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Hypertension Evaluation History

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61. Management of Hypertension (5th Edition)

• T o diagnose masked hypertension • T o assess treatment effects • T o diagnose true resistant hypertension • T o improve compliance with long term treatment • T o optimize blood pressure control in high CV risk patients and pregnancy HBPM Interpretation 19 • A verage BP from several monitoring days (at least 3 days) should be used • BP values measured on the first monitoring day should be discarded • Mean home systolic BP >135 mmHg and/or diastolic BP >85 mmHg should be considered as elevated (...) blockers. Beta blockers is now recommended based on evidence from newer meta analyses since the last edition. Only 35% of Malaysian patients achieved blood pressure control ( 20 mmHg is considered a significant postural drop. The data provided by ABPM does not influence therapeutic decisions in the vast majority of patients and as a result is not recommended as a routine procedure in the initial evaluation of the hypertensive patient. Home BP measurement can be useful in monitoring control of BP

2018 Ministry of Health, Malaysia

62. Repeated high blood pressure at 6 and 11 years at the Pelotas 2004 birth cohort study. Full Text available with Trip Pro

Repeated high blood pressure at 6 and 11 years at the Pelotas 2004 birth cohort study. We evaluated the prevalence and the factors associated with repeated high systolic (SBP) and diastolic blood pressure (DBP) at 6- and 11-year follow-ups of children from the Pelotas (Brazil) 2004 Birth Cohort.All live births to mothers living in the urban area of Pelotas were enrolled in the cohort. Blood pressure (BP) values were transformed into Z-scores by sex, age, and height. High SBP and DBP were (...) mellitus, obesity, family history of hypertension, and prematurity increased the risk of repeated high blood pressure measured at two occasions 5 years apart.

2019 BMC Public Health

63. Lifestyle in progression from hypertensive disorders of pregnancy to chronic hypertension in Nurses' Health Study II: observational cohort study. Full Text available with Trip Pro

Lifestyle in progression from hypertensive disorders of pregnancy to chronic hypertension in Nurses' Health Study II: observational cohort study. Objectives To study the association between lifestyle risk factors and chronic hypertension by history of hypertensive disorders of pregnancy (HDP: gestational hypertension and pre-eclampsia) and investigate the extent to which these risk factors modify the association between HDP and chronic hypertension.Design Prospective cohort study.Setting Nurses (...) mass index, physical activity, adherence to the Dietary Approaches to Stop Hypertension (DASH) diet, and dietary sodium/potassium intake. Potential effect modification (interaction) between each lifestyle factor and previous HDP was evaluated with the relative excess risk due to interaction.Results 10% (n=5520) of women had a history of HDP at baseline. 13 971 cases of chronic hypertension occurred during 689 988 person years of follow-up. Being overweight or obese was the only lifestyle factor

2017 BMJ

64. The 2012 Canadian Hypertension Education Program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy

. For issues related to the diagnosis and evaluation of high BP in children and adolescents, the reader is referred to separate guidelines. x 32 National High Blood Pressure Education Program Working Group report on primary prevention of hypertension. Arch Intern Med . 1993 ; 153 : 186–208 | | | A version of the hypertension recommendations designed for patient and public education has been developed to assist health care practitioners managing hypertension. The summary is freely available at: . Although (...) ), and the Omron office digital BP HEM-907 monitor (Omron Healthcare Inc, Lake Forest, IL). x 34 Beckett, L. and Godwin, M. The BpTRU automatic blood pressure monitor compared to 24 hour ambulatory blood pressure monitoring in the assessment of blood pressure in patients with hypertension. BMC Cardiovasc Disord . 2005 ; 5 : 18–23 | | | , x 35 White, W.B. and Anwar, Y.A. Evaluation of the overall efficacy of the Omron office digital blood pressure HEM-907 monitor in adults. Blood Press Monit . 2001 ; 6 : 107

