Hack-Lyoung Kim, Sang Min Park, In Jeong Cho, Yu-Mi Kim, Dae-Hee Kim, Sung Hye Kim, Kwang-Il Kim, Ki-Chul Sung, Sang-Hyun Ihm, Jinho Shin, Yoonjung Kim, Kyungwon Oh, Eun Mi Lee
Accurate blood pressure (BP) measurement is crucial for hypertension detection and management. The Korea National Health and Nutrition Examination Survey (KNHANES) assesses the health of Koreans using representative cross-sectional data. BP measurements were historically done with mercury sphygmomanometers for participants aged ≥10 years. However, KNHANES transitioned to Greenlight 300TM (mercury-free auscultatory device) in 2020 for participants aged ≥6 years and used dual devices (Microlife WatchBP Office AFIB and Greenlight) in 2021-2022...
October 12, 2023: Clinical Hypertension
Said S Kilindimo, Ahmed Abdulkarim, Alphonce N Simbila, Raynald Harrison, Lucy Shirima, Farida Abdallah, Aliasghar G Mukhtar, Juma Mfinanga, Joseph Saika, Emanuel Kisanga, Hendry R Sawe
BACKGROUND: Hypertensive crisis is among the causes of morbidity and mortality in adult patients with hypertension in Sub-Saharan Africa. We aimed to determine the burden, risk factors and describe the management strategies of hypertensive crisis among adult patients seen at emergency departments of district and regional hospitals in Tanzania. METHODS: This was a prospective multicenter longitudinal study which included all 162 district and regional hospitals in Tanzania...
October 1, 2023: Clinical Hypertension
Xi-Jiang Hu, Mei-Ru Su, Bao-Wei Cao, Fa-Bang Ou, Rui-Xing Yin, An-De Luo
BACKGROUND: The relationship between the methylenetetrahydrofolate reductase (MTHFR) single nucleotide polymorphism (SNP) and serum homocysteine (Hcy) levels or H-type hypertension in different populations is inconsistent. This study aimed to explore the association between the MTHFR rs1801133 SNP and serum Hcy levels of Zhuang hypertensive patients in the central region of Guangxi. METHODS: A total of 606 Zhuang inpatients with essential hypertension were recruited in our hospital from August 2016 to December 2018...
October 1, 2023: Clinical Hypertension
Sungha Park, Sang-Hyun Ihm, In-Jeong Cho, Dae-Hee Kim, Jae Hyeong Park, Woo-Baek Chung, Seonghoon Choi, Hae Young Lee, Hyeon Chang Kim, Il Suk Sohn, Eun Mi Lee, Ju Han Kim, Kwang-Il Kim, Eun Joo Cho, Ki-Chul Sung, Jinho Shin, Wook Bum Pyun
Nocturnal blood pressure (BP) has been shown to have a significant predictive value for cardiovascular disease. In some cases, it has a superior predictive value for future cardiovascular outcomes than daytime BP. As efficacy of BP medications wanes during nighttime and early morning, control of nocturnal hypertension and morning hypertension can be difficult. As such, chronotherapy, the dosing of BP medication in the evening, has been an ongoing topic of interest in the field of hypertension. Some studies have shown that chronotherapy is effective in reducing nocturnal BP, improving non dipping and rising patterns to dipping patterns, and improving cardiovascular prognosis...
September 1, 2023: Clinical Hypertension
In Soo Kim, Sungmin Kim, Tae-Hyun Yoo, Jwa-Kyung Kim
In patients with end-stage renal disease (ESRD) undergoing dialysis, hypertension is common but often inadequately controlled. The prevalence of hypertension varies widely among studies because of differences in the definition of hypertension and the methods of used to measure blood pressure (BP), i.e., peri-dialysis or ambulatory BP monitoring (ABPM). Recently, ABPM has become the gold standard for diagnosing hypertension in dialysis patients. Home BP monitoring can also be a good alternative to ABPM, emphasizing BP measurement outside the hemodialysis (HD) unit...
September 1, 2023: Clinical Hypertension
Hyeon Chang Kim, Hokyou Lee, Hyeok-Hee Lee, Gabin Lee, Eunji Kim, Moses Song, Jenny Moon, Yeeun Seo
BACKGROUND: The Korean Society of Hypertension has published the Korea Hypertension Fact Sheet 2022 to provide an overview of the magnitude and management status of hypertension and their recent trends. METHODS: The Fact Sheets were based on the analyses of Korean adults aged 20 years or older of the 1998-2020 Korea National Health and Nutrition Examination Survey and the 2002-2020 National Health Insurance Big Data. RESULTS: As of 2020, 29...
