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Sample records for attain blood pressure

  1. Pathways from parental educational attainment to adolescent blood pressure.

    Science.gov (United States)

    Kwok, Man Ki; Schooling, Catherine Mary; Subramanian, Subu V; Leung, Gabriel M; Kawachi, Ichiro

    2016-09-01

    Lower parental education is associated with higher adolescent blood pressure (BP). We examined the contribution of modifiable risk factors from infancy to adolescence that could potentially explain the link between parental education and SBP and DBP in the offspring. In a prospective Chinese birth cohort, 'Children of 1997' of 5604 adolescents (68% follow-up), we analyzed the relation between parental educational attainment and sex-specific, age-specific and height-specific BP z-scores at ∼13 years. Using mediation analysis, we examined the contribution of household income at birth (both absolute income and relative income deprivation), exposures during infancy (breastfeeding and early life second-hand smoking), lifestyles during childhood (diet, physical activity and screen-time), weight or BMI status during fetal, infancy, childhood and puberty, pubertal stage as well as parental BMI. We found that adolescent BMI, but not birth weight or infant growth or childhood BMI, mediated the inverse association of parental education with adolescent SBP (proportion mediated: 24%), followed by maternal BMI (proportion mediated: 18%). Factors explaining the link between parental education and DBP were less clear. Absolute income, breastfeeding, childhood diet and physical activity, pubertal stage and paternal BMI did not mediate the association between parental education and adolescent BP. Low parental education is a risk factor for high SBP and, to a lesser extent, DBP in adolescents. Important mediators of this relation include adolescent and maternal body weight.

  2. Blood pressure measurement

    Science.gov (United States)

    ... reading; Measuring blood pressure; Hypertension - blood pressure measurement; High blood pressure - blood pressure measurement ... High blood pressure has no symptoms so you may not know if you have this problem. High blood pressure ...

  3. Glycaemic, blood pressure and lipid goal attainment and chronic kidney disease stage of type 2 diabetic patients treated in primary care practices.

    Science.gov (United States)

    Corcillo, Antonella; Pivin, Edward; Lalubin, Fabrice; Pitteloud, Nelly; Burnier, Michel; Zanchi, Anne

    2017-07-11

    The prevalence of chronic kidney disease and diabetes is rising in Europe. These patients are at high cardiovascular and renal risk and need a challenging multifactorial therapeutic approach. The goal of this cross-sectional study was to examine the treatment and attainments of goals related to cardiovascular risk factors within chronic kidney disease stages in type 2 diabetic patients followed up by primary care physicians in Switzerland. Each participating physician entered into a web database the anonymised data of up to 15 consecutive diabetic patients attending her/his office between December 2013 and June 2014. Diabetes, hypertension and lipid lowering therapies were analysed, as well as glycated haemoglobin (HbA1c), blood pressure and low-density lipoprotein-cholesterol (LDL-c) levels and goal attainments by KDIGO chronic kidney disease stage 1 to 4. A total of 1359 patients (mean age 66.5±12.4 years) were included by 109 primary care physicians. Chronic kidney disease stages 0-2, 3a, 3 b and 4 were present in 77.6%, 13.9%, 6.1%, and 2.4%, respectively. Average HbA1c was independent of chronic kidney disease stage and close to 7%; more than half of the patients reached the HbA1c goal. Eighty-four percent of patients were hypertensive and only 18.2% reached the then current Swiss or American Diabetes Association 2013 blood pressure goals. Despite loosening of blood pressure goals in 2015, only half of the patients reached them and most needed multiple therapies. Increased body mass index and advanced chronic kidney disease stage decreased the chance of reaching blood pressure goals. Lipid lowering therapy was prescribed in 62.1% of cases, with average LDL-c levels similar across chronic kidney disease stages. Only 42% of patients reached the LDL-c goal of chronic kidney disease stages, in contrast to blood pressure. Reaching all three goals was rare (2.2%). There is a need for improvement in blood pressure control in advanced chronic kidney disease, whereas

  4. Blood Pressure Test

    Science.gov (United States)

    ... several blood pressure readings at home. Tracking your blood pressure readings It can be helpful in diagnosing or ... medication options might work best for you. Low blood pressure Low blood pressure that either doesn't cause ...

  5. Low Blood Pressure (Hypotension)

    Science.gov (United States)

    ... lowest at night and rises sharply on waking. Blood pressure: How low can you go? What's considered low ... low blood pressure. Medications that can cause low blood pressure Some medications can cause low blood pressure, including: ...

  6. High Blood Pressure (Hypertension)

    Science.gov (United States)

    ... Print Page Text Size: A A A Listen High Blood Pressure (Hypertension) Nearly 1 in 3 American adults has high ... weight. How Will I Know if I Have High Blood Pressure? High blood pressure is a silent problem — you ...

  7. Hypertension (High Blood Pressure)

    Science.gov (United States)

    ... Situations Talking to Your Parents - or Other Adults Hypertension (High Blood Pressure) KidsHealth > For Teens > Hypertension (High Blood Pressure) Print ... rest temperature diet emotions posture medicines Why Is High Blood Pressure Bad? High blood pressure means a person's heart ...

  8. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... which blood flows through blood vessels (arteries) at higher than normal pressures. Measuring Blood Pressure Blood pressure ... blood pressure are defined as having blood pressures higher than 120/80 mmHg. The following table outlines ...

  9. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood, which leads to secondary high blood pressure. Risk Factors Anyone can develop high blood pressure; however, ... history of high blood pressure can increase your risk for developing high blood pressure. Age Blood pressure ...

  10. Blood pressure goal attainment according to JNC 7 guidelines and utilization of antihypertensive drug therapy in MCO patients with type 1 or type 2 diabetes.

    Science.gov (United States)

    Andros, Vickie; Egger, Allison; Dua, Uma

    2006-05-01

    Controlling hypertension (HTN) in patients with diabetes mellitus (DM) can reduce complications such as nephropathy, cerebrovascular disease, and cardiovascular disease. As part of a quality improvement project with a managed care organization (MCO), we evaluated blood pressure (BP) control relative to the type of drug therapy for patients with type 1 or type 2 DM who were identified from pharmacy claims for antihyperglycemic drug therapy. Pharmacy claims for antihyperglycemic drugs, including insulin, were used to identify a random sample of commercial members in an MCO comprising 30 health plans across the United States. Retrospective medical record review was conducted in October 2003 to collect data from 4,814 patient charts. BP goal attainment according to The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) guidelines was determined for each patient from the most recent BP reading documented in the medical chart. The distribution by type of DM was 21.0% (n = 1,011) for type 1, 75.7% (n = 3,644) for type 2, and 3.3% (n = 159) for cases not documented in the medical chart. Excluding 590 charts (12.3%) without BP values, there were 1,328 of 4,224 DM patients (31.4%) at JNC 7 BP goal (chart, application of the lower BP goals in the JNC 7 guidelines reduced the proportion with controlled BP to 31.4% (1,328/4,224) from 42.6% (1,799/4,224) according to the former JNC 6 guidelines (P chart, 13.7% met JNC 7 BP goal with no antihypertensive drug therapy. For the patients with DM who received antihypertensive drug therapy and had a BP value recorded in the medical chart, only 26.3% were at JNC 7 BP goal. The application of JNC 7 guidelines significantly reduced the proportion of DM patients at target BP goal from 42.6%% to 31.4%

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Back To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension Leer en español ... vessels (arteries) at higher than normal pressures. Measuring Blood Pressure Blood pressure is the force of blood ...

  12. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension See also Information for ... arteries) at higher than normal pressures. Measuring Blood Pressure Blood pressure is the force of blood pushing ...

  13. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Back To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension See also Information ... vessels (arteries) at higher than normal pressures. Measuring Blood Pressure Blood pressure is the force of blood ...

  14. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Back To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension See also Information for ... vessels (arteries) at higher than normal pressures. Measuring Blood Pressure Blood pressure is the force of blood pushing ...

  15. Preventing High Blood Pressure

    Science.gov (United States)

    ... Heart Disease Cholesterol Salt Million Hearts® WISEWOMAN Preventing High Blood Pressure: Healthy Living Habits Recommend on Facebook Tweet Share ... meal and snack options can help you avoid high blood pressure and its complications. Be sure to eat plenty ...

  16. High blood pressure - children

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007696.htm High blood pressure - children To use the sharing features on this page, please enable JavaScript. High blood pressure (hypertension) is an increase in the force of ...

  17. Blood Pressure Medicines

    Science.gov (United States)

    High blood pressure, also called hypertension, usually has no symptoms. But it can cause serious problems such as stroke, ... and kidney failure. If you cannot control your high blood pressure through lifestyle changes such as losing weight and ...

  18. High blood pressure - infants

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007329.htm High blood pressure - infants To use the sharing features on this page, please enable JavaScript. High blood pressure (hypertension) is an increase in the force of ...

  19. High blood pressure medications

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007484.htm High blood pressure medicines To use the sharing features on this page, please enable JavaScript. Treating high blood pressure will help prevent problems such as heart disease, ...

  20. High Blood Pressure (Hypertension)

    Science.gov (United States)

    ... two types of high blood pressure. Primary (essential) hypertension For most adults, there's no identifiable cause of ... tends to develop gradually over many years. Secondary hypertension Some people have high blood pressure caused by ...

  1. Ambulatory blood pressure monitoring.

    OpenAIRE

    Nicholson, W R; Matthews, J. N.; O'Sullivan, J J; WREN, C.

    1993-01-01

    Ambulatory blood pressure monitoring (ABPM) in adults is proving to be useful. The aim of this study was to determine if ABPM is accurate in the lower blood pressure range encountered in children and, equally important, whether it is acceptable to children. Thirty one children, between the ages of 6 and 18 years, were assessed using an ambulatory blood pressure monitor that uses an auscultatory method. Blood pressure was measured in the contralateral arm with a mercury sphygmomanometer and an...

  2. High Blood Pressure Facts

    Science.gov (United States)

    ... Stroke Heart Disease Cholesterol Salt Million Hearts® WISEWOMAN High Blood Pressure Facts Recommend on Facebook Tweet Share Compartir On ... the facts about high blood pressure [PDF-255K] . High Blood Pressure in the United States About 75 million American ...

  3. High Blood Pressure (Hypertension)

    Science.gov (United States)

    ... other risk factors, like diabetes, you may need treatment. How does high blood pressure affect pregnant women? A few women will get high blood pressure when they are pregnant. When pregnant women get high blood pressure, it is called preeclampsia or toxemia. How do I control my high ...

  4. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... pressures. Measuring Blood Pressure Blood pressure is the force of blood pushing against the walls of the ... blood pressure, sometimes called hypertension, happens when this force is too high. Health care workers check blood ...

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... complications. Preventing High Blood Pressure Onset Healthy lifestyle habits can help prevent high blood pressure from developing. It is important to check your blood pressure regularly. Children should have their blood pressure checked starting at ...

  6. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... those used to diagnose high blood pressure, prehypertension can progress to high blood pressure and should be ... pressure weakens and damages your blood vessels, which can lead to complications . Types of High Blood Pressure ...

  7. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for mother ... View all news on High Blood Pressure RELATED EVENT The Role of Microbiota in Blood Pressure Regulation ...

