keyword
https://read.qxmd.com/read/38481589/survey-of-using-oral-anticoagulants-in-patient-with-non-valvular-atrial-fibrillation
#21
JOURNAL ARTICLE
Bui The Dung, Nguyen Thanh Hien, Tran Hoa, Cao Ngoc Mai Han
BACKGROUND: In Vietnam, there has been no survey conducted on the prescribing and monitoring practices of oral anticoagulants to ensure that patients with atrial fibrillation receive appropriate. Objective: Therefore, we conducted this research to clarify the aforementioned issue in our hospital. METHODS: We carried out a cross-sectional study by reviewing outpatient electronic medical records at the University Medical Center in Ho Chi Minh City. Our study included 1087 patients aged 18 years or older diagnosed with non-valvular atrial fibrillation (NVAF), who visited the Cardiology clinic between January 1st, 2021, and June 30th, 2021...
2024: Medical Archives
https://read.qxmd.com/read/38481132/in-emergency-hypertension-could-biomarkers-change-the-guidelines
#22
JOURNAL ARTICLE
Mohammad El Tahlawi, Scopus Mohamed Ismail, Ahmed Eldamanhory, Ayman Khorshed, Salem M Salem
BACKGROUND: Hypertension may cause target organ damage (TOD). Target blood pressure (BP) management may not be appropriate in some conditions. AIM: We aim to assess the impact of targeted BP management in severe hypertension on renal TOD. PATIENTS & METHODS: This is a prospective cohort study involving patients admitted due to severe hypertension (BP > 180/120) associated with any symptoms. The study involved patients referred to the ICU in our tertiary center during the period between August 2017 and February 2018...
March 13, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38478491/cost-effectiveness-of-screening-for-chronic-kidney-disease-using-a-cumulative-egfr-based-statistic
#23
JOURNAL ARTICLE
Reyhaneh Zafarnejad, Qiushi Chen, Paul M Griffin
OBJECTIVES: Routine screening for chronic kidney disease (CKD) could enable timely interventions to slow down disease progression, but currently there are no clinical guidelines for screening. We aim to evaluate the cost-effectiveness of screening for CKD using a novel analytical tool based on a cumulative sum statistic of estimated glomerular filtration rate (CUSUMGFR). METHODS: We developed a microsimulation model that captured CKD disease progression, major complications, patients' awareness, and treatment adherence for a nationally representative synthetic cohort of age ≥ 30 years in the United States...
2024: PloS One
https://read.qxmd.com/read/38477109/rationale-of-the-inclusion-of-%C3%AE-blockers-among-major-antihypertensive-drugs-in-the-2023-european-society-of-hypertension-guidelines
#24
REVIEW
Giuseppe Mancia, Mattias Brunström, Michel Burnier, Guido Grassi, Andrzej Januszewicz, Sverre E Kjeldsen, Maria L Muiesan, Costas Thomopoulos, Konstantinos Tsioufis, Reinhold Kreutz
We address the reasons why, unlike other guidelines, in the 2023 guidelines of the European Society of Hypertension β-blockers (BBs) have been regarded as major drugs for the treatment of hypertension, at the same level as diuretics, calcium channel blockers, and blockers of the renin-angiotensin system. We argue that BBs, (1) reduce blood pressure (the main factor responsible for treatment-related protection) not less than other drugs, (2) reduce pooled cardiovascular outcomes and mortality in placebo-controlled trials, in which there has also been a sizeable reduction of all major cause-specific cardiovascular outcomes, (3) have been associated with a lower global cardiovascular protection in 2 but not in several other comparison trials, in which the protective effect of BBs versus the other major drugs has been similar or even greater, with a slightly smaller or no difference of global benefit in large trial meta-analyses and a similar protective effect when comparisons extend to BBs in combination versus other drug combinations...
March 13, 2024: Hypertension
https://read.qxmd.com/read/38462235/the-screening-diagnosis-and-management-of-patients-with-autosomal-dominant-polycystic-kidney-disease-a-national-consensus-statement-from-taiwan
#25
REVIEW
Pao-Wen Yen, Yung-An Chen, Wei Wang, Fang-Sheng Mao, Chia-Ter Chao, Chih-Kang Chiang, Shih-Hua Lin, Der-Cherng Tarng, Yi-Wen Chiu, Ming-Ju Wu, Yung-Chang Chen, Juliana Tze-Wah Kao, Mai-Szu Wu, Chun-Liang Lin, Jenq-Wen Huang, Kuan-Yu Hung
Autosomal dominant polycystic kidney disease (ADPKD) is the most common inherited cause of end-stage kidney disease (ESKD) worldwide. Guidelines for the diagnosis and management of ADPKD in Taiwan remains unavailable. In this consensus statement, we summarize updated information on clinical features of international and domestic patients with ADPKD, followed by suggestions for optimal diagnosis and care in Taiwan. Specifically, counselling for at-risk minors and reproductive issues can be important, including ethical dilemmas surrounding prenatal diagnosis and pre-implantation genetic diagnosis...