August 15, 2023: Clinical Hypertension
Ye Eun Ko, Jong Hyun Jhee
Short-term blood pressure variability (BPV) measured with ambulatory blood pressure (BP) monitoring has been demonstrated to be significant in predicting various clinical outcomes. Short-term BPV is distinguished from long-term BPV based on the time interval in which BP fluctuations are measured. Increased short-term BPV has been linked to detrimental effects on the microvascular structure and contributes to subclinical organ damage in the heart, blood vessels, and kidneys, regardless of the average 24-h BP levels...
August 15, 2023: Clinical Hypertension
Byung Sik Kim, Ju Han Kim, Wan Kim, Woo Shik Kim, Sungha Park, Sang Jae Lee, Jang Young Kim, Eun Mi Lee, Sang Hyun Ihm, Wook Bum Pyun, Jeong-Hun Shin, Jinho Shin
BACKGROUND: Non-dipping or reverse dipping patterns are known to be associated with adverse cardiovascular prognosis among the general population and clinical cohort. Few large sized studies have explored factors including sleep duration and sleep quality related to nighttime blood pressure (BP) and nocturnal dipping patterns. METHODS: Among 5,360 patients enrolled  in Korean multicenter nationwide prospective Registry of ambulatory BP monitoring (KORABP), 981 subjects with complete data on sleep duration, sleep quality assessed using a 4-point Likert scale, and clinical variables were included in the analysis...
August 1, 2023: Clinical Hypertension
Ran Heo, Jinho Shin, Byung Sik Kim, Hyun-Jin Kim, Kye-Yeung Park, Hoon-Ki Park, Yu Mi Kim, Seon Young Hwang, Stewart W Mercer
BACKGROUND: Empathy is the core of the physician-patient relationship. The Consultation and Relational Empathy (CARE) measure is a useful tool for assessing patient-rated empathy. There have been scarce data on empathy in chronic disease patients in Korea. We aim to evaluate empathy using the Korean CARE measure in patients from various clinical environments and the factors influencing the degree of empathy in patients with chronic disease. METHODS: Data were collected from patients with chronic diseases...
July 15, 2023: Clinical Hypertension
Surabhi Shah, In-Jeong Cho, Whanhee Lee, Wook Bum Pyun, Eunhee Ha
BACKGROUND: Coffee is the most popular and widely consumed drink in the world. Coffee consumption seems to have both benefits and risk with respect to hypertension; results from studies evaluating effect of frequency of coffee consumption on risk of hypertension are mixed and inconsistent. Hence, we investigated the association of coffee consumption and hypertension in Korean adults. METHODS: Data from Korean National Health and Nutrition Examination Survey (KNHANES) 2012-2016 was obtained and 12,133 eligible participants were selected...
July 15, 2023: Clinical Hypertension
Josef Finsterer
No abstract text is available yet for this article.
July 1, 2023: Clinical Hypertension
Adil Elahi, Arzina Aziz Ali, Aamir Hameed Khan, Zainab Samad, Hunaina Shahab, Namra Aziz, Aysha Almas
BACKGROUND: This review aims to describe existing evidence on the state of hypertension in Pakistan, including the prevalence, associated risk factors, preventive strategies, and challenges in the management of hypertension. METHODS: A comprehensive literature search was conducted electronically using PubMed and Google Scholar. Using specific screening methodology, 55 articles were selected to be included. RESULTS: We found from this extensive review that several small studies report high prevalence of hypertension but there is a lack of population based prevalence of hypertension in Pakistan...
June 15, 2023: Clinical Hypertension
Byung Sik Kim, Jeong-Hun Shin
OBJECTIVE: High levels of D-dimer, a marker of thrombotic events, are associated with poor outcomes in patients with various cardiovascular diseases. However, there has been no research on its prognostic implications in acute severe hypertension. This study investigated the association between D-dimer levels and long-term mortality in patients with severe acute hypertension who visited the emergency department. DESIGN AND METHOD: This observational study included patients with acute severe hypertension who visited the emergency department between 2016 and 2019...