2012 CPG Infobase

65. Influence of family history on the willingness of outpatients to undergo genetic testing for salt-sensitive hypertension: a cross-sectional study. Full Text available with Trip Pro

care clinics and hospitals in Japan.Consecutive 1705 outpatients aged >20 years, 578 of whom had hypertension.The primary outcome variable was the willingness to undergo genetic testing to determine the risk of salt-sensitive hypertension, and the secondary variables were age, sex, education level, family history and concerns about hypertension. Factors associated with a willingness to undergo genetic testing were evaluated in patients with and without hypertension using a logistic regression (...) model.In the hypertension and non-hypertension groups, 323 (55.9%) and 509 patients (45.2%), respectively, were willing to undergo genetic testing. This willingness was related with a high level of education (adjusted OR (ad-OR): 1.81, 95% CI 1.12 to 2.93), family history of stroke (1.55, 1.04 to 2.31) and concerns about hypertension (2.04, 1.27 to 3.28) in the hypertension group, whereas in the non-hypertension group, it was influenced by education level (ad-OR: 1.45, 95% CI 1.13 to 1.86), family

2017 BMJ open

66. Evaluating the prevalence, awareness, and control of hypertension, diabetes, and dyslipidemia in Korea using the NHIS-NSC database: A cross-sectional analysis. Full Text available with Trip Pro

Evaluating the prevalence, awareness, and control of hypertension, diabetes, and dyslipidemia in Korea using the NHIS-NSC database: A cross-sectional analysis. This study aimed to evaluate the prevalence, awareness, and control of hypertension, diabetes, and dyslipidemia in Korea according to sex and age, and to identify factors that were associated with the prevalence, awareness, and control of these cardiovascular risk factors among middle-aged Koreans.A cross-sectional analysis was conducted (...) using 2013 data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC) database. A total of 136,755 individuals were considered eligible based on no history of stroke or heart disease, age of 40 to 64 years at the examination, and completion of health examinations. Data regarding demographic factors and cardiovascular risk factors had been obtained using questionnaires, physical examinations, and blood tests.Hypertension was the most prevalent condition among middle-aged

2018 Medicine

67. Study to Evaluate the Effect on Improvement of LVH by the Control of BP in Hypertension Patients With AV Disease

by aortic valve disease and evaluate an influence of blood pressure regulation on improvement of left ventricular hypertrophy and its safety Condition or disease Intervention/treatment Phase Aortic Stenosis Aortic Regurgitation Hypertension LVM Left Ventricular Hypertrophy Drug: Amlodipine 5mg Drug: Losartan Drug: Losartan and Amlodipine Drug: Amlodipine/Losartan/Chlorthalidone Drug: current treatment Phase 4 Detailed Description: 1.Primary objectives - To evaluate changes from baseline in LVM at V5 (...) : Treatment Official Title: A Prospective, Multicentre, Randomized, Open Label, Evaluator-Blind, Phase IV Study to Evaluate the Effect on Improvement of Left Ventricular Hypertrophy by the Control of Blood Pressure in Hypertension Patients With Aortic Valve Disease Actual Study Start Date : August 21, 2018 Estimated Primary Completion Date : September 30, 2021 Estimated Study Completion Date : January 31, 2022 Resource links provided by the National Library of Medicine related topics: resources: Arms

2018 Clinical Trials

68. Diagnosis, Evaluation and Treatment of Pulmonary Arterial Hypertension in Children Full Text available with Trip Pro

Diagnosis, Evaluation and Treatment of Pulmonary Arterial Hypertension in Children Pulmonary Hypertension (PH), the syndrome of elevated pressure in the pulmonary arteries, is associated with significant morbidity and mortality for affected children. PH is associated with a wide variety of potential underlying causes, including cardiac, pulmonary, hematologic and rheumatologic abnormalities. Regardless of the cause, for many patients the natural history of PH involves progressive elevation (...) in pulmonary arterial resistance and pressure, right ventricular dysfunction, and eventually heart failure. In recent years, a number of pulmonary arterial hypertension (PAH)-targeted therapies have become available to reduce pulmonary artery pressure and improve outcome. A growing body of evidence in both the adult and pediatric literature demonstrates enhanced quality of life, functional status, and survival among treated patients. This review provides a description of select etiologies of PH seen

