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Blood Pressure

Päivi A Lempiäinen, Riitta-Liisa Vasunta, Risto Bloigu, Y Antero Kesäniemi, Olavi H Ukkola
PURPOSE: Non-dipping blood pressure (BP) pattern has been associated with metabolic changes and cardiovascular events. With regard of diabetes, studies are scarce. Our aim was to investigate if there is an association between changes in dipping patterns and incidence of diabetes. MATERIALS AND METHODS: A 24-h ambulatory BP measurement was recorded in addition to other laboratory measurements, and a questionnaire and physical examination were carried out in the baseline study and after 21-year follow-up among a study population (n = 449) consisting of randomly selected middle-aged Finnish females and males without diabetes...
May 15, 2019: Blood Pressure
Cai-Guo Yu, Fang-Fei Wei, Wen-Yi Yang, Zhen-Yu Zhang, Blerim Mujaj, Lutgarde Thijs, Ying-Mei Feng, José Boggia, Tim S Nawrot, Harry A J Struijker-Boudier, Jan A Staessen
BACKGROUND: Aortic pulse wave velocity (aPWV) predicts cardiovascular complications, but the association of central arterial properties with blood lead level (BL) is poorly documented. We therefore assessed their association with BL in 150 young men prior to occupational lead exposure, using baseline data of the Study for Promotion of Health in Recycling Lead (NCT02243904). METHODS: Study nurses administered validated questionnaires and performed clinical measurements...
May 10, 2019: Blood Pressure
Shao-Kun Xu, Yi Chen, Chang-Yuan Liu, Gerhard Spekowius, Raymond van Ee, Michiel de Jong, Meng Shen, Yan Li, Ji-Guang Wang
PURPOSE: Baroreflex emerges as a therapeutic target of hypertension. We investigated blood pressure (BP) lowering effect of the combined passive head-up and -down movement with device-guided slow breathing in untreated mild hypertension or high-normal BP. METHODS: In a randomized, cross-over trial, untreated subjects with an ambulatory systolic/diastolic BP of 125-140/80-90 mmHg and a clinic BP of 130-150/80-90 mmHg were randomized to intervention treatment with head movement and slow breathing or sham control, and then crossed over...
May 9, 2019: Blood Pressure
Costantino Mancusi, Maria Angela Losi, Raffaele Izzo, Eva Gerdts, Grazia Canciello, Maria Immacolata Arnone, Bruno Trimarco, Giovanni de Simone, Nicola De Luca
OBJECTIVES: Increased arterial stiffness is associated with advanced arteriosclerosis, abnormal left ventricular (LV) geometry and function. Whether increased arterial stiffness is associated with incident cardiovascular (CV) event (MACE), independent of other markers of target organ damage needs to be clarified. METHODS: We selected hypertensive participants of the Campania Salute Network free of prevalent CV disease, with available echocardiogram and carotid ultrasound, ejection fraction ≥50%, and ≤ stage III Chronic Kidney Disease (n = 6907)...
May 9, 2019: Blood Pressure
Peter C Nwakile, Babangida S Chori, Benjamin Danladi, Abdullahi Umar, Innocent C Okoye, Maxwell Nwegbu, Kefas Zawaya, Ime Essien, Kabiru Sada, John Ogedengbe, Akinyemi Aje, Godsent Isiguzo, Augustine N Odili
PURPOSE: Previous studies that evaluated the prevalence of hypertension in Nigeria were either clinic based, non-standardized or did not include out-of-clinic blood pressure (BP) measurement. MATERIALS AND METHODS: We selected a rural and an urban community in one state in each of the 6 geopolitical zones of Nigeria. Five consecutive BP of adults older than 18 years were measured in the clinic following which, each participant was provided with a home BP device to obtain duplicate morning and evening BP for 3 days...
May 7, 2019: Blood Pressure
Ying Wang, Dong-Yan Zhang, Qian-Hui Guo, Yi-Bang Cheng, Qi-Fang Huang, Chang-Sheng Sheng, Ting-Yan Xu, Ji-Guang Wang, Yan Li
OBJECTIVE: Advanced technology allows non-invasive monitoring of the 24-h brachial and central hemodynamics simultaneously. However, related reproducibility data was limited in White patients. We therefore explored if the novel measurements would be reproducible in Chinese. METHODS: From February 2017 to January 2018, 152 untreated patients who were suspected of hypertension and referred for ambulatory blood pressure (BP) monitoring were recruited. Ambulatory BP monitoring was repeated within one month (median, 12...