  8. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure and should be taken seriously. Over time, consistently high blood pressure weakens and damages your ... Blood Pressure When blood pressure stays high over time, it can damage the body and cause complications. ...

  9. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Card can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for ... control your blood pressure before and during the pregnancy. Some women develop high blood pressure during pregnancy. ...

  10. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... the development of high blood pressure later in life. Environmental Causes of High Blood Pressure Environmental causes ... Tend to get high blood pressure earlier in life. Often, on average, have higher blood pressure numbers. ...

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... and large arteries, which can affect blood pressure. Genetic Causes of High Blood Pressure Much of the ... involved in high blood pressure has come from genetic studies. High blood pressure often runs in families. ...

  12. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... or its complications. Preventing High Blood Pressure Onset Healthy lifestyle habits can help prevent high blood pressure from developing. It is important to check your blood pressure regularly. Children should have their blood pressure checked starting at ...

  13. Educational attainment does not modify the effect of educational interventions on blood pressure control: a secondary analysis of data from a randomised trial

    OpenAIRE

    Zhang, Kun; Eastwood, Dan; Ertl, Kristyn; Whittle, Jeff

    2016-01-01

    Summary Objectives To assess whether the effects of community-based educational interventions to improve blood pressure, weight and health behaviours benefit participants with lower educational levels more than those with higher educational levels. Design Secondary data analysis. Setting Two 12-month community-based educational interventions, one led by trained peers and one delivered by health professionals. Participants A total of 403 hypertensive individuals, grouped by education (high sch...

  14. Educational attainment does not modify the effect of educational interventions on blood pressure control: a secondary analysis of data from a randomised trial.

    Science.gov (United States)

    Zhang, Kun; Eastwood, Dan; Ertl, Kristyn; Whittle, Jeff

    2016-08-01

    To assess whether the effects of community-based educational interventions to improve blood pressure, weight and health behaviours benefit participants with lower educational levels more than those with higher educational levels. Secondary data analysis. Two 12-month community-based educational interventions, one led by trained peers and one delivered by health professionals. A total of 403 hypertensive individuals, grouped by education (high school or less; 1-3 years college; 4 + years college). Blood pressure, weight, physical activity and fruit and vegetable intake. We found that changes in blood pressure, weight and physical activity were similar across education levels; college graduates consumed more daily servings of fruits and vegetables at baseline (3.7 versus 3.6 for those with 12-15 years and 3.1 for those with peer-led versus professional - had similar effects on all measures. We conclude that educational interventions, whether delivered by peers or professionals, may improve chronic disease self-management among participants but do not confer greater benefits on participants with lower educational levels.

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... increased blood volumes and high blood pressure. Sympathetic Nervous System Activity The sympathetic nervous system has important functions in blood pressure regulation, including ...

  16. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... sensor, and a blood pressure cuff. With this equipment, they measure: Systolic Pressure: blood pressure when the ... or at other locations that have blood pressure equipment and to keep a written log of all ...

  17. High Blood Pressure Fact Sheet

    Science.gov (United States)

    ... High Blood Pressure Salt Cholesterol Million Hearts® WISEWOMAN High Blood Pressure Fact Sheet Language: English (US) Español (Spanish) Recommend ... time. High blood pressure is also called hypertension. High Blood Pressure in the United States Having high blood pressure ...

  18. Home monitoring of blood pressure

    OpenAIRE

    McGrath, Barry P.

    2015-01-01

    Home blood pressure monitoring is the self-measurement of blood pressure by patients. In the diagnosis and management of high blood pressure it is complementary to 24-hour ambulatory blood pressure monitoring and clinic blood pressure measurements. Home monitoring can also help to identify white-coat and masked hypertension.

  19. Understanding Blood Pressure Readings

    Science.gov (United States)

    ... Facts About HBP • Know Your Numbers Introduction Hypertensive Crisis Monitoring Your Blood Pressure At ... to lower your HBP and prevent a heart attack. Lower your HBP now . Watch, Learn and ...

  20. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for mother ... With DASH My Blood Pressure Wallet Card Other Resources Cigarette and Tobacco Facts (National Institute ... OIG USA.gov

  1. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... nervous system has important functions in blood pressure regulation, including heart rate, blood pressure, and breathing rate. ... EVENT The Role of Microbiota in Blood Pressure Regulation Executive Summary June 10, 2016 Bethesda, MD The ...

  2. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... providers diagnose high blood pressure when blood pressure readings are consistently 140/90 mmHg or above. Confirming ... minutes before the test. To track blood pressure readings over a period of time, the health care ...

  3. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Nervous System Activity The sympathetic nervous system has important functions in blood pressure regulation, including heart rate, ... prevent high blood pressure from developing. It is important to check your blood pressure regularly. Children should ...

  4. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... page from the NHLBI on Twitter. Diagnosis of High Blood Pressure For most patients, health care providers ... are consistently 140/90 mmHg or above. Confirming High Blood Pressure A blood pressure test is easy ...

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure. Primary High Blood Pressure Primary, or essential, high blood pressure is the most common type ... has no known cause, it might be called essential hypertension, primary hypertension, or idiopathic (id-ee-o- ...

  6. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure, he or she can order additional tests to determine if your blood pressure is due to other conditions or medicines or if you have primary high blood pressure. ...

  7. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... of your blood pressure, he or she can order additional tests to determine if your blood pressure ... health and can lower high blood pressure. Stress management techniques include: Being physically active Listening to music ...

  8. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... from the NHLBI on Twitter. Diagnosis of High Blood Pressure For most patients, health care providers diagnose ... consistently 140/90 mmHg or above. Confirming High Blood Pressure A blood pressure test is easy and ...

  9. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... increase your risk for developing high blood pressure. Age Blood pressure tends to rise with age. About 65 percent of Americans age 60 or older have high blood pressure. However, ...

  10. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... harder and leading to high blood pressure. Medicines Prescription medicines such as asthma or hormone therapies, including ... aldosterone system leading to high blood pressure. Other Medical Causes of High Blood Pressure Other medical causes ...

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... your blood pressure returns to your normal baseline range. Blood pressure normally rises with age and body ... 160 or higher OR 100 or higher The ranges in the table are blood pressure guides for ...

  12. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... weakens and damages your blood vessels, which can lead to complications . Types of High Blood Pressure There ... Angiotensin narrows or constricts blood vessels, which can lead to an increase in blood pressure. Aldosterone controls ...

  13. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Imbalances in this kidney function can expand blood volumes, which can cause high blood pressure. Renin-Angiotensin- ... change this kidney function, leading to increased blood volumes and high blood pressure. Sympathetic Nervous System Activity ...

  14. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... System Activity The sympathetic nervous system has important functions in blood pressure regulation, including heart rate, blood pressure, and breathing rate. Researchers are ...

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... outlines and defines high blood pressure severity levels. Stages of High Blood Pressure in Adults Stages Systolic (top number) Diastolic (bottom number) Prehypertension 120– ...

  16. DIGITAL BLOOD PRESSURE MONITOR

    Directory of Open Access Journals (Sweden)

    R. Fuentes

    2004-12-01

    Full Text Available In this work we present a blood pressure monitor which measures both the high blood pressure (systolic pressure,and the low blood pressure (diastolic pressure. It is a semiautomatic meter because the inflation of the occlusivecuff is carried out in a manual way. The transducer used is a piezoresistive silicon pressure sensor integrated onchip which provides a proportional voltage to the input pressure, with a measurement range from 0 to 50 kPa (0–7.3 PSI. The oscillometric method is employed, which consists on detecting the oscillometric signal on brachialartery, being processed at each pressure step, when the cuff is gradually deflated. Signal sampling is carried out ata rate determined by the heart rate.In order to program the digital electronics of the circuit we used Altera tools, with the compiler MAX-PLUS II, andthe device selected to implement the design was an EPM7128SLC84-15 CPLD (Complex Programmable LogicDevice

  17. High Blood Pressure (Hypertension) (For Parents)

    Science.gov (United States)

    ... Pregnancy Healthy Food Shopping Healthy Drinks for Kids High Blood Pressure (Hypertension) KidsHealth > For Parents > High Blood Pressure (Hypertension) ... How Is High Blood Pressure Treated? What Is High Blood Pressure? Blood pressure is the pressure of blood against ...

  18. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... High Blood Pressure Explore High Blood Pressure What Is... Other Names Causes Who Is at Risk Signs & Symptoms Diagnosis Treatments Prevention Living ... Confirming High Blood Pressure A blood pressure test is easy and painless and can be done in ...

  19. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Home / < Back To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension Leer en español See ... defines high blood pressure severity levels. Stages of High Blood Pressure in Adults Stages Systolic (top number) Diastolic (bottom ...

  20. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Home / < Back To Health Topics / High Blood Pressure High Blood Pressure Also known as Hypertension See also Information for ... defines high blood pressure severity levels. Stages of High Blood Pressure in Adults Stages Systolic (top number) Diastolic (bottom ...

  1. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... care provider may need to change or add medicines to your treatment plan over time. NHLBI’s My Blood Pressure Wallet Card can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for mother and baby. High blood pressure can ...

  2. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure: primary and secondary high blood pressure. Primary High Blood Pressure Primary, or essential, high blood pressure is the most ... known cause, it might be called essential hypertension, primary hypertension, or idiopathic (id-ee-o-PATH-ick) ...

  3. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... may stiffen small and large arteries, which can affect blood pressure. Genetic Causes of High Blood Pressure Much of the understanding of the body systems involved in high blood pressure has come from genetic studies. High blood pressure often runs in families. Years ...

  4. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... are two main types of high blood pressure: primary and secondary high blood pressure. Primary High Blood Pressure Primary, ... plan based on whether you were diagnosed with primary or secondary high blood pressure and if there is a ...

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... mmHg or above. Confirming High Blood Pressure A blood pressure test is easy and painless and can be done ... high blood pressure. Using the results of your blood pressure test, your health care provider will diagnose prehypertension or ...

  6. Simultaneous treatment to attain blood pressure and lipid goals and reduced CV risk burden using amlodipine/atorvastatin single-pill therapy in treated hypertensive participants in a randomized controlled trial

    Science.gov (United States)

    Grimm, Richard; Malik, Mobin; Yunis, Carla; Sutradhar, Santosh; Kursun, Attila

    2010-01-01

    TOGETHER investigated whether targeting multiple cardiovascular (CV) risk factors using single-pill amlodipine/atorvastatin (AML/ATO) and therapeutic lifestyle changes (TLC) results in greater blood pressure (BP)/lipid control and additional reduction in estimated cardiovascular disease (CVD) risk compared with blood pressure intervention only using amlodipine (AML) + TLC. TOGETHER was a 6-week, randomized, double-blind, double-dummy trial using hypertensive participants with additional CV risk factors without CVD/diabetes. Participants were randomized to either AML/ATO (5 to 10/20 mg) + TLC or AML (5 to 10 mg) + TLC. The primary end point was the difference in proportion of participants attaining both BP (<140/90 mm Hg) and low-density lipoprotein cholesterol (LDL-C) (<100 mg/dL) goals at week 6. At week 6, 67.8% of participants receiving AML/ATO + TLC attained the combined BP/LDL-C goal versus 9.6% with AML + TLC (RD [A–B]: 58.2; 95% CI [48.1 to 68.4] P < 0.001; OR: 19.0; 95% CI 9.1 to 39.6; P < 0.001). Significant reductions from baseline in LDL-C, total cholesterol and triglycerides and estimated 10-year Framingham risk were also observed. Treatment with AML/ATO was well tolerated. In conclusion, a multifactorial CV management approach is more effective in achieving combined BP/LDL-C targets as well as CV risk reduction compared with BP intervention only in this patient population. PMID:20479948

  7. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... control high blood pressure; lifestyle changes such as weight loss can be highly effective in treating high blood ... your risk for health problems. Greater amounts of weight loss can improve blood pressure readings, lower LDL cholesterol , ...

