
Janice M. Bright ◽  
Mariellen Dentino

Arterial blood pressure measurements were obtained from 158 healthy Irish wolfhounds using the oscillometric technique to establish reference values for the breed. In contrast to other sight hounds, Irish wolfhounds have low arterial blood pressure. Mean systolic pressure for the group was 116.0 mm Hg. Mean diastolic pressure was 69.2 mm Hg, and the mean value for mean arterial pressure was 87.8 mm Hg. Blood pressure measurements were higher in older wolfhounds than in young dogs. There was no difference between systolic and mean arterial blood pressures in lateral recumbency compared to standing position. However, diastolic pressure was slightly lower when standing. Calm dogs had lower pressure than anxious wolfhounds. There was a significant interaction between the effects of age, gender, and mood on systolic, diastolic, and mean arterial blood pressure values.


2011 ◽  
Vol 40 (3) ◽  
pp. 225-229 ◽  
Author(s):  
Jose A. Meneses ◽  
Fernando M. Lucas ◽  
Fernando C. Assunção ◽  
Junia P. P. Castro ◽  
Rogério B. Monteiro

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Saibin Wang ◽  
Qian Ye

Abstract Background Hemorrhage is one of the most common complications of bronchoscopy. Although several hemorrhage risk factors have been proposed, it remains unclear whether blood pressure affects the onset of biopsy-induced endobronchial hemorrhage. Methods We conducted a retrospective cohort study of 643 consecutive adults with lung cancer over an approximately 4-year period (from January 2014 to February 2018) at a large tertiary care hospital. Patients were divided into the hemorrhage group and the non-hemorrhage group based on endobronchial biopsy (EBB) findings. The association between systolic pressure (SP), diastolic pressure (DP), mean arterial pressure (MAP), pulse pressure (PP), PP to DP ratio (PP/DP) and the risk of EBB-induced hemorrhage was evaluated using multivariate regression analysis and smooth curve fitting adjusted for potential confounding factors. Results The EBB-induced bleeding incidence was 37.8% (243/643) in our cohort. An independent association was found between PP/PD and the EBB-induced hemorrhage risk (per 1 SD, adjusted odds ratio, 0.788; 95% confidence interval, 0.653-0.951). The multivariate regression analysis performed using quartiles of PP/DP revealed that lower level of PP/DP ratio was related to a higher risk of EBB-induced hemorrhage (P for trend <0.05) after adjustment for potential confounders. However, no association was observed between SP, DP, MAP, PP and EBB-induced hemorrhage. Conclusions Low PP/DP was the independent risk factor for biopsy-induced endobronchial hemorrhage during bronchoscopy in patients with lung cancer.


1982 ◽  
Vol 242 (1) ◽  
pp. H127-H130 ◽  
Author(s):  
B. C. Hodgkin ◽  
D. E. Burkett ◽  
E. B. Smith

Arterial blood pressure was measured noninvasively using Doppler ultrasound and an occluding cuff. The subjects were 28 domestic pigs (10-49 kg) anesthetized with pentobarbital sodium (25 mg/kg). Indirect pressure measurements were made with the Doppler unit placed over the radial or the ulnar artery proximal to the carpal joint. Comparison was made with directly measured pressure to determine the reliability and reproducibility of the indirect method. Direct systolic pressures between 73 and 230 mmHg and diastolic pressures between 52 and 165 mmHg were measured. There was no significant difference between directly and indirectly measured systolic pressure (P greater than 0.20). Indirectly measured diastolic pressure tended to be lower than direct diastolic pressure, the difference by the paired t test being significant to P = 0.06. For systolic pressure the sample correlation coefficient was 0.94, and for diastolic pressure, 0.88. Both systolic and diastolic blood pressure can be accurately measured in the anesthetized pig using Doppler ultrasound and an occluding cuff.


2020 ◽  
Vol 31 (6) ◽  
pp. 1358-1369 ◽  
Author(s):  
Michelle R. Denburg ◽  
Kristen Koepsell ◽  
Jung-Jin Lee ◽  
Jeffrey Gerber ◽  
Kyle Bittinger ◽  
...  