May 6, 2019: Blood Pressure
Jenni M Rimpelä, Teemu Niiranen, Antti Jula, Ilkka H Pörsti, Antti Tikkakoski, Aki Havulinna, Terho Lehtimäki, Veikko Salomaa, Kimmo K Kontula, Timo P Hiltunen
BACKGROUND: White-coat effect (WCE) confounds diagnosis and treatment of hypertension. The prevalence of white-coat hypertension is higher in Europe and Asia compared to other continents suggesting that genetic factors could play a role. METHODS: To study genetic variation affecting WCE, we conducted a two-stage genome-wide association study involving 1343 Finnish subjects. For the discovery stage, we used Genetics of Drug Responsiveness in Essential Hypertension (GENRES) cohort (n = 206), providing the mean WCE values from up to four separate office/ambulatory recordings conducted on placebo...
May 2, 2019: Blood Pressure
Caitlynd Myburgh, Hugo W Huisman, Catharina M C Mels
BACKGROUND: Oxidative stress and increased cardiovascular reactivity are associated with endothelial dysfunction and cardiovascular disease development. These factors along with early vascular compromise are more pronounced in black populations. We aimed to compare cardiovascular reactivity and investigate associations thereof with oxidative stress in two bi-ethnic cohorts (younger: 25.0 ± 3.19yrs; older: 44.7 ± 9.61yrs). METHODS: Cardiovascular reactivity using the color-word conflict test was measured with the Finometer device...
April 29, 2019: Blood Pressure
Vicente Pallarés-Carratalá, Irene Bonig-Trigueros, Antonio Palazón-Bru, María José Esteban-Giner, Vicente Francisco Gil-Guillén, Vicente Giner-Galvañ
PURPOSE: Recognition of clinical inertia is essential to improve the control of chronic diseases. Although it is very intuitive, a better interpretation of the concept of clinical inertia is lacking, likely due to its high complexity. MATERIALS AND METHODS: After a review of the published articles, we propose a practical vision of inertia, contextualized within the clinical process of hypertension care. RESULTS: This new vision enables the integration of previous terms and definitions of clinical inertia, as well as proposing specific strategies for its reduction...
April 26, 2019: Blood Pressure
Zulkif Tanriverdi, Feyzullah Besli, Fatih Gungoren, Mustafa Begenc Tascanov, Ibrahim Halil Altiparmak
No abstract text is available yet for this article.
April 23, 2019: Blood Pressure
Cora Wunder, Alexandre Persu, Jean-Philippe Lengelé, Coralie Mg Georges, Jean Renkin, Agnès Pasquet, Marc Carlier, Zhen-Yu Zhang, Jan A Staessen
PURPOSE: Drug adherence may be a major problem in the therapy of hypertension and in the diagnosis of therapy resistance. Adherence can be assessed by indirect methods or by direct methods like drug detection in urine with liquid chromatography-mass spectrometric methods. MATERIALS AND METHODS: The current analysis included patients with apparently treatment- resistant hypertension (TRH) referred for renal denervation (RDN) and included in the the INSPiRED pilot trial (NCT 01505010)...
April 3, 2019: Blood Pressure
Dong Wang, Mohamad Hatahet, Yanning Wang, Hong Liang, Yvette Bazikian, Christopher L Bray
PURPOSE: Since the publication of the 2017 ACC/AHA hypertension guideline, few studies have analyzed the epidemiology and management of hypertension across many heterogeneous subgroups in the US. MATERIALS AND METHODS: We analyzed the data collected by the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. Participants greater than 20 years of age, who had valid blood pressure measurements, were included in the study. A comprehensive analysis of 14 population subgroups was done to systematically examine how hypertension awareness, treatment, and control varied by subpopulations...
March 21, 2019: Blood Pressure
Agne Laucyte-Cibulskiene, Alvita Vickiene, Ligita Ryliskyte, Jolita Badariene, Laurynas Rimsevicius, Marius Miglinas
PURPOSE: The study was designed to evaluate clinical and laboratory determinants pulse wave velocity (PWV) ratio in women at the age of 50-65 years without overt cardiovascular disease but having elevated cardiovascular risk, such as hypertension, obesity, diabetes and hypercholesterolemia. MATERIALS AND METHODS: We analyzed data from 1170 women enrolled in the national-wide primary prevention program. Univariate and multivariate linear regression analysis was used to establish independent risk factors in groups based on clinical data, laboratory values, and comorbidities...