March 10, 2024: Nephrology
https://read.qxmd.com/read/38460067/screening-and-management-of-pediatric-high-blood-pressure-challenges-to-implementing-the-clinical-practice-guideline
#26
REVIEW
Coral D Hanevold, Tammy M Brady
PURPOSE OF REVIEW: Elevated blood pressure (BP) and hypertension in childhood convey risk for hypertension and cardiovascular events in adulthood. Early recognition of abnormal BPs is key to preventing or lessening this risk. However, the process for making the diagnosis of hypertension is complex, and overall adherence to the 2017 American Academy of Pediatrics Clinical Practice Guidelines (CPG) is poor. We will review obstacles to adherence to the CPG and approaches designed to improve the diagnosis and management of hypertension in children...
March 9, 2024: Current Hypertension Reports
https://read.qxmd.com/read/38459217/management-of-cerebrospinal-fluid-related-intracranial-abnormalities-in-frontoethmoidal-encephalocele-using-shunt-algorithm-for-frontoethmoidal-encephalocele-safe
#27
JOURNAL ARTICLE
Muhammad Arifin Parenrengi, Wihasto Suryaningtyas
A cerebrospinal-fluid-related (CSF-related) problem occurred in 25-30% of frontoethmoidal encephalocele (FEE) cases. Since there was no algorithm or guideline, the judgment to treat the CSF-related problem often relies upon the surgeon's experience. In our institution, the early shunt was preferable to treat the problem, but it added risks to the children. We developed an algorithm, "Shunt Algorithm for Frontoethmoidal Encephalocele" (SAFE), to guide the surgeon in making the most reasonable decision. To evaluate the SAFE's efficacy in reducing unnecessary early shunting for FEE with CSF-related intracranial abnormality...
March 9, 2024: Neurosurgical Review
https://read.qxmd.com/read/38458944/-bariatric-surgery-and-drugs-review-of-the-literature-and-adverse-drug-reactions-analysis-in-french-national-pharmacovigilance-database
#28
JOURNAL ARTICLE
Carole Nicol, Julien Jacquot, Leila Chebane, Sandrine Combret, Pauline-Eva Pecquet, Nathalie Massy, Haleh Bagheri
INTRODUCTION: Bariatric surgery is the only treatment for severe obesity (BMI>35kg/m2 ) currently recognized as effective both in achieving tangible and lasting weight loss, and in improving obesity-related comorbidities such as type 2 diabetes, hypertension, and cardiovascular complications. Bariatric surgery, like any other surgery of the digestive tract, can have an impact on nutrient absorption, as well as on drug absorption. The literature on drug management in bariatric surgery patients concerned mainly of case reports and retrospective studies involving a small number of patients...
February 24, 2024: Thérapie
https://read.qxmd.com/read/38457956/venous-sinus-stenting-for-idiopathic-intracranial-hypertension-an-updated-meta-analysis
#29
JOURNAL ARTICLE
Ahmed Y Azzam, Ali Mortezaei, Mahmoud M Morsy, Muhammed Amir Essibayi, Sherief Ghozy, Osman Elamin, Mohammed A Azab, Adam Elswedy, David Altschul, Ramanathan Kadirvel, Waleed Brinjikji, David F Kallmes
BACKGROUND: Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure and primarily affects obese women of reproductive age. Venous sinus stenting (VSS) is a surgical procedure used to treat IIH, but its safety and efficacy are still controversial. METHODS: A systematic review and meta-analysis were conducted following PRISMA guidelines. Multiple databases were searched for studies evaluating the safety and efficacy of VSS in IIH patients and meta-analysis was performed to pool the data...
March 5, 2024: Journal of the Neurological Sciences
https://read.qxmd.com/read/38456903/-drug-therapy-for-arterial-hypertension-and-atrial-fibrillation-in-frail-patients-are-there-any-new-insights-and-recommendations
#30
REVIEW
Ursula Müller-Werdan
The frail and elderly are considered to be at particular risk of suffering an adverse drug reaction. Empirical studies confirm the increased rate of adverse drug reactions. Whether frailty per se impairs drug metabolism or the underlying organ ageing processes and multimorbidity cannot be answered with certainty based on current data. Cardiovascular diseases exhibit a considerable interdependence with frailty. For example, there is a disproportionate syndromal interdependence between heart failure and frailty, and the typical ageing processes of the sinus node can be interpreted as heartbeat frailty...