BackgroundThe relationship between the composition and function of gut microbial communities and early-onset calcium oxalate kidney stone disease is unknown.MethodsWe conducted a case-control study of 88 individuals aged 4–18 years, which included 44 individuals with kidney stones containing ≥50% calcium oxalate and 44 controls matched for age, sex, and race. Shotgun metagenomic sequencing and untargeted metabolomics were performed on stool samples.ResultsParticipants who were kidney stone formers had a significantly less diverse gut microbiome compared with controls. Among bacterial taxa with a prevalence >0.1%, 31 taxa were less abundant among individuals with nephrolithiasis. These included seven taxa that produce butyrate and three taxa that degrade oxalate. The lower abundance of these bacteria was reflected in decreased abundance of the gene encoding butyryl-coA dehydrogenase (P=0.02). The relative abundance of these bacteria was correlated with the levels of 18 fecal metabolites, and levels of these metabolites differed in individuals with kidney stones compared with controls. The oxalate-degrading bacterial taxa identified as decreased in those who were kidney stone formers were components of a larger abundance correlation network that included Eggerthella lenta and several Lactobacillus species. The microbial (α) diversity was associated with age of stone onset, first decreasing and then increasing with age. For the individuals who were stone formers, we found the lowest α diversity among individuals who first formed stones at age 9–14 years, whereas controls displayed no age-related differences in diversity.ConclusionsLoss of gut bacteria, particularly loss of those that produce butyrate and degrade oxalate, associates with perturbations of the metabolome that may be upstream determinants of early-onset calcium oxalate kidney stone disease.


2021 ◽  
Vol 1 ◽  
pp. 570-578
Author(s):  
Khalimatul Latifah ◽  
Firman Faradisi

AbstractHypertension is an abnormal levels of blood pressure, which is characterized by a systolic pressure above 140 mmHg and a diastolic pressure above 90 mmHg it occurs in arterial blood vessels that can transport blood from the heart and is able to pump it throughout the tissues, organs of the body that are continuously more than a period. Pain is a state of uncomfortable feelings and pain can also create disturbances in sleep and rest patterns. One of an alternative interventions to reduce neck pain is back messase relaxation. The purpose of the study was to applied back message relaxation therapy to reduce neck pain in patients with hypertension. The method of the scientific study was a case studies with the application of interventions It is done for three days twice a day in the morning and evening and subjects of this case study were two hypertension patients who experienced neck pain. The result show that back messase relaxation was effective in reducing neck pain. Accordingly, the back messase relaxation can be used to reduce neck pain in hypertension patients. Keywords: Back Messase Relaxation; Hypertension; Neck Pain AbstrakHipertensi merupakan suatu peningkatan tekanan darah yang abnormal, yang di tandai dengan tekanan sistolik di atas 140 mmHg dan tekanan diastolik di atas 90 mmHg yang terjadi di dalam pembuluh darah arteri yang dapat mengangkut darah dari jantung dan mampu untuk memompanya keseluruh jaringan, organ-organ tubuh yang secara terus-menerus yang lebih dari suatu periode. Nyeri adalah suatu keadaan perasaan yang tidak nyaman dan nyeri dapat juga membuat gangguan pada pola tidur dan istirahat. Tindakan untuk menurunkan nyeri kepala salah satunya dengan messase punggung. Messase punggung mampu untuk menurunkan nyeri kepala. Tujuan Karya Tulis Ilmiah ini adalah untuk menggunakan terapi relaksasi messase punggung untuk menurunkan nyeri kepala pada penderita hipertensi. Metode yang di gunakan dalam karya tulis ilmiah ini adalah studi kasus dengan penerapan intervensi yang di lakukan selama tiga hari sebanyak dua kali dalam sehari pada waktu pagi dan sore hari dan subyek studi kasus ini dua klien penderita hipertensi yang mengalami nyeri kepala. Hasil Karya Tulis Ilmiah ini menunjukkan perubahan skala nyeri dan mengatakan nyeri berkurang pada klien I dan II. Kesimpulan dari studi kasus ini menunjukkan messase punggung efektif untuk menurunkan nyeri kepala pada penderita hipertensi. Saran dari penulis di harapkan relaksasi messase punggung ini dapat di gunakan untuk penerapan yang efektif pada penderita hipertensi yang mengalami nyeri kepala..Kata kunci: Hipertensi; Nyeri kepala; Relaksasi messase punggung


Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4363
Author(s):  
Matteo Bargagli ◽  
Pietro Manuel Ferraro ◽  
Matteo Vittori ◽  
Gianmarco Lombardi ◽  
Giovanni Gambaro ◽  
...  