  8. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure test is easy and painless and can be done in a health care provider’s office ... severity of your blood pressure, he or she can order additional tests to determine if your blood ...

  9. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... can cause high blood pressure. Renin-Angiotensin-Aldosterone System The renin-angiotensin-aldosterone system makes angiotensin and ... blood volumes and high blood pressure. Sympathetic Nervous System Activity The sympathetic nervous system has important functions ...

  10. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... risk for prehypertension and high blood pressure is increasing for children and teens, possibly due to the ... II is a hormone that narrows blood vessels, increasing blood pressure. ACE converts Angiotensin I to Angiotensin ...

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... may stiffen small and large arteries, which can affect blood pressure. Genetic Causes of High Blood Pressure ... which plaque builds up in leg arteries and affects blood flow in the legs. When people have ...

  12. Diagnosis of High Blood Pressure

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    Full Text Available ... can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for mother ... babies have good outcomes. Participate in NHLBI Clinical Trials The National Heart, Lung, and Blood Institute (NHLBI) ...

  13. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... hormones in your blood, which leads to secondary high blood pressure. Risk Factors Anyone can develop high blood pressure; however, age, race or ethnicity, being overweight, gender, ...

  14. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... your blood vessels, which can lead to complications . Types of High Blood Pressure There are two main ... ask for your readings. Blood Pressure Severity and Type Your health care provider usually takes 2–3 ...

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... system activity , and blood vessel structure and function. Biology and High Blood Pressure Researchers continue to study ... blood pressure often runs in families. Years of research have identified many genes and other mutations associated ...

  16. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... for 2 to 3 percent of all cases. Emerging research suggests that certain DNA changes during fetal ... blood, which leads to secondary high blood pressure. Risk Factors Anyone can develop high blood pressure; however, ...

  17. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... blood pressure. Angiotensin-Converting Enzyme (ACE) Inhibitors : Angiotensin-II is a hormone that narrows blood vessels, increasing blood pressure. ACE converts Angiotensin I to Angiotensin II. ACE inhibitors block this process, which stops the ...

  18. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... pressure and maintain normal blood pressure readings. Healthy Eating To help treat high blood pressure, health care ... more about the DASH eating plan. Heart-Healthy Eating Your health care provider also may recommend heart- ...

  19. Effects of blood pressure and blood pressure reactivity on ...

    African Journals Online (AJOL)

    The study investigated whether the relationship between sex and experimental pain report was explained by blood pressure at rest, or during pain task, or both in healthy, young adult females. Univariate analyses indicated significant positive correlation between baseline systolic blood pressure, systolic blood pressure ...

  20. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... above. Confirming High Blood Pressure A blood pressure test is easy and painless and can be done ... provider’s office or clinic. To prepare for the test: Don’t drink coffee or smoke cigarettes for ...

  1. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... of physical activity Drinking too much alcohol Stress Family History A family history of high blood pressure raises the risk ... for high blood pressure and may run in families. Genetic causes of this condition are why family ...

  2. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... too high. Health care workers check blood pressure readings the same way for children, teens, and adults. ... Complications Because diagnosis is based on blood pressure readings, this condition can go undetected for years, as ...

  3. Medications for High Blood Pressure

    Science.gov (United States)

    ... Consumers Home For Consumers Consumer Updates Medications for High Blood Pressure Share Tweet Linkedin Pin it More sharing options ... age and you cannot tell if you have high blood pressure by the way you feel, so have your ...

  4. High blood pressure and diet

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007483.htm High blood pressure and diet To use the sharing features on ... diet is a proven way to help control high blood pressure . These changes can also help you lose weight ...

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... severity levels. Stages of High Blood Pressure in Adults Stages Systolic (top number) Diastolic (bottom number) Prehypertension ... in the table are blood pressure guides for adults who do not have any short-term serious ...

  6. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... check blood pressure readings the same way for children, teens, and adults. They use a gauge, stethoscope ... prehypertension and high blood pressure is increasing for children and teens, possibly due to the rise in ...

  7. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... and to follow your prescribed treatment plan, which will include healthy lifestyle habit recommendations and possibly medicines. ... your blood pressure test, your health care provider will diagnose prehypertension or high blood pressure if: Your ...

  8. Diagnosis of High Blood Pressure

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  12. High Blood Pressure in Pregnancy

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    ... of the baby. Controlling your blood pressure during pregnancy and getting regular prenatal care are important for ... your baby. Treatments for high blood pressure in pregnancy may include close monitoring of the baby, lifestyle ...

  13. Diagnosis of High Blood Pressure

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  20. Diagnosis of High Blood Pressure

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  1. Diagnosis of High Blood Pressure

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  4. Diagnosis of High Blood Pressure

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    Full Text Available ... of all cases. Emerging research suggests that certain DNA changes during fetal development also may cause the development of high blood pressure later in life. Environmental Causes of High Blood Pressure Environmental causes of ...

  5. Blood pressure monitors for home

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/007482.htm Blood pressure monitors for home To use the sharing features ... may ask you to keep track of your blood pressure at home. To do this, you will need ...

  6. Diagnosis of High Blood Pressure

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  7. Diagnosis of High Blood Pressure

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    Full Text Available ... blood pressure and maintain normal blood pressure readings. Healthy Eating To help treat high blood pressure, health care providers recommend that you limit sodium and salt intake, increase potassium, and eat foods that are heart healthy. Limiting Sodium and Salt ...

  8. Diagnosis of High Blood Pressure

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    Full Text Available ... Card can help you track your blood pressure. Pregnancy Planning High blood pressure can cause problems for mother and ... before and during the pregnancy. Some women develop high blood pressure during pregnancy. When this happens, your health care provider will ...

  9. Diagnosis of High Blood Pressure

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    Full Text Available ... Advisory Committees Jobs Contact Us FAQs Home » Health Information for the Public » Health Topics » High Blood Pressure » Diagnosis of High Blood Pressure Explore High Blood Pressure What Is... Other Names Causes Who Is at Risk Signs & Symptoms Diagnosis Treatments Prevention Living With Clinical ...

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  15. Diagnosis of High Blood Pressure

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    Full Text Available ... system activity , and blood vessel structure and function. Biology and High Blood Pressure Researchers continue to study ... balances, cause your blood vessels to constrict, or impact the renin-angiotensin-aldosterone system leading to high ...

  16. Diagnosis of High Blood Pressure

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    Full Text Available ... pressure is a common disease in which blood flows through blood vessels (arteries) at higher than normal ... press on nearby body parts, or block blood flow. The signs and symptoms that develop depend on ...

  17. Blood Pressure vs. Heart Rate

    Science.gov (United States)

    ... Venous Thromboembolism Aortic Aneurysm More Blood Pressure vs. Heart Rate (Pulse) Updated:Sep 15,2017 Understanding the difference ... your blood moving through your blood vessels, your heart rate is the number of times your heart beats ...

  18. Diagnosis of High Blood Pressure

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    Full Text Available ... the walls of the arteries as the heart pumps blood. High blood pressure, sometimes called hypertension, happens ... breath. Heart Failure : When the heart can’t pump enough blood to meet the body’s needs. Common ...

  19. Diagnosis of High Blood Pressure

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    Full Text Available ... system activity , and blood vessel structure and function. Biology and High Blood Pressure Researchers continue to study ... Channel Blockers: Keep calcium from entering the muscle cells of your heart and blood vessels. This allows ...

  20. ORANGE JUICE AND BLOOD PRESSURE

    Directory of Open Access Journals (Sweden)

    M. F. VALIM

    2009-01-01

    Full Text Available

    Blood pressure is the force of blood against artery walls. It is measured in millimeters of mercury (mm Hg and recorded as two numbers: systolic pressure (as the heart contracts over diastolic pressure (as the heart relaxes between beats. High blood pressure (hypertension is defined as chronically elevated high blood pressure, with systolic blood pressure (SBP of 140 mm Hg or greater, and diastolic blood pressure (DBP of 90 mm Hg or greater. High blood pressure (HBP, smoking, abnormal blood lipid levels, obesity and diabetes are risk factors for coronary heart disease, the leading cause of death in the US. Lifestyle modifications such as engaging in regular physical activity, quitting smoking and eating a healthy diet (limiting intake of saturated fat and sodium and increasing consumption of fiber, fruits and vegetables are advocated for the prevention, treatment, and control of HBP. As multiple factors influence blood pressure, the effects of each factor are typically modest, particularly in normotensive subjects, yet the combined effects can be substantial. Nutrition plays an important role in influencing blood pressure. Orange juice should be included as part of any low sodium diet and/or any blood pressure reducing eating plan, as it is sodium free, fat-free and can help meet recommended levels of potassium intake that may contribute to lower BP.

  1. Relationships between blood lead, blood pressure, serum ...

    African Journals Online (AJOL)

    Study examined the associations between blood – Pb, serum cholesterol, diastolic and, systolic blood pressures, hematocrit, body weight, age and body mass index in 528 study subjects comprising 50% cigarette smoking and 50% non-smoking male residents of Abeokuta, Nigeria, aged from 15 to 80 years. Blood Pb was ...

  2. Diagnosis of High Blood Pressure

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    Full Text Available ... your risk for health problems. Greater amounts of weight loss can improve blood pressure readings, lower LDL cholesterol , ... blood pressure and triglyceride levels, a type of fat found in the blood. Alcohol also adds extra calories, which may cause weight gain. Men should have no more than two ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... cause high blood pressure. Blood Vessel Structure and Function Changes in the structure and function of small and large arteries may contribute to ... to stop or slow some of the body’s functions that cause high blood pressure. Medicines to lower ...

  4. Diagnosis of High Blood Pressure

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    Full Text Available ... volumes and high blood pressure. Sympathetic Nervous System Activity The sympathetic nervous system has important functions in ... narrow in the kidneys, possibly causing kidney failure. Cognitive Changes: Research shows that over time, higher blood ...

  5. Diagnosis of High Blood Pressure

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    Full Text Available ... estrogen, and over-the-counter medicines such as cold relief medicines may cause this form of high blood ... blood pressure is more common in African American adults than in Caucasian or ...

  6. Diagnosis of High Blood Pressure

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    Full Text Available ... system activity , and blood vessel structure and function. Biology and High Blood Pressure Researchers continue to study ... and Your Heart U.S. Department of Health and Human Services' 2008 Physical Activity Guidelines for Americans Maintaining ...

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    Full Text Available ... NHLBI About NHLBI Home Mission and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget ... in the blood vessels, causing the heart to work harder and leading to high blood pressure. Medicines ...

  8. Diagnosis of High Blood Pressure

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    Full Text Available ... and adults. They use a gauge, stethoscope or electronic sensor, and a blood pressure cuff. With this ... the American College of Cardiology (ACC), the guidelines now define hypertension as a systolic blood... View all ...