June 15, 2023: Clinical Hypertension
Yongjun Jang, Jong-Mo Seo, Sang-Hyun Ihm, Hae Young Lee
BACKGROUND: Cuffless blood pressure (BP) measurement, enabled by recent advances in wearable devices, allows for BP monitoring in daily life. This study aims to evaluate the feasibility, cresdence, and usefulness of cuffless BP monitoring through a population survey. METHODS: During the "Daily BP Measurement with Your Galaxy Watch" campaign held by the Korean Society of Hypertension, participants were asked to share their experiences with cuffless BP measurement using a smartwatch application through an online survey...
June 1, 2023: Clinical Hypertension
Wonji Jo, Eun Sil Koh, Sungjin Chung
Fluid overload secondary to loss of functional nephron mass can elevate blood pressure, which is characteristic of hypertension shown in chronic kidney disease (CKD). Therefore, it is logical to use diuretics at appropriate dose to lower blood pressure in patients with CKD and hypertension. Despite the theoretical background on the use of diuretics in CKD, there have been no definitive data on the effectiveness or safety of diuretics as first-line therapy for the management of hypertension in patients with CKD...
May 15, 2023: Clinical Hypertension
Donghun Shin, JungMin Choi, Hae-Young Lee
The prevalence of hypertension (HT) among young adults aged 18 to 39 years is estimated to be 3.7% to 8.6% worldwide. Although the prevalence of HT in young adults is lower than that of the overall population, those with HT are at substantially increased risk of cardiovascular events compared to those without HT. HT in young adults should be taken with even more caution as longer exposure to higher blood pressure leads to a higher lifetime risk of HT-mediated organ damage. However, young patients with HT show low awareness of HT compared to older patients...
May 1, 2023: Clinical Hypertension
Seon-Hee Yang, Jea-Chul Ha, Min-Ji Kim
BACKGROUND: Reducing salt intake helps prevent complications of cerebrovascular disease. To help patients accept a low-sodium diet, the salty taste test is used to evaluate how much salt an individual actually consumes. The aim of this study was to help patients with hypertension reduce their salt intake by helping them recognize the difference between their subjective perception of saltiness and the objective test results. METHODS: We enrolled workers who visited a local occupational health institution in the period from April to August 2019...
April 15, 2023: Clinical Hypertension
Richard Migisha, Alex Riolexus Ario, Daniel Kadobera, Lilian Bulage, Elizabeth Katana, Alex Ndyabakira, Peter Elyanu, Julius N Kalamya, Julie R Harris
BACKGROUND: High blood pressure (HBP), including hypertension (HTN), is a predictor of cardiovascular events, and is an emerging challenge in young persons. The risk of cardiovascular events may be further amplified among people living with HIV (PLHIV). We determined the prevalence of HBP and associated factors among PLHIV aged 13 to 25 years in Rwenzori region, western Uganda. METHODS: We conducted a cross-sectional study among PLHIV aged 13 to 25 years at nine health facilities in Kabarole and Kasese districts during September 16 to October 15, 2021...
April 15, 2023: Clinical Hypertension
Ryuichi Kawamoto, Asuka Kikuchi, Daisuke Ninomiya, Yoshio Tokumoto, Teru Kumagi
BACKGROUND: Many of the existing research studies have shown that serum uric acid (SUA) is a predictor of renal disease progression. More recently, studies have suggested an association between renal function-normalized SUA and all-cause mortality in adults. This study aims to examine the association between the ratio of SUA to creatinine (SUA/Cr) and all-cause mortality with a focus on hypertensive patients. METHODS: This study is based on 2,017 participants, of whom 916 were male (mean age, 67 ± 11 years) and 1,101 were female (mean age, 69 ± 9 years)...
April 1, 2023: Clinical Hypertension
Biggie Baffour-Awuah, Melissa J Pearson, Gudrun Dieberg, Jonathan D Wiles, Neil A Smart
More than 30 randomized controlled trials, supported by individual patient-level and group-level meta-analyses and a Delphi analysis of expert opinion, unequivocally show isometric resistance training (IRT) elicits antihypertensive benefits in healthy people and those with chronic illness. We aim to provide efficacy and safety evidence, and a guide for IRT prescription and delivery. Recommendations are made for the use of IRT in specific patient populations and appropriate methods for IRT delivery. Published data suggest IRT consistently elicits mean blood pressure reductions of 7...
March 15, 2023: Clinical Hypertension
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