Daniel D Cohen, Gustavo Aroca-Martinez, Javier Carreño-Robayo, Alvaro Castañeda-Hernández, Yaneth Herazo-Beltran, Paul A Camacho, Johanna Otero, Daniel Martinez-Bello, Jose P Lopez-Lopez, Patricio Lopez-Jaramillo
Isometric handgrip or (wall) squat exercise performed three times per week produces reductions in systolic blood pressure (SBP) in adults with hypertension. We aimed to compare these interventions and the potential to retain benefits with one exercise session per week. We compared blood pressure changes following handgrip and squat isometric training interventions with controls in a randomized controlled multicentre trial in 77 unmedicated hypertensive (SBP ≥ 130 mmHg) adults. Exercise sessions were performed in the workplace and consisted of four repetitions-three sessions per week for the first 12 weeks (phase 1), and one session per week for the subsequent 12 weeks (phase 2)...
March 25, 2023: Journal of Clinical Hypertension
Kelvin Tsoi, Amy Lam, Joshua Tran, Ziyu Hao, Karen Yiu, Yook-Chin Chia, Yuda Turana, Saulat Siddique, Yuqing Zhang, Hao-Min Cheng, Ji-Guang Wang, Kazuomi Kario
Hypertension remains the world's leading cause of premature death. Interventions such as exercise, diet modification, and pharmacological therapy remain the mainstay of hypertension treatment. Numerous systematic reviews and meta-analyses demonstrated the effectiveness of western exercises, such as aerobic exercise and resistance exercise, in reducing blood pressure in hypertensive patients. There is recently emerging evidence of blood pressure reduction with Chinese exercises, such as Tai Chi, Baduanjin, and Qigong...
March 22, 2023: Journal of Clinical Hypertension
Ayako Kokubo, Mitsuo Kuwabara, Naoko Tomitani, Shingo Yamashita, Toshikazu Shiga, Kazuomi Kario
Nocturnal blood pressure (BP) surge in seconds (sec-surge), which is characterized as acute transient BP elevation over several tens of seconds is induced by obstructive sleep apnea (OSA) and OSA-related sympathetic hyperactivity. The authors assessed the relationship between sec-surge and arterial stiffness in 34 nocturnal hypertensive patients with suspected OSA (mean age 63.9 ± 12.6 years, 32.4% female). During the night, they had beat-by-beat (BbB) BP and cuff-oscillometric BP measurements, and brachial-ankle pulse wave velocity (baPWV) was assessed as an arterial stiffness index...
March 21, 2023: Journal of Clinical Hypertension
Danying Deng, Chaolei Chen, Jiabin Wang, Songyuan Luo, Yingqing Feng
The triglyceride glucose-body mass index (TyG-BMI) has been considered an alternative marker of insulin resistance (IR). This cross-sectional study was designed to mainly investigate the association between TyG-BMI, triglyceride glucose combined with body mass index, and hypertension in Chinese adults. The relationship between TyG-BMI and hypertension was examined by multivariate logistic regression and restricted cubic spline model. Multiple logistic regression models were also performed to examine the associations between the individual components of TyG-BMI (BMI, TyG index, TG and FBG) and hypertension...
March 17, 2023: Journal of Clinical Hypertension
Binbin Zhu, Yahui Liu, Weicen Zhou, Yao Du, Datun Qi, Chenxu Wang, Qianqian Cheng, You Zhang, Shan Wang, Chuanyu Gao
There is currently few research on clinical characteristics and outcomes of coronary heart disease (CHD) with resistant hypertension in central region of China. This study aimed to assess the risk factors and outcomes of CHD and resistant hypertension in population of central region of China. A total of 1467 CHD patients with hypertension were included and considered to three groups according to blood pressure control: controlled group (blood pressure < 140/90 mmHg on three or less antihypertensive drugs); uncontrolled group (blood pressure ≥ 140/90 mmHg on two or less antihypertensive drugs); or resistant group (blood pressure ≥ 140/90 mmHg on three antihypertensive drugs or < 140/90 mmHg on at least four antihypertensive drugs including diuretic)...