  9. Diagnosis of High Blood Pressure

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    Full Text Available ... of physical activity Drinking too much alcohol Stress Family History A family history of high blood pressure ... Stroke Other Resources Many resources are available for support and to provide additional information on high blood ...

  10. Diagnosis of High Blood Pressure

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    Full Text Available ... to cognitive changes. Signs and symptoms include memory loss, difficulty finding words, and losing focus during conversations. ... high blood pressure; lifestyle changes such as weight loss can be highly effective in treating high blood ...

  11. Diagnosis of High Blood Pressure

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    Full Text Available ... system activity , and blood vessel structure and function. Biology and High Blood Pressure Researchers continue to study ... sodium and salt intake, increase potassium, and eat foods that are heart healthy. Limiting Sodium and Salt ...

  12. Diagnosis of High Blood Pressure

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    Full Text Available ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ... The National Heart, Lung, and Blood Institute (NHLBI) leads or sponsors many studies aimed at preventing, diagnosing, ...

  13. Diagnosis of High Blood Pressure

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    Full Text Available ... treatment plans for high blood pressure that include lifelong lifestyle changes and medicines to control high blood ... Managing and coping with stress To help make lifelong lifestyle changes, try making one healthy lifestyle change ...

  14. Diagnosis of High Blood Pressure

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    Full Text Available ... habits, being overweight or obese, and medicines. Unhealthy Lifestyle Habits Unhealthy lifestyle habits can cause high blood ... likely than men to develop high blood pressure. Lifestyle Habits Unhealthy lifestyle habits can raise your risk ...

  15. Diagnosis of High Blood Pressure

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    Full Text Available ... control high blood pressure; lifestyle changes such as weight loss can be highly effective in treating high blood ... If you’re overweight or obese, try to lose weight. A loss of just 3 to 5 percent ...

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    Full Text Available ... and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget and Legislative Information Jobs and ... With DASH My Blood Pressure Wallet Card Other Resources Cigarette and Tobacco Facts (National Institute on Drug Abuse) High Blood ...

  17. Diagnosis of High Blood Pressure

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    Full Text Available ... 120/80 mmHg. The following table outlines and defines high blood pressure severity levels. Stages of High ... American College of Cardiology (ACC), the guidelines now define hypertension as a systolic blood... View all news ...

  18. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... happens because medicines can change the way your body controls fluid and salt balances, cause your blood vessels to constrict, or impact the renin-angiotensin-aldosterone system leading to high blood pressure. Other Medical Causes of High Blood ... these other conditions change the way your body controls fluids, sodium, and hormones in your blood, which leads ...

  19. Diagnosis of High Blood Pressure

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    Full Text Available ... or hormone therapies, including birth control pills and estrogen, and over-the-counter medicines such as cold ... pressure. Medicines to lower blood pressure include: Diuretics (Water or Fluid Pills): Flush excess sodium from your ...

  20. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... term serious illnesses. People with diabetes or chronic kidney disease should keep their blood pressure below 130/80 ... pressure include other medical conditions such as chronic kidney disease , sleep apnea , thyroid problems, or certain tumors. This ...

  1. Diagnosis of High Blood Pressure

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    Full Text Available ... Signs and symptoms include memory loss, difficulty finding words, and losing focus during conversations. Eye Damage: When ... pressure. Medicines to lower blood pressure include: Diuretics (Water or Fluid Pills): Flush excess sodium from your ...

  2. Diagnosis of High Blood Pressure

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    Full Text Available ... the body’s salt balance by retaining sodium and water and excreting potassium. Imbalances in this kidney function ... pressure. Medicines to lower blood pressure include: Diuretics (Water or Fluid Pills): Flush excess sodium from your ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... of Intramural Research Research Resources Research Meeting Summaries Technology Transfer ... » Health Information for the Public » Health Topics » High Blood Pressure » ...

  4. Why ambulatory blood pressure monitoring?

    Science.gov (United States)

    Punzi, H A

    1998-11-15

    Factors that affect the reliability and accuracy of blood pressure measurements are reviewed, and new technologies for measuring blood pressure are discussed. Blood pressure measurements obtained in an office, hospital, or clinic are subject to variation and error. Reasons for variations include the wrong cuff size, improper inflation or deflation technique, and patient apprehension ("white-coat syndrome"). Ambulatory blood pressure monitoring (ABPM) involves the use of a fully automated standard arm cuff that is inflated at predetermined intervals by a small battery-powered pump unit. The most reliable ABPM method is the oscillometric method, which detects subtle changes in air pressure within the cuff system caused by fluctuations of the brachial artery. The process for interpreting 24-hour ABPM data is still evolving. Twenty-four-hour ABPM has been shown to eliminate white-coat hypertension and is also useful for assessing patients whose blood pressure is inappropriately high in the absence of end organ damage, monitoring persons at risk of developing hypertension because of their race or family history, determining a medication's 24-hour effect on blood pressure, and assessing the early-morning rapid rise in blood pressure, which has been linked to an increased risk of nonembolic stroke and myocardial infarction. ABPM enables identification of patients whose blood pressure is elevated in the office but normal at home, allows more appropriate screening of patients for clinical trials, gives reproducible values, and enables evaluation of drug duration and action.

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... health and can lower high blood pressure. Stress management techniques include: Being physically active Listening to music or focusing on something calm or peaceful Performing yoga or tai chi Meditating Medicines Blood pressure medicines work in different ways to stop or slow some of the ...

  6. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... of Intramural Research Research Resources Research Meeting Summaries Technology Transfer Clinical Trials What Are Clinical Trials? Children & ... or at other locations that have blood pressure equipment and to keep a written ... at several medical appointments to diagnose high blood pressure. Using the ...

  7. High Blood Pressure and Women

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More High Blood Pressure and Women Updated:Dec 14,2016 Pregnancy and ... Women . This content was last reviewed October 2016. High Blood Pressure • Home • Get the Facts About HBP • Know Your ...

  8. Common High Blood Pressure Myths

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Common High Blood Pressure Myths Updated:Dec 8,2017 Knowing the facts ... health. This content was last reviewed October 2016. High Blood Pressure • Home • Get the Facts About HBP Introduction What ...

  9. What Is High Blood Pressure?

    Science.gov (United States)

    ... Disease Venous Thromboembolism Aortic Aneurysm More What is High Blood Pressure? Updated:Oct 5,2017 First, let’s define high ... resources . This content was last reviewed October 2016. High Blood Pressure • Home • Get the Facts About HBP Introduction What ...

  10. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... other conditions or medicines or if you have primary high blood pressure. Health care providers can use this information to develop your treatment plan. Some people have “white coat hypertension.” This happens when blood pressure readings are only high when taken in a health ...

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... learn how to check your blood pressure at home. Your health care provider can help you learn how to do ... to lower the chance of complications. With such care, most women and babies have good ... Resources Healthy Hearts, Healthy Homes: Keep the Beat: Control Your High Blood Pressure/ ...

  12. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... short-term serious illnesses. People with diabetes or chronic kidney disease should keep their blood pressure below 130/80 ... blood pressure include other medical conditions such as chronic kidney disease , sleep apnea , thyroid problems, or certain tumors. This ...

  13. Diabetes and blood pressure (image)

    Science.gov (United States)

    People with diabetes have a higher risk for heart attacks and strokes. Your doctor or nurse should check your blood pressure ... People with diabetes have a higher risk for heart attacks and strokes. Your doctor or nurse should check your blood pressure ...

  14. Diagnosis of High Blood Pressure

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    Full Text Available ... NHLBI About NHLBI Home Mission and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget ... health and can lower high blood pressure. Stress management techniques include: Being physically ... SPRINT trial played a key role in the evolution of the new blood pressure ...

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... physical health and can lower high blood pressure. Stress management techniques include: Being physically active Listening to music or focusing on something calm or peaceful Performing yoga or tai chi Meditating Medicines Blood pressure medicines work in different ways to stop or slow some ...

  16. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... can help you control high blood pressure. These habits include: Healthy eating Being physically active Maintaining a healthy weight Limiting ... earlier changes. When you practice several healthy lifestyle habits, you are more likely to lower ... Eating To help treat high blood pressure, health care ...

  17. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... provider’s office compared with readings taken in any other location. Health care providers diagnose this type of high blood pressure ... high blood pressure and reduce your risk for other health problems. Talk with your health care provider before you start a new exercise plan. ...

  18. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Stroke Other Resources Many resources are available for support and to provide additional information on high blood pressure not found elsewhere in this Health Topic. NHLBI Resources Healthy Hearts, Healthy Homes: Keep the Beat: Control Your High Blood Pressure/ ...

  19. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... provider may ask you to come into the office on different days and at different times to take your blood pressure. The health care provider also may ask you to check readings at home or at other locations that have blood pressure ...

  20. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... or focusing on something calm or peaceful Performing yoga or tai chi Meditating Medicines Blood pressure medicines work in different ways to stop or slow some of the body’s functions that cause high blood pressure. Medicines to ...

  1. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Severity and Type Your health care provider usually takes 2–3 readings at several medical appointments to diagnose high blood pressure. Using the results of your blood pressure test, your health care provider will diagnose prehypertension or ...

  2. Blood Pressure Drugs and AMD

    Science.gov (United States)

    ... Patient Stories Español Eye Health / News Research News: Blood Pressure Drugs and AMD Leer en Español: Noticias de ... also found an association between AMD and high blood pressure, but this has been inconsistent. To help clarify ...

  3. Serotonin and Blood Pressure Regulation

    Science.gov (United States)

    Morrison, Shaun F.; Davis, Robert Patrick; Barman, Susan M.

    2012-01-01

    5-Hydroxytryptamine (5-HT; serotonin) was discovered more than 60 years ago as a substance isolated from blood. The neural effects of 5-HT have been well investigated and understood, thanks in part to the pharmacological tools available to dissect the serotonergic system and the development of the frequently prescribed selective serotonin-reuptake inhibitors. By contrast, our understanding of the role of 5-HT in the control and modification of blood pressure pales in comparison. Here we focus on the role of 5-HT in systemic blood pressure control. This review provides an in-depth study of the function and pharmacology of 5-HT in those tissues that can modify blood pressure (blood, vasculature, heart, adrenal gland, kidney, brain), with a focus on the autonomic nervous system that includes mechanisms of action and pharmacology of 5-HT within each system. We compare the change in blood pressure produced in different species by short- and long-term administration of 5-HT or selective serotonin receptor agonists. To further our understanding of the mechanisms through which 5-HT modifies blood pressure, we also describe the blood pressure effects of commonly used drugs that modify the actions of 5-HT. The pharmacology and physiological actions of 5-HT in modifying blood pressure are important, given its involvement in circulatory shock, orthostatic hypotension, serotonin syndrome and hypertension. PMID:22407614

  4. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Trials Publications and Resources Health Education and Awareness The Science Science Home Blood Disorders and Blood Safety Sleep ... eating plan if you have high blood pressure. The DASH eating plan focuses on fruits, vegetables, whole grains, and other foods that are heart healthy ...

  5. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Accessible Search Form Search the NHLBI, use the drop down list to select: the entire site, the Health Topics section only, or the News and Resources section. NHLBI ... for Health Professionals What Is High blood pressure is a common disease in which blood flows through blood vessels (arteries) ...