2018 Children

69. Evaluation of the level of dynamic thiol/disulphide homeostasis in adolescent patients with newly diagnosed primary hypertension. (Abstract)

mean systolic and diastolic blood pressure and disulphide levels, disulphide/native thiol, and disulphide/total thiol ratios. A multiple linear regression model showed that a disulphide/native thiol ratio above 5 and family history of HT are independent predictors of HT.Our study showed that dynamic thiol/disulphide homeostasis shifted towards disulphide formation in adolescent patients with primary HT. Understanding the role of thiol/disulfide homeostasis in primary HT might provide new (...) Evaluation of the level of dynamic thiol/disulphide homeostasis in adolescent patients with newly diagnosed primary hypertension. Thiol/disulphide homeostasis plays a critical role in numerous intracellular enzymatic pathways including antioxidant defense and detoxification. This study was designed to investigate the impact of thiol/disulfide homeostasis in adolescent patients with recently diagnosed primary hypertension (HT) using a novel and automated method.Native thiol/disulphide levels

2018 Pediatric Nephrology

70. Non-invasive evaluation of portal hypertension using shear-wave elastography: analysis of two algorithms combining liver and spleen stiffness in 191 patients with cirrhosis. Full Text available with Trip Pro

Non-invasive evaluation of portal hypertension using shear-wave elastography: analysis of two algorithms combining liver and spleen stiffness in 191 patients with cirrhosis. Two algorithms based on sequential measurements of liver and spleen stiffness using two-dimensional shearwave elastography (2D-SWE) have been recently proposed to estimate clinically significant portal hypertension (hepatic venous pressure gradient [HVPG] ≥10 mm Hg) in patients with cirrhosis, with excellent diagnostic (...) ) and then spleen stiffness <26.6 kPa, was used to rule-out HVPG ≥10 mm Hg. In our population, its sensitivity and negative predictive value were 95% and 63% respectively. The second algorithm, using liver stiffness >38.0 kPa, or liver stiffness ≤38.0 kPa but spleen stiffness >27.9 kPa, was used to rule-in HVPG ≥10 mm Hg. In our population, its specificity and positive predictive value were 52% and 83% respectively. Restricting the analyses to the 74 patients without any history of decompensation of cirrhosis

2018 Alimentary Pharmacology & Therapeutics

71. Impact of body mass index on high blood pressure among obese children in the western region of Saudi Arabia Full Text available with Trip Pro

) between male and female. Of the baseline characteristics, age greater than 11 years showed significant difference. Symptomatic manifestation of high blood pressure, family history of hypertension, level of activity, income level and post-secondary education in parents, did not show any significant results. Conclusion: Elevated BMI is associated with significantly increased diastolic and systolic blood pressure in obese children, especially in children older than 11 years. (...) Impact of body mass index on high blood pressure among obese children in the western region of Saudi Arabia To evaluate the impact of body mass index (BMI) on high blood pressure among obese children and adolescents in western region, Saudi Arabia.  Methods: Cross-sectional data were obtained from 306 (female: 140, male: 166) child, between August 2016 and March 2017. A questioner was filled by health professionals at ambulatory pediatric clinic followed by waist-hip circumference, height

2018 Saudi medical journal

72. Prognostic impact of blood pressure and heart rate at admission on in-hospital mortality after primary percutaneous intervention for acute myocardial infarction with ST-segment elevation in western Romania Full Text available with Trip Pro

Prognostic impact of blood pressure and heart rate at admission on in-hospital mortality after primary percutaneous intervention for acute myocardial infarction with ST-segment elevation in western Romania The purpose of this retrospective study was to evaluate the prognostic impact of systolic blood pressure (SBP) and heart rate (HR) on in-hospital mortality in ST-segment elevation acute myocardial infarction (STEMI) patients, after primary percutaneous intervention (PCI).The study included (...) mortality rate was 6% (n=18), with 11 (3.7%) deaths having cardiac causes. The highest mortality was registered in group I (n=9, 16%, P=0.018). Compared to the other groups, group I patients were older (P=0.033), more often smokers (P=0.026), and had a history of myocardial infarction (P=0.003), systemic hypertension (P=0.023), diabetes (P=0.041), or chronic kidney disease (P=0.0200). They more often had a HR ≥80 bpm (P=0.028) and a Killip class 3 or 4 at admission (P=0.020). The peak creatine