March 8, 2024: Inn Med (Heidelb)
https://read.qxmd.com/read/38455696/pulmonary-artery-aneurysm-associated-with-sarcoidosis-in-a-75-year-old-with-heart-failure-the-challenges-of-diagnosis-and-management
#31
JOURNAL ARTICLE
Isabel Cruz, Rafaela Lopes, Bruno Bragança, Inês Campos, Inês Gonçalves, Rui P Santos, Aurora Andrade
INTRODUCTION: Pulmonary artery aneurysm (PAA) is a rare abnormality of pulmonary vasculature. It can be idiopathic or secondary to various pathologies, frequently with multiple factors leading to its formation. We report the case of a man with concomitant sarcoidosis and PAA. CASE DESCRIPTION: A 75-year-old male with a diagnosis of pulmonary sarcoidosis was referred to the Cardiology department due to heart failure with reduced left ventricular ejection fraction (LVEF)...
2024: European Journal of Case Reports in Internal Medicine
https://read.qxmd.com/read/38453002/atrial-arrhythmias-in-patients-with-pulmonary-hypertension
#32
REVIEW
Kyle O'Meara, Gregory Stone, Eric Buch, Adam Brownstein, Rajan Saggar, Richard Channick, Alexander E Sherman, Aron Bender
TOPIC IMPORTANCE: Atrial arrhythmia (AA) are common in patients with pulmonary hypertension (PH) and contribute to morbidity and mortality. Given the growing PH population, it is important to understand the pathophysiology, clinical impact, and management of AA in PH. REVIEW FINDINGS: AA occurs in PH with a five-year incidence of 10-25%. AA confers a higher morbidity and mortality, and restoration of normal sinus rhythm improves survival and functionality. AA is thought to develop due to structural alterations of the right atrium caused by changes to the right ventricle (RV) due to elevated pulmonary artery pressures...
March 5, 2024: Chest
https://read.qxmd.com/read/38451865/prevalence-of-self-reported-hypertension-and-antihypertensive-medication-use-among-adults-united-states-2017-2021
#33
JOURNAL ARTICLE
Ahlia Sekkarie, Jing Fang, Donald Hayes, Fleetwood Loustalot
Hypertension, or high blood pressure, is a major risk factor for heart disease and stroke. It increases with age and is highest among non-Hispanic Black or African American persons, men, persons aged ≥65 years, those of lower socioeconomic status, and those who live in the southern United States. Hypertension affects approximately one half of U.S. adults, and approximately one quarter of those persons have their blood pressure under control. Reducing population-level hypertension prevalence and improving control is a national priority...
March 7, 2024: MMWR. Morbidity and Mortality Weekly Report
https://read.qxmd.com/read/38450477/status-and-future-directions-for-balloon-pulmonary-angioplasty-in-chronic-thromboembolic-pulmonary-disease-with-and-without-pulmonary-hypertension-a-scientific-statement-from-the-american-heart-association
#34
REVIEW
Vikas Aggarwal, Jay Giri, Scott H Visovatti, Ehtisham Mahmud, Hiromi Matsubara, Michael Madani, Frances Rogers, Deepa Gopalan, Kenneth Rosenfield, Vallerie V McLaughlin
Balloon pulmonary angioplasty continues to gain traction as a treatment option for patients with chronic thromboembolic pulmonary disease with and without pulmonary hypertension. Recent European Society of Cardiology guidelines on pulmonary hypertension now give balloon pulmonary angioplasty a Class 1 recommendation for inoperable and residual chronic thromboembolic pulmonary hypertension. Not surprisingly, chronic thromboembolic pulmonary hypertension centers are rapidly initiating balloon pulmonary angioplasty programs...