  6. Diet, blood pressure, and multicollinearity.

    Science.gov (United States)

    Reed, D; McGee, D; Yano, K; Hankin, J

    1985-01-01

    Recent reports of an inverse association between dietary calcium intake and hypertension stimulated this analysis of the relationship of blood pressure to more than 20 dietary factors among a group of 8000 Japanese men in Hawaii. Reported intakes of potassium, calcium, protein, and milk were all inversely associated with blood pressure levels when examined one at a time while controlling for other risk factors. Alcohol intake was directly associated with blood pressure, and was treated as a confounding variable in the analysis. The association of potassium intake with blood pressure was relatively stronger than the associations for other nutrients, but the intake of potassium was so highly correlated with intakes of calcium, milk, and protein that it was not statistically possible to identify the independent association of potassium and blood pressure. Calcium intake was strongly correlated with milk and potassium intakes, and only calcium from dairy sources was associated with blood pressure. These data thus indicate that several dietary factors are inversely related to blood pressure levels independently of other risk factors such as age, body mass, and alcohol intake. The high degree of intercorrelation (multicollinearity) among these dietary factors, however, indicates that the independent role of any specific nutrient cannot be conclusively separated from the possible effects of other nutrients in this type of study.

  7. [Diabetes Infobus 1999. Blood pressure].

    Science.gov (United States)

    Ecker, J

    2002-01-01

    In comparison to non-diabetic normotensive control subjects, hypertensive diabetic patients have a four-fold increased risk for cardiovascular morbidity and mortality. Additional to WHO/IHS definition, the terminus "high-normal blood pressure" (systolic 130-140 mm Hg and diastolic 85 - 28 kg/m2) subjects, whose percentage in our population were 32%, blood pressure was elevated (RR > 150/90) in 51%. In subclasses with high blood pressure, an increased cholesterol level was often seen; 64% of these subjects had a cholesterol level of greater 200 mg/dl.

  8. Hypertension (High Blood Pressure)

    Science.gov (United States)

    ... blood vessels, induction of a high fever, and strict low-sodium diets. Case studies suggested that each ... with scientific and medical communities to update hypertension management guidelines (JNC-8), including integrating them with updated ...

  9. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... 5 percent can lower your risk for health problems. Greater amounts of weight loss can improve blood pressure readings, lower LDL cholesterol , and increase HDL cholesterol . However, research shows that no matter your weight, it is ...

  10. Diagnosis of High Blood Pressure

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  15. Controlling your high blood pressure

    Science.gov (United States)

    ... medicine or your blood pressure Alternative Names Controlling hypertension ... Diabetes Association. Standards of Medical Care in Diabetes-2016 Abridged for Primary Care Providers. Clin Diabetes . 2016;34(1):3- ...

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  16. High Blood Pressure and Pregnancy

    Science.gov (United States)

    Healthy Lifestyle Pregnancy week by week High blood pressure and pregnancy isn't necessarily a dangerous combination. Here's what you ... 2017 Original article: http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/pregnancy/art-20046098 . ...

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    Full Text Available ... risk for health problems. Greater amounts of weight loss can improve blood pressure readings, lower ... to maintain good health. A useful measure of overweight and obesity is body mass index (BMI). BMI measures your ...

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    Full Text Available ... Salt A low-sodium diet can help you manage your blood pressure. You should try to limit ... Managing and Coping With Stress Learning how to manage stress, relax, and cope with problems can improve ...

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    Full Text Available ... or Hispanic American adults. Compared with these ethnic groups, African Americans: Tend to get high blood pressure ... and Mexicans ate less sodium than other Hispanic groups in the study. All Hispanic Americans should follow ...

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    Full Text Available ... the test: Don’t drink coffee or smoke cigarettes for 30 minutes prior to the test. Go ... DASH My Blood Pressure Wallet Card Other Resources Cigarette and Tobacco Facts (National Institute on Drug Abuse) ...

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    Full Text Available ... lead to cognitive changes. Signs and symptoms include memory loss, difficulty finding words, and losing focus during ... blood pressure numbers are outside average numbers for children of the same age, gender, and height . Once ...

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    Full Text Available ... ounces of liquor Managing and Coping With Stress Learning how to manage stress, relax, and cope with ... Future Treatments Scientists, doctors, and researchers continue to study the changes that cause high blood pressure, to ...

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    Full Text Available ... severity levels. Stages of High Blood Pressure in Adults Stages Systolic (top number) Diastolic (bottom number) Prehypertension ... bleed. Signs and symptoms include vision changes or blindness. Heart Attack : When the flow of oxygen-rich ...

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    Full Text Available ... 2016 Bethesda, MD The NHLBI convened a working group of multidisciplinary researchers on June 10, 2016, to share current scientific k... View all events on High Blood Pressure Building 31 ...

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    Full Text Available ... lead to an increase in blood pressure. Aldosterone controls how the kidneys balance fluid and salt levels. ... such as asthma or hormone therapies, including birth control pills and estrogen, and over-the-counter medicines ...

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    Full Text Available ... lead to cognitive changes. Signs and symptoms include memory loss, difficulty finding words, and losing focus during ... high blood pressure. Treatment Plans Health care providers work with you to develop a treatment plan based ...

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    Full Text Available ... improve your overall health, such as: If you smoke , quit. Get plenty of sleep. Drink more water. Medicines Take all blood pressure medicines that your health care provider prescribes. Know the names and doses of ...

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    Full Text Available ... Heart and Vascular Diseases Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies Women’s ... healthy. Limiting Sodium and Salt A low-sodium diet can help you manage your blood pressure. You ...

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    Full Text Available ... care providers prescribe children and teens medicines at special doses that are safe and effective in children. ... different set of blood pressure medications or other special treatments. To achieve the best control of your ...

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    Full Text Available ... narrow in the kidneys, possibly causing kidney failure. Cognitive Changes: Research shows that over time, higher blood pressure numbers can lead to cognitive changes. Signs and symptoms include memory loss, difficulty ...

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    Full Text Available ... NHLBI About NHLBI Home Mission and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget ... health and can lower high blood pressure. Stress management techniques include: Being physically active Listening to music ...

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    Full Text Available ... physical activity Drinking too much alcohol Stress Family History A family history of high blood pressure raises ... and Digestive and Kidney Diseases) RELATED NEWS December 13, 2017 | Research Feature NIH’s SPRINT trial played a ...

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    Full Text Available ... your risk for other related problems. Healthy Lifestyle Changes Healthy lifestyle habits can help you control high ... work with your health care team. Healthy Lifestyle Changes You can help control your blood pressure by ...

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    Full Text Available ... healthy. Limiting Sodium and Salt A low-sodium diet can help you manage your blood pressure. You ... twice a week When following a heart-healthy diet, you should avoid eating: A lot of red ...

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    Full Text Available ... Events Spokespeople Email Alerts E-Newsletters About NHLBI Organization NHLBI Director Budget, Planning, & Legislative Advisory Committees Jobs Contact Us FAQs Home » Health Information for the Public » Health Topics » High Blood Pressure » ...

  18. Prevention of High Blood Pressure

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

  19. What Causes High Blood Pressure?

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

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  1. Living with High Blood Pressure

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

  2. Diagnosis of High Blood Pressure

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... A lot of red meat Palm and coconut oils Sugary foods and beverages In the National Heart, ... work with your health care team. Healthy Lifestyle Changes You can help control your blood pressure by ...

  4. Diagnosis of High Blood Pressure

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    Full Text Available ... Obesity, Nutrition, and Physical Activity Population and Epidemiology Studies Women’s Health All Science A-Z Grants & Training ... Biology and High Blood Pressure Researchers continue to study how various changes in normal body functions cause ...

  5. Diagnosis of High Blood Pressure

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    Full Text Available ... volumes and high blood pressure. Sympathetic Nervous System Activity The sympathetic nervous system has important functions in ... plan closely and work with your health care team. Healthy Lifestyle Changes You can help control your ...

  6. Diagnosis of High Blood Pressure

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    Full Text Available ... these other conditions change the way your body controls fluids, sodium, and hormones in your ... lifestyle habits, and a family history of high blood pressure can increase your risk ...

  7. Diagnosis of High Blood Pressure

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    Full Text Available ... provider usually takes 2–3 readings at several medical appointments to diagnose high blood pressure. Using the ... Researchers believe stress, which can occur during the medical appointment, causes white coat hypertension. Rate This Content: ...

  8. Diagnosis of High Blood Pressure

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    Full Text Available ... to check readings at home or at other locations that have blood pressure equipment and to keep ... office compared with readings taken in any other location. Health care providers diagnose this type of high ...

  9. Diagnosis of High Blood Pressure

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    Full Text Available ... Nutrition, and Physical Activity Population and Epidemiology Studies Women’s Health All Science A-Z Grants & Training Grants ... Before age 55, men are more likely than women to develop high blood pressure. After age 55, ...

  10. Diagnosis of High Blood Pressure

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    Full Text Available ... NHLBI About NHLBI Home Mission and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget ... health and can lower high blood pressure. Stress management techniques include: ... guidelines now define hypertension as a systolic blood... View all news ...

  11. Diagnosis of High Blood Pressure

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    Full Text Available ... Entire Site Health Topics News & Resources Intramural Research Public Health Topics Education & Awareness Resources Contact The Health Information ... Contact Us FAQs Home » Health Information for the Public » Health Topics » High Blood Pressure » Diagnosis of High Blood ...

  12. Diagnosis of High Blood Pressure

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    Full Text Available ... this system cause high blood pressure. Blood Vessel Structure and Function Changes in the structure and function of small and large arteries may ... su presión arterial alta Hispanic Community Health Study Data Book In Brief: Your Guide to Lowering Your ...

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    Full Text Available ... pressure readings, lower LDL cholesterol , and increase HDL cholesterol . However, research shows that no matter your weight, it is important to control high blood pressure to maintain good health. A useful measure of overweight and obesity is body mass index (BMI). BMI measures your ...

  14. Diagnosis of High Blood Pressure

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    Full Text Available ... NHLBI About NHLBI Home Mission and Strategic Vision Leadership Scientific Divisions Operations and Administration Advisory Committees Budget ... health and can lower high blood pressure. Stress management techniques include: Being physically ... pressure medicines work in different ways to stop or slow some of the ...

  15. High Blood Pressure: Medicines to Help You

    Science.gov (United States)

    ... For Consumers Consumer Information by Audience For Women High Blood Pressure--Medicines to Help You Share Tweet Linkedin Pin ... Click here for the Color Version (PDF 533KB) High blood pressure is a serious illness. High blood pressure is ...

  16. Anxiety: A Cause of High Blood Pressure?

    Science.gov (United States)

    ... cause of high blood pressure? Can anxiety cause high blood pressure? Answers from Sheldon G. Sheps, M.D. Anxiety doesn't cause long-term high blood pressure (hypertension). But episodes of anxiety can cause dramatic, ...

  17. Alcohol: Does It Affect Blood Pressure?

    Science.gov (United States)

    Alcohol: Does it affect blood pressure? Does drinking alcohol affect your blood pressure? Answers from Sheldon G. Sheps, M.D. Drinking too much alcohol can raise blood pressure to unhealthy levels. Having ...