Kidney stone disease is a multifactorial condition influenced by both genetic predisposition and environmental factors such as lifestyle and dietary habits. Although different monogenic polymorphisms have been proposed as playing a causal role for calcium nephrolithiasis, the prevalence of these mutations in the general population and their complete pathogenetic pathway is yet to be determined. General dietary advice for kidney stone formers includes elevated fluid intake, dietary restriction of sodium and animal proteins, avoidance of a low calcium diet, maintenance of a normal body mass index, and elevated intake of vegetables and fibers. Thus, balanced calcium consumption protects against the risk for kidney stones by reducing intestinal oxalate availability and its urinary excretion. However, calcium supplementation given between meals might increase urinary calcium excretion without the beneficial effect on oxalate. In kidney stone formers, circulating active vitamin D has been found to be increased, whereas higher plasma 25-hydroxycholecalciferol seems to be present only in hypercalciuric patients. The association between nutritional vitamin D supplements and the risk for stone formation is currently not completely understood. However, taken together, available evidence might suggest that vitamin D administration worsens the risk for stone formation in patients predisposed to hypercalciuria. In this review, we analyzed and discussed available literature on the effect of calcium and vitamin D supplementation on the risk for kidney stone formation.


2018 ◽  
Vol 2 (2) ◽  
pp. 1-6
Author(s):  
Małgorzata Kołpa ◽  
Agnieszka Jankowicz-Szymańska

Introduction: The dynamic development of society affects the health of the population. We often address civilization-related diseases affecting increasingly younger people. The lack of both a balanced diet and physical activity leads to hypertension and obesity. These diseases have a number of serious consequences. The aim of the study was to demonstrate the influence of an educational programme on the arterial pressure and body weight status of children between 10 and 12 years of age. Material and methods: The study (education program) involved 60 primary school pupils in grades 4-6, including 40 boys and 20 girls whose BMI and arterial blood pressure values differed, higher from the standard norms. Anthropometric measurements were made, i.e., height, body weight, blood pressure and blood biochemical tests. Then, the pupils were taken care of by a dietician and a trainer. Results: The problem is the small number of fruits and vegetables in the children’s diet, which is far below the recommended standards. In the study group, nearly 12% of the children had elevated TSH levels. Physical activity of the participants was low and was mostly limited to compulsory physical education lessons. According to the surveys carried out the girls were physically active much less frequently than the boys. Conclusions: The increase in the BMI index results in increased systolic pressure in children. An increase in TSH increases the value of diastolic pressure in 10- to 12-year-olds. Children eat too few fruits and vegetables per week compared to the established standards. The implementation of an educational programme in nutrition and physical activity affects the reduction of BMI in children with excess body weight.


2013 ◽  
Vol 760-762 ◽  
pp. 2081-2085
Author(s):  
Man Li Zhong ◽  
Min Chen ◽  
Qun Wang

Blood pressure is one of the most important indexes for human beings health. This paper presents an optimized algorithm to measure arterial blood pressure based on oscillometric technique. The bilateral filter and Gaussian-fitting method are respectively expressed to apply in noise eliminating, oscillation pulse extracting and curve fitting. The systolic pressure and diastolic pressure are determined by combination of proportional coefficient method, maximum slope method and curvature method. Moreover, a judgment for arrhythmias is employed in heart rate calculation. Experimental results have proved the precision and accuracy of the algorithm.


2021 ◽  
Vol 8 ◽  
Author(s):  
Zhongyu Jian ◽  
Menghua Wang ◽  
Xi Jin ◽  
Hong Li ◽  
Kunjie Wang

We aimed to explore the associations between diet-derived antioxidants and kidney stone disease (KSD) risk in this study. We performed weighted multivariable-adjusted logistic regression to assess the associations between the six main diet-derived antioxidants and the risk of KSD by using data from the National Health and Nutrition Examination Survey (NHANES) 2007–2018. Then, we used the Mendelian randomization (MR) approach to verify the causal relationships between circulating antioxidants levels and KSD risk. Genetic tools were extracted from published genome-wide association studies (GWAS). Summary data for KSD was from the FinnGen study and UK biobank. Inverse variance weighted (IVW) was the primary analysis. The 26,438 participants, including 2,543 stone formers, were included for analyses. There were no significant associations between retinol, vitamin B6, vitamin C, vitamin E, and lycopene intake with the risk of KSD across all the quartile categories. Similarly, pooled odds ratio (OR) for KSD risk in genetically predicted per unit change were 1.25 (95% CI: 0.39, 4.02; p = 0.712), 1.14 (95% CI: 0.84, 1.53; p = 0.400), 0.75 (95% CI: 0.52, 1.10; p = 0.141), 1.66 (95% CI: 0.80, 3.46; p = 0.178), 1.27 (95% CI: 0.29, 5.62; p = 0.756), and 0.92 (95% CI: 0.76, 1.12; p = 0.417) for retinol, β-carotene, vitamin B6, vitamin C, α-tocopherol, and lycopene, respectively. The above estimates were replicated in the secondary analyses using UK biobank data. Our study did not support a causal association between circulating antioxidants levels and KSD risk. However, these findings should be verified in larger sample-size MR due to the pleiotropy and other limitations.


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