2017 Therapeutics and clinical risk management

73. Obesity and elevated blood pressure in suburban student athletes Full Text available with Trip Pro

Obesity and elevated blood pressure in suburban student athletes To assess the prevalence of obesity and elevated blood pressure in a suburban population of middle school and high school student athletes and examine the differences from the previously published populations.The Student Athlete Cardiac Evaluation Registry Study is a single-centre, community hospital-based registry study, that provided free annual preparticipation physical examinations (PPE) from 2009 to 2017. The PPE on the 906 (...) athletes included a history, a physical examination and body metrics including height, weight and blood pressure. The blood pressure was measured with an automated blood pressure cuff and, if elevated, was remeasured using a manual blood pressure cuff with aneroid manometer. The data from the PPE were collected and analysed for prevalence of obesity, overweight and elevated blood pressure measurements.The prevalence of obesity was 11%, and 19% of participants were overweight. Many of the athletes had

2017 BMJ Open Sport — Exercise Medicine

74. Blueberries for Improving Vascular Endothelial Function in Postmenopausal Women With Elevated Blood Pressure

(100). Please remove one or more studies before adding more. Blueberries for Improving Vascular Endothelial Function in Postmenopausal Women With Elevated Blood Pressure The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier (...) (NO) is a chemical produced by the endothelium and is essential for normal endothelial function and cardiovascular health. Vascular endothelial dysfunction is primarily caused by reduced NO bioavailability secondary to excessive oxidative stress. Approximately 3/4 of postmenopausal women have elevated blood pressure or hypertension which further worsens endothelial function and increases CVD risk through increased oxidative stress and inflammation. Blueberries are rich in phytochemicals including anthocyanins

2017 Clinical Trials

75. Fimasartan Optimal Reduction Targeting Elevated Blood Pressure: the FORTE Study

: August 21, 2017 See Sponsor: Boryung Pharmaceutical Co., Ltd Information provided by (Responsible Party): Boryung Pharmaceutical Co., Ltd Study Details Study Description Go to Brief Summary: The purpose of this study is to evaluate the effect of home blood pressure monitoring on controlling blood pressure and correlation between home blood pressure and clinic blood pressure in hypertensive patients receiving two or more concomitant antihypertensive agents including fimasartan Condition or disease (...) . Fimasartan Optimal Reduction Targeting Elevated Blood Pressure: the FORTE Study The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03254914 Recruitment Status : Recruiting First Posted : August 21, 2017 Last Update Posted

2017 Clinical Trials

76. Clinical Practice Guidelines on Hypertension

. Grade D, Level 4 22 3 Evaluating high blood pressure No. Recommendation Grade, Level of Evidence CPG page no. 10 Routine clinical evaluation of a patient with elevated BP includes the following: 1. Clinical and family history 2. Full standard physical examination 3. Laboratory investigations, including: a) Urine analysis: Dipstick for hematuria/albumin, microscopic examination, and test for albuminuria b) Measurement of serum concentrations of electrolytes, creatinine, urea, fasting glucose (...) case. These guidelines should neither be construed as including all proper methods of care, nor exclude other acceptable methods of care. Contents Page List of recommendations 1 1 Introduction 14 2 Epidemiology 15 3 Definition and classification of hypertension 18 4 Measuring blood pressure 19 5 Evaluating high blood pressure 24 6 Stratifying risk and approach to hypertension management 26 7 Treating high blood pressure 30 8 Treatment goals and follow-up 41 9 Treating high blood pressure in special