  18. Blood pressure and plasma catecholamines in acute and prolonged hypoxia

    DEFF Research Database (Denmark)

    Kanstrup, I L; Poulsen, T D; Hansen, J M

    1999-01-01

    and 5 days after rapid, passive transport to high altitude (4,559 m). Acute mountain sickness scores ranged from 5 to 16 (maximal attainable score: 20) on the first day but were reduced to 0-8 by the fifth day. Systolic blood pressure, heart rate, and plasma epinephrine increased on day 1 at altitude...... compared with sea level but declined again on day 5, whereas diastolic and mean blood pressures continued to rise in parallel with plasma norepinephrine. With local cooling, an increased vasoactive response was seen on the fifth day at altitude. Very high pressures were obtained, and the pressure elevation...

  19. Interarm difference in blood pressure

    DEFF Research Database (Denmark)

    Mehlsen, Jesper; Wiinberg, Niels

    2014-01-01

    The present study aimed at examining the interarm difference in blood pressure and its use as an indicator of peripheral arterial disease (PAD). Data were included from consecutive patients referred from their general practitioner to our vascular laboratory for possible PAD aged 50 years or older...... without known cardiac disease, renal disease, or diabetes mellitus. 824 patients (453 women) with mean age of 72 years (range: 50-101) were included. 491 patients had a diagnosis of hypertension and peripheral arterial disease (PAD) was present in 386 patients. Systolic blood pressure was 143 ± 24 mm......Hg and 142 ± 24 mmHg on the right and left arm, respectively (P = 0.015). The interarm difference was greater in patients with hypertension (P = 0.002) and PAD (P blood pressure was reproducible...

  20. Blood Pressure Self-Measurement.

    Science.gov (United States)

    Wagner, Stefan

    2017-01-01

    Blood pressure self-measurement has been used extensively as part of several clinical processes including in the home monitoring setting for mitigating white coat effect and gaining more detailed insights into the blood pressure variability of patients over time. Self-measurement of BP is also being used as part of telemonitoring and telemedicine processes, as well as in the waiting rooms and self-measurement rooms of general practice clinics, specialized hospital department's outpatient clinics, and in other types of care facilitates and institutions.The aim of this review is to provide an overview of where, when, and how blood pressure self-measurement is being used, which official clinical guidelines and procedures are available for its implementation, as well as the opportunities and challenges that are related to its use.

  1. Ambulatory blood pressure monitoring - comparison with office ...

    African Journals Online (AJOL)

    Introduction. Available data on the use of 24-hour ambulatory blood pressure recordings in private practice are limited. For this purpose we studied 39 consecutive hypertensive patients on treatment in a private practice. Method. Office blood pressure, 24-hour ambulatory blood pressure, daytime ambulatory blood pressure ...

  2. Test Your Blood Pressure IQ

    Science.gov (United States)

    ... State SELECT YOUR LANGUAGE Español (Spanish) 简体中文 (Traditional Chinese) 繁体中文 (Simplified Chinese) Tiếng Việt (Vietnamese) Healthy Living for Heart.org ... Changes That Matter • Find Tools & Resources HBP Resources Animation Library Track Your Blood Pressure: Print (PDF) | Online ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... blood pressure, you may need to restrict your sodium intake even more. Your health care provider may recommend the Dietary Approaches to ... heart healthy and low in fat, cholesterol, and salt. The DASH eating plan is ... Eating Your health care provider also may recommend heart-healthy eating, ...

  4. Vital Signs - High Blood Pressure

    Centers for Disease Control (CDC) Podcasts

    2012-10-02

    In the U.S., nearly one third of the adult population have high blood pressure, the leading risk factor for heart disease and stroke - two of the nation's leading causes of death.  Created: 10/2/2012 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 10/17/2012.

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    Full Text Available ... high. Causes Changes, either from genes or the environment, in the body’s normal functions may cause high ... in life. Environmental Causes of High Blood Pressure Environmental ... to constrict, or impact the renin-angiotensin-aldosterone system leading to high ...

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    Full Text Available ... Related Topics Atherosclerosis DASH Eating Plan Overweight and Obesity Smoking and Your Heart Stroke Send a link ... are consistently higher than 120/80 mmHg. Your child’s blood pressure numbers are outside average numbers for ...

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    Full Text Available ... at a higher risk for heart disease and type 2 diabetes. This risk may be high with a waist ... raise your blood pressure and triglyceride levels, a type of fat found in the ... have no more than one drink containing alcohol a day. One drink is: ...

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    Full Text Available ... blood pressure. The DASH eating plan focuses on fruits, vegetables, whole grains, and other foods that are heart ... heart-healthy eating, which should include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, and carrots Legumes, such ...

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    Full Text Available ... compared with readings taken in any other location. Health care providers diagnose this type of high blood pressure by reviewing readings in the office and readings taken anywhere else. Researchers believe stress, which can occur during the medical appointment, causes ...

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    Full Text Available ... Health Topics Education & Awareness Resources Contact The Health Information Center Health Professionals Systematic Evidence Reviews & Clinical Practice ... Advisory Committees Jobs Contact Us FAQs Home » Health Information for the Public » Health Topics » High Blood Pressure » ...

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    Full Text Available ... lead to cognitive changes. Signs and symptoms include memory loss, difficulty finding words, and losing focus during ... are consistently higher than 120/80 mmHg. Your child’s blood pressure numbers are outside average numbers for ...

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    Full Text Available ... bleed. Signs and symptoms include vision changes or blindness. Heart Attack : When the flow of oxygen-rich ... are consistently higher than 120/80 mmHg. Your child’s blood pressure numbers are outside average numbers for ...

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    Full Text Available ... healthy diet. Be physically active. Maintain a healthy weight. Limit alcohol intake. Other lifestyle changes can improve your overall health, such as: If you smoke , quit. Get plenty of sleep. Drink more water. Medicines Take all blood pressure ...

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    Full Text Available ... condition is called isolated systolic hypertension (ISH). Many older adults have this condition. ISH can cause as much ... About 65 percent of Americans age 60 or older have high blood pressure. However, ... American adults than in Caucasian or Hispanic American adults. Compared ...

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    Full Text Available ... Health Topics Health Topics A-Z Clinical Trials Publications and Resources Health Education and Awareness The Science ... are consistently higher than 120/80 mmHg. Your child’s blood pressure numbers are outside average numbers for ...

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    Full Text Available ... obese . The terms “overweight” and “obese” refer to body weight that’s greater than what is considered healthy for a certain height. Gender Before age 55, men are more likely than women to develop high blood pressure. After age 55, ...

  1. Diagnosis of High Blood Pressure

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    Full Text Available ... you what you need to know about choosing foods that are lower in sodium. Try to eat no more than 2,300 mg sodium a day. If you have high blood pressure, you may need to restrict your sodium intake even more. Your health care provider ...

  2. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... are heart healthy. Limiting Sodium and Salt A low-sodium diet can help you manage your blood pressure. ... lower in salt and sodium. Try to use low-sodium and “no added salt” foods and seasonings at ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... 1½ ounces of liquor Managing and Coping With Stress Learning how to manage stress, relax, and cope with problems can improve your ... physical health and can lower high blood pressure. Stress management techniques include: Being physically active Listening to ...

  4. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... other health problems. If you’re overweight or obese, try to lose weight. A loss of just 3 to 5 percent can lower ... risk for health problems. Greater amounts of weight loss can improve blood pressure readings, lower ... to maintain good health. A useful measure of overweight and obesity is body mass index (BMI). BMI measures your ...

  5. High blood pressure and eye disease

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000999.htm High blood pressure and eye disease To use the sharing features on this page, please enable JavaScript. High blood pressure can damage blood vessels in the retina . The ...

  6. Pulse pressure and diurnal blood pressure variation

    DEFF Research Database (Denmark)

    Knudsen, Søren Tang; Poulsen, Per Løgstrup; Hansen, Klavs Würgler

    2002-01-01

    BACKGROUND: In nondiabetic subjects pulse pressure (PP) is an independent predictor of cardiovascular disease and microalbuminuria. Reduced circadian blood pressure (BP) variation is a potential risk factor for the development of diabetic complications. We investigated the association between...... retinopathy, nephropathy, macrovascular disease, PP, and diurnal BP variation in a group of type 2 diabetic patients. METHODS: In 80 type 2 diabetic patients we performed 24-h ambulatory BP (AMBP) and fundus photographs. Urinary albumin excretion was evaluated by urinary albumin/creatinine ratio. Presence...... or absence of macrovascular disease was assessed by an independent physician. RESULTS: Forty-nine patients had no detectable retinal changes (grade 1), 13 had grade 2 retinopathy, and 18 had more advanced retinopathy (grades 3-6). Compared to patients without retinopathy (grade 1), patients with grades 2...

  7. Blood Pressure Matters: Keep Hypertension in Check

    Science.gov (United States)

    ... Special Issues Subscribe January 2016 Print this issue Blood Pressure Matters Keep Hypertension in Check En español Send ... Heart Attack or Stroke? Wise Choices For Healthy Blood Pressure Keep a healthy weight. Ask your doctor if ...

  8. HIGH BLOOD PRESSURE: DOES THIS CONCERN ME?

    CERN Document Server

    2007-01-01

    To find out, the Medical Service's nurses are organising A HIGH BLOOD PRESSURE SCREENING AND PREVENTION CAMPAIGN from Monday, 26th to Thursday, 29th March 2007 at the Infirmary - Building 57 - ground floor A blood pressure test, advice, information and, if necessary, referral for specialist medical treatment will be offered to any person working on the CERN site. High blood pressure is a stealth threat to health. So come and get your blood pressure checked.

  9. HIGH BLOOD PRESSURE: DOES THIS CONCERN ME?

    CERN Multimedia

    2007-01-01

    To find out, the Medical Service's nurses are organising A HIGH BLOOD PRESSURE SCREENING AND PREVENTION CAMPAIGN from Monday, 26th to Thursday, 29th March 2007 at the Infirmary - Building 57 - ground floor A blood pressure test, advice, information and, if necessary, referral for specialist medical treatment will be offered to any person working on the CERN site. High blood pressure is a silent threat to health. So come and get your blood pressure checked.