March 16, 2019: Blood Pressure
Valeria Bisogni, Martino F Pengo, Giuseppe Maiolino, Maurizio Cesari, Silvia Lerco, Giacomo Rossitto, Antonio Concistrè, Luigi Petramala, Claudio Letizia, Teresa Maria Seccia, Gian Paolo Rossi
BACKGROUND: Arterial hypertension is associated with obstructive sleep apnoea, poor quality and duration of sleep, which might contribute to hypertension-mediated organ damage. METHODS: We investigated the presence of insomnia, restless legs syndrome, and obstructive sleep apnoea using validated questionnaires (Insomnia Severity Index, Restless Legs Syndrome Rating Scale, and STOP-Bang), and their relationship with hypertension-mediated organ damage, in hypertensive patients...
March 6, 2019: Blood Pressure
Vladan Vukomanovic, Jelena Suzic-Lazic, Vera Celic, Cesare Cuspidi, Tijana Petrovic, Sanja Ilic, Dusan Skokic, Daniel Armando Morris, Marijana Tadic
OBJECTIVE: We sought to investigate functional capacity, heart rate variability (HRV), as well as their relationship in the patients with uncomplicated type 2 diabetes. METHODS: This cross-sectional observational study included 62 controls and 53 uncomplicated diabetic patients. Included subjects underwent laboratory analysis, 24-h ECG Holter monitoring and cardiopulmonary exercise testing. RESULTS: All parameters of time and frequency domain of HRV were decreased in the diabetic patients...
March 6, 2019: Blood Pressure
Manoj Kumar Choudhary, Arttu Eräranta, Jenni Koskela, Antti J Tikkakoski, Pasi I Nevalainen, Mika Kähönen, Jukka Mustonen, Ilkka Pörsti
BACKGROUND AND AIMS: Atherogenic index of plasma (AIP), defined as the logarithm of triglycerides to high-density lipoprotein cholesterol (HDL-C) ratio, is a strong predictor of future cardiovascular disease. Our aim was to examine the association of AIP with haemodynamic variables in normotensive and never-treated hypertensive subjects in a cross-sectional study. METHODS: Supine haemodynamics in 615 subjects without antihypertensive and lipid-lowering medications were examined using whole-body impedance cardiography and radial pulse wave analysis...
March 1, 2019: Blood Pressure
Sverre E Kjeldsen, Krzysztof Narkiewicz, Michel Burnier, Suzanne Oparil
No abstract text is available yet for this article.
February 26, 2019: Blood Pressure
Sverre E Kjeldsen, Krzysztof Narkiewicz, Michel Burnier, Suzanne Oparil
No abstract text is available yet for this article.
June 2019: Blood Pressure
Irma Tzur, Shimon Izhakian, Oleg Gorelik
PURPOSE: Orthostatic hypotension (OH) is a common and clinically important disorder. Published papers vary regarding the definitions of OH and methodologies of evaluation. Moreover, substantial gaps in the skills and knowledge required for assessment of OH have been reported by clinicians. We aimed to provide current information regarding the definition, classification and evaluation of OH. METHODS: We performed a comprehensive search of medical databases, using the following keywords: "postural hypotension" or "orthostatic hypotension", combined with: "definition", "classification", "diagnosis", "evaluation" or "meaning"...
June 2019: Blood Pressure
Hongyan Zhu, Yuan Gao, Huiling Cheng, Yichao Lu, IokFai Cheang, Dongxu Xu, Wenming Yao, Tianbao Xu, Fang Zhou, Yanli Zhou, Fang Xu, Xiangqing Kong, Xinli Li, Haifeng Zhang
OBJECTIVE: Arterial stiffness indices measured by pulse wave velocity and pulse wave analysis have been widely studied in different populations. Only a few small studies have been reported regarding these two measurement methods. Therefore, the aim of our study was to compare the arterial stiffness indices measured by pulse wave velocity and pulse wave analysis in a randomly selected Chinese population. METHODS: A total of 4285 subjects were recruited from Gaoyou County, Jiangsu Province, China...
June 2019: Blood Pressure
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