2017 Ministry of Health, Singapore

77. Pharmacological Management of Hypertension

Risk in Diabetes blood pressure trial ACEI, angiotensin-converting enzyme inhibitor ACP, American College of Physicians ADVANCE, Action in Diabetes and Vascular Disease: Preterax and Diamicron MR Controlled Evaluation ALLHAT, Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial ARB, angiotensin receptor blocker ARR, absolute risk reduction BP, blood pressure CCB, calcium channel blocker CI, confidence interval CPG, clinical practice guideline CKD, chronic kidney disease DASH (...) lower blood pressure targets: a clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. 2017 Mar 21 Department of Veterans Affairs (VA) VA/DoD clinical practice guideline for the diagnosis and management of hypertension in the primary care setting. 2014 Oct 01 Eighth Joint National Committee (JNC 8) 2014 evidence-based guideline for the management of high blood pressure in adults. Report from the panel members appointed to the Eighth Joint

2017 National Guideline Clearinghouse (partial archive)

78. Hypertension management and renin-angiotensin-aldosterone system blockade in patients with diabetes, nephropathy and/or chronic kidney disease

of Cardiology / European Society of Hypertension guidelines from 2013 and the eighth Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure from 2014 recommend the use of any class of antihypertensive agent in people with diabetes in the absence of albuminuria, but suggest the use of RAAS blockade as first-line treatment only in the presence of albuminuria. 121,122 This is based on the findings of 19 randomised controlled trials that enrolled 25,414 participants (...) and specialists in diabetes, cardiology and nephrology. It intends to harmonise practices of blood pressure monitoring, and pharmacological and non-pharmacological management of hypertension, which may vary considerably. Evidence grades for the recommendations The following evidence grading has been used to determine the strength of the recommendations; the suggested audit standards; and the questions for areas that require future research. 1A – Strong recommendation: high-quality evidence 1B – Strong

2017 Association of British Clinical Diabetologists

79. Pharmacologic Treatment of Hypertension in Adults Aged 60 Years or Older to Higher Versus Lower Blood Pressure Targets: A Clinical Practice Guideline from the American College of Physicians and the American Academy of Family Physicians Full Text available with Trip Pro

cardiovascular risk, based on individualized assessment, to achieve a target systolic blood pressure of less than 140 mm Hg. (Grade: weak recommendation, low-quality evidence). ACP and AAFP recommend that clinicians select the treatment goals for adults aged 60 years or older based on a periodic discussion of the benefits and harms of specific blood pressure targets with the patient. Hypertension, an elevation of systemic arterial blood pressure (BP), is a very common chronic disease in the United States (...) and cardiovascular outcomes: Study on COgnition and Prognosis in the Elderly (SCOPE). Am J Hypertens 2005 18 1052 9 Bird AS , Blizard RA , Mann AH . Treating hypertension in the older person: an evaluation of the association of blood pressure level and its reduction with cognitive performance. J Hypertens 1990 8 147 52 Margolis KL , Palermo L , Vittinghoff E , Evans GW , Atkinson HH , Hamilton BP . et al Intensive blood pressure control, falls, and fractures in patients with type 2 diabetes: the ACCORD trial. J

2017 American College of Physicians

80. CRACKCast E084 – Hypertension

diagnostic test abnormalities” Poorly controlled chronic HTN: known HTN patient with asymptomatic elevated BP without end organ dysfunction Watch out for the following drugs as they can muddy the waters by increasing BP: NSAIDS/steroids/decongestants/appetite suppressants/over-the-counter stimulants/oral contraceptives/TCAs or rebound from short-acting antihypertensives (eg clonidine) Elevated BP without prior history of HTN: can’t be diagnosed with HTN in Ed (think white coat) but 70% of these patients (...) go on the be diagnosed after appropriate w/o by GP or outpatient clinic [2] List 10 possible etiologies for hypertension. Remember that hypertension – is either primary or secondary. We always need to think “why” are they HTNsive: Here are some secondary causes: [3] What is the pathophysiology of target-organ damage? Macrocirculation High SVR (due to peripheral arteriole back up from SNS and RAAS activation) increase LV mass LVH – Diastolic dysfunction Elevated LA end diastolic pressures Acute

2017 CandiEM

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