  10. Central blood pressure and chronic kidney disease

    Science.gov (United States)

    Ohno, Yoichi; Kanno, Yoshihiko; Takenaka, Tsuneo

    2016-01-01

    In this review, we focused on the relationship between central blood pressure and chronic kidney diseases (CKD). Wave reflection is a major mechanism that determines central blood pressure in patients with CKD. Recent medical technology advances have enabled non-invasive central blood pressure measurements. Clinical trials have demonstrated that compared with brachial blood pressure, central blood pressure is a stronger risk factor for cardiovascular (CV) and renal diseases. CKD is characterized by a diminished renal autoregulatory ability, an augmented direct transmission of systemic blood pressure to glomeruli, and an increase in proteinuria. Any elevation in central blood pressure accelerates CKD progression. In the kidney, interstitial inflammation induces oxidative stress to handle proteinuria. Oxidative stress facilitates atherogenesis, increases arterial stiffness and central blood pressure, and worsens the CV prognosis in patients with CKD. A vicious cycle exists between CKD and central blood pressure. To stop this cycle, vasodilator antihypertensive drugs and statins can reduce central blood pressure and oxidative stress. Even in early-stage CKD, mineral and bone disorders (MBD) may develop. MBD promotes oxidative stress, arteriosclerosis, and elevated central blood pressure in patients with CKD. Early intervention or prevention seems necessary to maintain vascular health in patients with CKD. PMID:26788468

  11. Social Stress Induced Pressure Breathing and Consequent Blood Pressure Oscillation

    NARCIS (Netherlands)

    Fokkema, Dirk S.; Koolhaas, Jaap M.; Meulen, Jan van der; Schoemaker, Regien

    1986-01-01

    A large amplitude blood pressure oscillation occurs during social defeat in a territorial fight between male rats, and during the application of a psychosocial stimulus associated with this defeat. Synchronous recording of blood pressure, intrathoracic pressure and diaphragm activity shows that the

  12. Blood pressure measurements taken by patients are similar to home and ambulatory blood pressure measurements

    Directory of Open Access Journals (Sweden)

    Angela M. G. Pierin

    2008-01-01

    Full Text Available OBJECTIVE: To compare blood pressure measurements taken at home by physicians, nurses, and patients with office blood pressure measurement , ambulatory blood pressure monitoring and home blood pressure measurement. METHODS: A total of 44 patients seen by a home care program were studied. Protocol 1 a blood pressure was measured by the patient, a physician and a nurse during a regular home visit (Home1; b home blood pressure measurement was measured for 4 days (HBPM1; c office blood pressure measurement was measured by a physician, a nurse, and the patient; and by 24-hour ambulatory blood pressure monitoring. Protocol 2 blood pressure was measured by the patient, a physician, and a nurse during a special home visit in the presence of a physician and a nurse only (Home2; and b home blood pressure measurement was taken for the second time (HBPM2. Echocardiography, guided by a two-dimensional echocardiograph, was performed. RESULTS: Protocol 1: a office blood pressure measurement and Home1 were significantly higher than ambulatory blood pressure monitoring, except for systolic and diastolic office blood pressure measurement taken by the patient or a family member, systolic blood pressure taken by a nurse, and diastolic blood pressure taken by a physician. b ambulatory blood pressure monitoring and HBPM1 were similar. Protocol 2: a HBPM2 and Home2 were similar. b Home2 was significantly lower than Home1, except for diastolic blood pressure taken by a nurse or the patient. There were significant relationships between: a diastolic blood pressure measured by the patient and the thickness of the interventricular septum, posterior wall, and left ventricular mass; and b ambulatory and HBPM2 diastolic and systolic blood pressure taken by a physician (home2 and left ventricular mass. Therefore, the data indicate that home blood pressure measurement and ambulatory blood pressure monitoring had good prognostic values relative to "office measurement

  13. Blood pressure and plasma catecholamines in acute and prolonged hypoxia

    DEFF Research Database (Denmark)

    Kanstrup, I L; Poulsen, T D; Hansen, J M

    1999-01-01

    and 5 days after rapid, passive transport to high altitude (4,559 m). Acute mountain sickness scores ranged from 5 to 16 (maximal attainable score: 20) on the first day but were reduced to 0-8 by the fifth day. Systolic blood pressure, heart rate, and plasma epinephrine increased on day 1 at altitude...... compared with sea level but declined again on day 5, whereas diastolic and mean blood pressures continued to rise in parallel with plasma norepinephrine. With local cooling, an increased vasoactive response was seen on the fifth day at altitude. Very high pressures were obtained, and the pressure elevation...... was prolonged. Heart rate increased twice as much on day 5 compared with the other two occasions. Thoracic fluid index increased with cooling on day 5, suggesting an increase in pulmonary vascular resistance. In conclusion, prolonged hypoxia seems to elicit an augmented pressor response to local cooling...

  14. Blood pressure measurement on the cheek

    Directory of Open Access Journals (Sweden)

    Schneider Sarah

    2016-09-01

    Full Text Available In a large group of patients, it is impossible to measure blood pressure using an upper arm cuff. An alternative, non-invasive method of blood pressure measurement is required for patients with severe limb deformities or obesity, for amputees, and in the emergency medicine. The device proposed here measures blood pressure in the cheek using a small pressure pad and a pump to occlude the cheek artery – arteria facialis – and assesses blood flow with an infrared light source and a detector. The infrared light signal is analysed to assess the systolic and diastolic blood pressure of the patient. Manual evaluation of the light intensity signal showed a good agreement between cheek blood pressure measurement and a reference measurement using an upper arm cuff.

  15. Clinic blood pressure measurements and blood pressure load in the diagnosis of hypertension.

    OpenAIRE

    Lee, D. R.; Sivakumaran, P.; Brown, R.

    1993-01-01

    We have retrospectively compared the blood pressure load derived from 24 hour ambulatory blood pressure monitoring in patients with all clinic blood pressure readings elevated with those with only some elevated pressures to establish whether clinic readings alone are good predictors of blood pressure status. Fifty-seven patients attending a district general hospital hypertension clinic who were not on anti-hypertensive treatment were selected. Between two and six clinic readings were taken ov...

  16. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Education and Awareness The Science Science Home Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine ...

  17. Alcohol drinking patterns and blood pressure.

    Science.gov (United States)

    Russell, M; Cooper, M L; Frone, M R; Welte, J W

    1991-04-01

    Although blood pressure tends to increase with average alcohol consumption, little is known about the effects of drinking patterns on blood pressure. Therefore, the effects of average drinks per day and drinking pattern (defined as the independent and interactive effects of quantity and frequency) on blood pressure were compared. Data were obtained from a random sample survey of 1,635 household residents in Erie County, New York. Alcohol-blood pressure relationships were examined using multiple regression analyses that controlled for the potentially confounding influence of 13 additional risk factors for elevated blood pressure. Consistent with prior research, a positive relationship was found between average drinks per day and diastolic and systolic blood pressure. Analyses examining the effect of drinking pattern indicated that drinking frequency had a positive effect on both diastolic and systolic blood pressure, whereas drinking quantity did not affect either. Furthermore, there was little evidence that the frequency-by-quantity interaction affected blood pressure. Low average alcohol intake and low blood pressure were associated with infrequent drinking, rather than with frequent drinking of small amounts of alcohol. Results suggest that the standard practice of averaging alcohol consumption may obscure important effects of drinking frequency on health.

  18. Blood Pressure Monitoring in Cardiovascular Disease

    Directory of Open Access Journals (Sweden)

    Carlos Menéndez Villalva

    2017-04-01

    Full Text Available While the practice of taking blood pressure readings at the physician’s office continues to be valid, home blood pressure monitoring is being increasingly used to enhance diagnostic accuracy and ensure a more personalized follow-up of patients. In the case of white coat hypertension and resistant arterial hypertension, ambulatory blood pressure monitoring is indispensable. Recent studies attach great importance to nocturnal blood pressure patterns, with a reduction in these becoming a treatment goal, a strategy known as chronotherapy. Home blood pressure monitoring is useful for both diagnosis and follow-up of arterial hypertension. Its use, particularly if combined with other patient-support interventions, serves to improve blood pressure control. Telemonitoring is associated with a decrease in blood pressure values and an increase in patient satisfaction. All studies highlight the importance of patients being supported by a multidisciplinary health care team, since blood pressure telemonitoring with a support team is more effective than simple data telemonitoring. Further studies are called for, especially on the illiterate population, with difficulties posed by technological accessibility and transcriptions into different languages. More cost-effectiveness studies and long-term results are needed to ascertain the true benefit of blood pressure telemonitoring.

  19. International open-label studies to assess the efficacy and safety of single-pill amlodipine/atorvastatin in attaining blood pressure and lipid targets recommended by country-specific guidelines: the JEWEL programme.

    Science.gov (United States)

    Richard Hobbs, Frederick D; Gensini, Gianfranco; John Mancini, Giovanni B; Manolis, Athanasios J; Bauer, Beverly; Genest, Jacques; Feldman, Ross D; Harvey, Peter; Jenssen, Trond G; da Silva, Pedro Marques

    2009-08-01

    Single-pill amlodipine/atorvastatin targets the two most common modifiable cardiovascular risk factors, hypertension and dyslipidaemia. We evaluated the clinical utility of this single pill to help patients across Europe and Canada achieve country-specific targets for blood pressure (BP) and low-density lipoprotein cholesterol (LDL-C). Two 16-week, open-label studies conducted in 122 study centres across the United Kingdom and Canada (JEWEL 1) and 113 centres across 11 European countries (JEWEL 2). Patients with uncontrolled BP and controlled/uncontrolled LDL-C qualifying for treatment according to local governing guidelines were administered single-pill amlodipine/atorvastatin with appropriate lifestyle modification. Eight dosages of amlodipine/atorvastatin (5/10-10/80 mg) were titrated to achieve country-specific BP and LDL-C targets. The primary outcome was the percentage of patients reaching country-specific BP and LDL-C targets in 16 weeks. Among 2245 patients enrolled in the studies (JEWEL 1, n = 1138; JEWEL 2, n = 1107), 62.9% in JEWEL 1 and 50.6% in JEWEL 2 achieved both country-specific BP and LDL-C goals. BP was reduced by 20.4/10.7 and 21.8/12.6 mmHg in JEWEL 1 and JEWEL 2, respectively, and reductions in LDL-C were 0.90 mmol/l (34.8 mg/dl) and 1.09 mmol/l (42.2 mg/dl), respectively. The most common adverse events were peripheral oedema (11.0%), joint swelling (2.9%) and headache (2.9%), of which, only oedema was linked to study treatment. Single-pill amlodipine/atorvastatin is an effective and well-tolerated treatment, which in a real-world setting helped more than half of the patients achieve both BP and LDL-C targets as recommended by local guidelines. Although fewer patients met their goals in JEWEL 2 than JEWEL 1, reductions in BP and LDL-C were slightly greater in JEWEL 2, suggesting that the observed differences are likely because of more stringent targets in Europe than in the UK/Canada.

  20. Relationships between blood lead, blood pressure, serum

    African Journals Online (AJOL)

    Dr Gatsing

    also associated significantly with serum cholesterol for non-smokers (r = + 0.114) and body mass index for non–smoker (r = + 0.110) at p≤0.10. Systolic blood .... that they were lead free. Consequently, each material was rinsed with 5 ml ..... for subjects from some cities in southwest. Nigeria (Adeniyi and Anetor, 1999). The.

  1. Diagnosis of High Blood Pressure

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    Full Text Available ... Channel Blockers: Keep calcium from entering the muscle cells of your heart and blood vessels. This allows ... goes down. Central Acting Agents: Act in the brain to decrease nerve signals that narrow blood vessels, ...

  2. Diagnosis of High Blood Pressure

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    Full Text Available ... and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine Activities ... Sugary foods and beverages In the National Heart, Lung, and Blood Institute (NHLBI)-sponsored Hispanic Community Health ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... management techniques include: Being physically active Listening to music or focusing on something calm or peaceful Performing ... beat slower and with less force. As a result, your heart pumps less blood through your blood ...

  4. Diagnosis of High Blood Pressure

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    Full Text Available ... Science Home Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular Diseases Precision Medicine Activities Obesity, Nutrition, and Physical Activity Population and ...