March 17, 2023: Journal of Clinical Hypertension
John F Steiner, J David Powers, Allen Malone, Jason Lyons, Kari Olson, Andrea R Paolino, Claudia A Steiner
Retention in hypertension care, medication adherence, and blood pressure (BP) may have been affected by the COVID-19 pandemic. In a retrospective cohort study of 64 766 individuals with treated hypertension from an integrated health care system, we compared hypertension care during the year pre-COVID-19 (March 2019-February 2020) and the first year of COVID-19 (March 2020-February 2021). Retention in hypertension care was defined as receiving clinical BP measurements during COVID-19. Medication adherence was measured using prescription refills...
March 14, 2023: Journal of Clinical Hypertension
Bin Zheng
Since both serum uric acid (SUA) and renal artery stenosis (RAS) are associated with atherosclerotic events and renal events, it is interesting to investigate whether SUA could predict long-term outcome in patients with RAS. Patients were enrolled from inpatients from 2010 to 2014, must be ≥40-year-old. There were 3269 hypertensive patients enrolled, including 325 RAS patients. Endpoints included all-cause death and new or worsening nephropathy (NNP). In analysis for all-cause mortality, associations between SUA and risk of all-cause mortality were an arising curve in total population, a U-shape curve in non-RAS population, and an arising curve in RAS population...
March 7, 2023: Journal of Clinical Hypertension
Chang Wang, Zhi Du, Ning Ye, Songyue Liu, Danxi Geng, Yingxian Sun
Identifying risk factors for atrial fibrillation (AF) and evaluating their impact are essential to avoid the occurrence of adverse events. However, few studies to date have explored the prevalence, risk factors, and prognosis of AF in hypertensive patients. The objective of this study was to investigate the epidemiology of AF in a hypertensive population and determine the relationship between AF and all-cause mortality. At baseline, a total of 8541 Chinese patients with hypertension were enrolled from the Northeast Rural Cardiovascular Health Study...
March 2, 2023: Journal of Clinical Hypertension
Zhe Wang, Chuanchuan Yu, Xiaodi Cao, Youming He, Weizhu Ju
Although the effect of intensive systolic blood pressure lowering is widely recognized, treatment-related low diastolic blood pressure still worrisome. This was a prospective cohort study based on the National Health and Nutrition Examination Survey. Adults (≥20 years old) with guideline-recommended blood pressure were included and pregnant women were excluded. Survey-weighted logistic regression and cox models were used for analysis. A total of 25 858 participants were included in this study. After weighted, the overall mean age of the participants was 43...
March 2, 2023: Journal of Clinical Hypertension
Neil D Mehta, Sean J Battle, Donald J DiPette
No abstract text is available yet for this article.
March 2, 2023: Journal of Clinical Hypertension
Michele Bombelli, Jennifer Vanoli, Cesare Cuspidi, Raffaella Dell'Oro, Rita Facchetti, Giuseppe Mancia, Guido Grassi
We assessed the value of 3 electrocardiographic (EKG) voltage criteria in detecting variations of left ventricular mass (LVM) over time, taking echocardiographic (ECHO) LVM as reference, in the Pressioni Arteriose Monitorate E Loro Associazioni study. In 927 subjects (age 47 ± 13 years on entry, 49.9% men) an ECHO evaluation of LVM and EKG suitable for measurement of EKG-LVH criteria (Sokolow-Lyon voltage, Cornell voltage and R-wave voltage in aVL) were available at baseline and at a 2nd evaluation performed 10 years later...
February 23, 2023: Journal of Clinical Hypertension
Jin Gong, Ying Han, Gufeng Gao, Ai Chen, Zhoufei Fang, Dongjie Lin, Yulong Liu, Li Luo, Liangdi Xie
Obesity and overweight are closely related to cardiovascular mortality. Arterial stiffness is one of the important risks for cardiovascular diseases and is strongly related with the cardiovascular mortality. However, the relationship between obesity and arterial stiffness is still controversial. A cross-sectional study was performed to examine the relationship of body fat percentage (BFP), an indicator of obesity, with carotid-femoral pulse wave velocity (cfPWV) in 2603 subjects (aged 58.62 ± 11.27 years, male 71...