March 7, 2024: Circulation
https://read.qxmd.com/read/38450371/multidisciplinary-management-of-cardiovascular-disease-in-women-delphi-consensus
#35
JOURNAL ARTICLE
José M Gámez, Milagros Pedreira Pérez, María Rosa Fernández Olmo, María Fasero Laiz, Verónica Inaraja, Vicente Pallarés Carratalá
BACKGROUND: Current clinical guidelines on cardiovascular disease (CVD) do not specifically address the female population. The aim of this consensus is to know the opinion of a group of experts on the management of CVD in women. METHODS: Through a Delphi consensus, 31 experts in cardiology, 9 in gynecology and obstetrics, and 14 primary care physicians, showed their degree of agreement on 44 items on CVD in women divided into the following groups: (1) risk factors and prevention strategies; (2) diagnosis and clinical manifestations; and (3) treatment and follow-up...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38444892/therapeutic-inertia
#36
REVIEW
Tim Usherwood
Therapeutic inertia, sometimes referred to as clinical inertia, has been defined as failure to initiate or intensify therapy when therapeutic goals are not reached. Lack of initiation or intensification of treatment according to clinical guidelines has been linked to suboptimal control of a range of chronic conditions. Clinician factors contributing to therapeutic inertia include knowledge gaps; discomfort with uncertainty about the diagnosis, therapeutic target, or evidence; concerns about the safety of treatment intensification; and time constraints...
February 2024: Australian Prescriber
https://read.qxmd.com/read/38444749/comorbidities-and-outcomes-of-patients-with-chronic-myeloid-leukemia-treated-with-tyrosine-kinase-inhibitors-a-real-world-nationwide-retrospective-study-from-hungary
#37
JOURNAL ARTICLE
Peter Batar, Hussain Alizadeh, Gyorgy Rokszin, Zsolt Abonyi-Toth, Judit Demeter
Purpose: This study aimed to provide real-world evidence on the characteristics, treatment patterns, and outcomes of patients with chronic myeloid leukemia (CML) receiving tyrosine kinase inhibitor (TKI) treatment in Hungary between 2011 and 2019. Patients and methods: This nationwide, retrospective study included patients who were newly diagnosed with CML in Hungarian clinical practice between January 2011 and December 2019. The analysis was based on the reimbursed prescription claims for imatinib, bosutinib, dasatinib, nilotinib, or ponatinib with the ICD-10 code C9210 in a public pharmacy between January 2009 and December 2019 using data from the National Health Insurance Fund (NHIF) of Hungary...
2024: Pathology Oncology Research: POR
https://read.qxmd.com/read/38444690/improving-outcomes-in-hepatorenal-syndrome-acute-kidney-injury-with-early-diagnoses-and-implementation-of-approved-treatment-regimens
#38
JOURNAL ARTICLE
Nikolaos T Pyrsopoulos, David Bernstein, Marcelo Kugelmas, Emily J Owen, K Rajender Reddy, Nancy Reau, Sammy Saab, Hani M Wadei
Decompensated cirrhosis, defined by the overt manifestations of liver failure and portal hypertension (eg, ascites, hepatic encephalopathy, variceal bleeding), is the inflection point associated with increased morbidity and mortality in chronic liver disease. Acute kidney injury in the setting of cirrhosis (hepatorenal syndrome-acute kidney injury [HRS-AKI]) is a severe and often fatal complication. The goals of treatment of HRS-AKI are to reverse renal failure and prolong survival in these critically ill patients or perhaps to allow the transplant team to complete the pretransplant evaluation and bridge the patient to transplant...
December 2023: Gastroenterology & Hepatology
https://read.qxmd.com/read/38442088/a-rare-case-of-donor-derived-renal-cell-carcinoma-in-a-kidney-transplant-recipient
#39
JOURNAL ARTICLE
William Sebastian, Khawaja O Omar, Rabia Anees, Santosh Nagaraju, Mishra Chaitanya
BACKGROUND The incidence of renal cell carcinoma (RCC) in transplanted kidneys is reported to be about 0.2%, which makes this case exceedingly rare. Risk factors include older age of the donors, smoking, obesity, and hypertension. Higher incidences of allograft RCC have been seen in patients who received a kidney from a deceased donor rather than from a living donor. CASE REPORT A 71-year-old woman with end-stage renal disease underwent deceased donor kidney transplantation (DDKT) 1 year before presentation...
March 5, 2024: American Journal of Case Reports
https://read.qxmd.com/read/38441180/dietary-approach-for-the-treatment-of-arterial-hypertension-in-patients-with-diabetes-mellitus
#40
REVIEW
Pedro Augusto M Barcellos, Angélica Dall'Agnol, Giovanna M Sandi, Luciana R Remonti, Sandra P Silveiro
The association of hypertension and diabetes mellitus is extremely common, increasing the mortality risk of patients, mainly by cardiovascular causes. Regarding the blood pressure (BP) targets to be achieved, most guidelines suggest levels of 130 mmHg for SBP and of 80 mmHg for DBP. Dietary modifications are quite effective, and many studies suggest that decreasing sodium intake and increasing potassium ingestion are both valuable practices for reducing BP. This can be achieved by stimulating the ingestion of lacteous products, vegetables, and nuts...
April 1, 2024: Journal of Hypertension
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