February 23, 2023: Journal of Clinical Hypertension
Hui Ting Liu, Nian Hua Deng, Ze Fan Wu, Zhan Yang Zhou, Zhen Tian, Xi Yan Liu, Yan Xia Wang, Hong Yu Zheng, Yang Shao Ou, Zhi Sheng Jiang
Statins have been proven to be effective in minimizing the risk of cardiovascular adverse events, however, their effect on BP variability is debatable with respect to their significance and their use as a potential anti-hypertensive. Using a meta-analysis approach, the aim of this study was to explore whether certain statins have the potential to lower blood pressure (BP). For the period 2002-2022, Scopus, PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials databases were searched for the studies that examined the effect of statins on blood pressure in normotensive or hypertensive individuals...
February 17, 2023: Journal of Clinical Hypertension
Tieci Yi, Lan Gao, Fangfang Fan, Yimeng Jiang, Jia Jia, Yan Zhang, Jianping Li, Yong Huo
Accumulated evidence has shown that carotid-femoral and brachial-ankle PWV well predict cardiovascular events but it is still unclear if the predictability is same or not. In this cross-sectional study based on a community atherosclerosis cohort in Beijing, China, a total of 5282 participants without previous coronary heart disease and stroke were enrolled from a community atherosclerosis cohort in Beijing, China. The 10-year atherosclerotic cardiovascular disease (ASCVD) risk were calculated by the China-PAR model, and < 5%, 5%-10% and > 10% were defined as low, intermediate, and high risk, respectively...
February 15, 2023: Journal of Clinical Hypertension
Hirohide Yokokawa, Mai Suzuki, Nozomi Aoki, Hiroshi Fukuda, Yuki Sato, Teruhiko Hisaoka, Toshio Naito
The authors examined the sex-specific association between serum uric acid (SUA) levels and achievement of target blood pressure among Japanese patients with hypertension. This cross-sectional study was conducted between January 2012 and December 2015 and examined 17 113 eligible participants (6499 men; 10 614 women) with hypertension among 66 874 Japanese community residents who underwent voluntary health checkups. Multivariate analysis was used to estimate the association between high SUA level (≥7...
February 15, 2023: Journal of Clinical Hypertension
Qian-Hui Guo, Zhi-Ming Zhu, Ying-Qing Feng, Jin-Xiu Lin, Ji-Guang Wang
The authors performed a meta-analysis to assess the efficacy of non-atenolol β-blockers as add-on to monotherapy or as a component of combination antihypertensive therapy in patients with hypertension. The authors searched and identified relevant randomized controlled trials from PubMed until November 2021. Studies comparing blood pressure lowering effects of β-blockers with diuretics, calcium channel blockers (CCBs), angiotensin-converting enzyme inhibitors (ACEIs), or angiotensin receptor blockers (ARBs) were included...
February 8, 2023: Journal of Clinical Hypertension
Hui Geng, Xiahuan Chen, Wenyi Liang, Meilin Liu
The purpose of this study was to explore the associated factors and hemodynamic characteristics of resistant hypertension (RHTN) in the elderly. A total of 283 patients aged ≥60 years with hypertension were evaluated by the CNAP™ monitor. Among them, 240 patients were non-RHTN (controlled hypertension with use of three or fewer antihypertensive medications) and 43 patients were RHTN (uncontrolled hypertension despite the concurrent use of ≥3 antihypertensive drugs at optimized doses, including a diuretic, or achieving target blood pressure with the use of ≥4 antihypertensive medications)...
February 7, 2023: Journal of Clinical Hypertension
Shao-Yuan Chuang, Hao-Min Cheng, Wei-Lun Chang, Wan-Yu Yeh, Chi-Jung Huang, Chen-Huan Chen
The present study investigated the prognostic values for office brachial (OB), office central (OC), and ambulatory daytime brachial (AmDB) hypertension, as defined by a unifying threshold of 130/80 mmHg, and the incremental value of either OC or AmDB hypertension to OB hypertension. A total of 1219 community residents without receiving anti-hypertensive treatment (671 men and 548 women, aged ≥ 30 years old) from central Taiwan and Kinmen islands had OB, OC, and AmDB blood pressure measurements during a cardiovascular survey conducted in 1992-1993...
February 7, 2023: Journal of Clinical Hypertension
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No abstract text is available yet for this article.
February 7, 2023: Journal of Clinical Hypertension
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