  5. Diagnosis of High Blood Pressure

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    Full Text Available ... blindness. Heart Attack : When the flow of oxygen-rich blood to a section of heart muscle suddenly ... climbing stairs. Stroke : When the flow of oxygen-rich blood to a portion of the brain is ...

  6. Diagnosis of High Blood Pressure

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    Full Text Available ... balances, cause your blood vessels to constrict, or impact the renin-angiotensin-aldosterone system leading to high ... are heart healthy. Limiting Sodium and Salt A low-sodium diet can help you manage your blood ...

  7. Diagnosis of High Blood Pressure

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    Full Text Available ... Publications and Resources Health Education and Awareness The Science Science Home Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular ...

  8. Diagnosis of High Blood Pressure

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    Full Text Available ... Resources Health Education and Awareness The Science Science Home Blood Disorders and Blood Safety Sleep Science and ... Science A-Z Grants & Training Grants and Training Home Policies and Guidelines Funding Opportunities and Contacts Training ...

  9. Diagnosis of High Blood Pressure

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    Full Text Available ... oxygen-rich blood to a section of heart muscle suddenly becomes blocked and the heart doesn’t ... Calcium Channel Blockers: Keep calcium from entering the muscle cells of your heart and blood vessels. This ...

  10. Diagnosis of High Blood Pressure

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    Full Text Available ... oxygen-rich blood to a portion of the brain is blocked. The symptoms of a stroke include ... goes down. Central Acting Agents: Act in the brain to decrease nerve signals that narrow blood vessels, ...

  11. Blood pressure in ICSI-conceived adolescents

    NARCIS (Netherlands)

    Belva, F.; Roelants, M.; de Schepper, J.; Roseboom, T. J.; Bonduelle, M.; Devroey, P.; Painter, R. C.

    2012-01-01

    Do young adolescents conceived by ICSI display a higher blood pressure than spontaneously conceived (SC) adolescents? In our study, 14-year-old male and female ICSI teenagers were not found to have increased blood pressure at rest. Only limited data are available regarding the cardiovascular risk of

  12. PATTERN OF BLOOD PRESSURE IN URBAN NIGERIAN ...

    African Journals Online (AJOL)

    The pattern of blood pressure in a cross-section of urban apparently healthy Nigerian adolescents aged 13 to 18 years as well as the prevalence of elevated blood pressure (hypertension) in the group is presented. Four hundred and forty three (443) students attending two secondary schools in the city of Calabar formed ...

  13. Side effects of ambulatory blood pressure monitoring.

    NARCIS (Netherlands)

    Steen, M.S. van der; Lenders, J.W.M.; Thien, Th.

    2005-01-01

    OBJECTIVE: To study the experiences and complaints of patients who underwent 24 h blood pressure monitoring. METHODS: Two groups of hypertensive patients of a tertiary outpatient clinic were asked to fill in a nine-item questionnaire about the side effects of ambulatory blood pressure monitoring

  14. Segmental blood pressure after total hip replacement

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Soelberg, M; Henriksen, Jens Henrik Sahl

    1992-01-01

    Twenty-nine patients due to have a total hip replacement had their systemic systolic and segmental blood pressures measured prior to operation and 1 and 6 weeks postoperatively. No patients had signs of ischemia. The segmental blood pressure was measured at the ankle and at the toes. A significan...

  15. Reducing maternal mortality : systolic blood pressure | Whitworth ...

    African Journals Online (AJOL)

    Objective: To establish whether systolic blood pressure management outlined in hospital guidelines for the management of severe pre-eclampsia and eclampsia is in ... There was considerable variation in the level of blood pressure used as a target during treatment with antihypertensive medication and 32 (43.8%) of the ...

  16. Blood pressure regulation in diabetic autonomic neuropathy

    DEFF Research Database (Denmark)

    Hilsted, J

    1985-01-01

    Defective blood pressure responses to standing, exercise and epinephrine infusions have been demonstrated in diabetic patients with autonomic neuropathy. The circulatory mechanisms underlying blood pressure responses to exercise and standing up in these patients are well characterized: In both...... which may contribute to exercise hypotension in these patients. During hypoglycemia, blood pressure regulation seems intact in patients with autonomic neuropathy. This is probably due to release of substantial amounts of catecholamines during these experiments. During epinephrine infusions a substantial...... blood pressure fall ensues in patients with autonomic neuropathy, probably due to excessive muscular vasodilation. It is unresolved why blood pressure regulation is intact during hypoglycemia and severely impaired--at similar catecholamine concentrations--during epinephrine infusions....

  17. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... intake and sodium sensitivity Drinking excess amounts of alcohol Lack of physical activity Overweight and Obesity Research studies show that being overweight or obese can increase the resistance in the blood vessels, causing the heart to work harder and leading to high blood ...

  18. Diagnosis of High Blood Pressure

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    Full Text Available ... Topics A-Z Clinical Trials Publications and Resources Health Education and Awareness The Science Science Home Blood Disorders and Blood Safety Sleep Science and Sleep Disorders Lung Diseases Heart and Vascular ... All Science A-Z Grants & Training Grants and ...

  19. Office blood pressure or ambulatory blood pressure for the prediction of cardiovascular events

    DEFF Research Database (Denmark)

    Mortensen, Rikke Nørmark; Gerds, Thomas Alexander; Jeppesen, Jørgen Lykke

    2017-01-01

    Aims: To determine the added value of (i) 24-h ambulatory blood pressure relative to office blood pressure and (ii) night-time ambulatory blood pressure relative to daytime ambulatory blood pressure for 10-year person-specific absolute risks of fatal and non-fatal cardiovascular events. Methods...... and results: A total of 7927 participants were included from the International Database on Ambulatory blood pressure monitoring in relation to Cardiovascular Outcomes. We used cause-specific Cox regression to predict 10-year person-specific absolute risks of fatal and non-fatal cardiovascular events....... Discrimination of 10-year outcomes was assessed by time-dependent area under the receiver operating characteristic curve (AUC). No differences in predicted risks were observed when comparing office blood pressure and ambulatory blood pressure. The median difference in 10-year risks (1st; 3rd quartile) was -0...

  20. The effects of home blood pressure monitoring on blood pressure control and treatment planning.

    Science.gov (United States)

    Erden, Sacide; Mefkure Ozkaya, Hande; Banu Denizeri, Sabiha; Karabacak, Emrah

    2016-08-01

    Blood pressure monitoring is essential in hypertension, which is an important public health issue. Our objective was to compare the rates of blood pressure control and to investigate factors that affect blood pressure control in patients with hypertension. The records of 1006 patients with hypertension were examined retrospectively. The blood pressure control rates of the 394 patients who measured their blood pressure at home (group 1) and those who did not (group 2) were compared. In group 1, the mean systolic and diastolic blood pressure was 123.91±12.63/78.64±8.92 mmHg measured at home, whereas it was 140.31±20.56/85.76±11.55 mmHg in the office setting (poffice BP control (phome BP control (p Home blood pressure monitoring is useful in preventing complications and achieving therapy compliance and is essential in diagnosis and treatment planning of hypertension.

  1. Segmental blood pressure after total hip replacement

    DEFF Research Database (Denmark)

    Gebuhr, Peter Henrik; Soelberg, M; Henriksen, Jens Henrik

    1992-01-01

    Twenty-nine patients due to have a total hip replacement had their systemic systolic and segmental blood pressures measured prior to operation and 1 and 6 weeks postoperatively. No patients had signs of ischemia. The segmental blood pressure was measured at the ankle and at the toes. A significant...... drop was found in all pressures 1 week postoperatively. The decrease followed the systemic pressure and was restored to normal after 6 weeks. In a group of six patients with preoperatively decreased ankle pressure, a significant transient further decrease in the ankle-toe gradient pressure was found...... on the operated side. None of the patients had symptoms from the lowered pressure. We conclude that in patients without signs of ischemia, the postoperative segmental pressure decrease is reversible and therefore not dangerous....

  2. Diagnosis of High Blood Pressure

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    Full Text Available ... Services Health Topics Health Topics A-Z Clinical Trials Publications and Resources Health Education and Awareness The ... babies have good outcomes. Participate in NHLBI Clinical Trials The National Heart, Lung, and Blood Institute (NHLBI) ...

  3. Diagnosis of High Blood Pressure

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    Full Text Available ... Human Services Health Topics Health Topics A-Z Clinical Trials Publications and Resources Health Education and Awareness ... and babies have good outcomes. Participate in NHLBI Clinical Trials The National Heart, Lung, and Blood Institute ( ...

  4. Diagnosis of High Blood Pressure

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    Full Text Available ... Aim for a Healthy Weight . Limiting Alcohol Intake Limit alcohol intake. Too much alcohol will raise your blood ... diet. Be physically active. Maintain a healthy weight. Limit alcohol intake. Other lifestyle changes can improve your overall ...

  5. Diagnosis of High Blood Pressure

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    Full Text Available ... balances, cause your blood vessels to constrict, or impact the renin-angiotensin-aldosterone system leading to high ... two or more medicines. If you have side effects from your medicines, don’t stop taking your ...

  6. Diagnosis of High Blood Pressure

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    Full Text Available ... have successfully adopted the earlier changes. When you practice several healthy lifestyle habits, you are more likely ... and babies have good outcomes. Participate in NHLBI Clinical Trials The National Heart, Lung, and Blood Institute ( ...

  7. Diagnosis of High Blood Pressure

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    Full Text Available ... with this condition, such as coronary heart disease, stroke, or kidney disease. Signs, Symptoms, and Complications Because ... feet, and buttocks after walking or climbing stairs. Stroke : When the flow of oxygen-rich blood to ...

  8. Diagnosis of High Blood Pressure

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    Full Text Available ... Human Services Health Topics Health Topics A-Z Clinical Trials Publications and Resources Health Education and Awareness The ... and babies have good outcomes. Participate in NHLBI Clinical Trials The National Heart, Lung, and Blood Institute (NHLBI) ...

  9. Diagnosis of High Blood Pressure

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    Full Text Available ... Signs and symptoms include vision changes or blindness. Heart Attack : When the flow of oxygen-rich blood to ... oxygen. The most common warning symptoms of a heart attack are chest pain or discomfort, upper body discomfort, ...

  10. Diagnosis of High Blood Pressure

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    Full Text Available ... A-Z Clinical Trials Publications and Resources Health Education and Awareness The Science Science Home Blood Disorders ... All News NHLBI News NHLBI in the Press Research Features All Events Past Events Upcoming Events About ...

  11. Diagnosis of High Blood Pressure

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    Full Text Available ... have any short-term serious illnesses. People with diabetes or chronic kidney disease should keep their blood ... higher risk for heart disease and type 2 diabetes. This risk may be high with a waist ...

  12. Diagnosis of High Blood Pressure

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    Full Text Available ... ounces of liquor Managing and Coping With Stress Learning how to manage stress, relax, and cope with ... goes down. Central Acting Agents: Act in the brain to decrease nerve signals that narrow blood vessels, ...

  13. Diagnosis of High Blood Pressure

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    Full Text Available ... Guidelines Funding Opportunities and Contacts Training and Career Development News and Events News and Events Home Email ... research suggests that certain DNA changes during fetal development also may cause the development of high blood ...

  14. Diagnosis of High Blood Pressure

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    Full Text Available ... numbers that are considered normal for babies, while older teens have numbers similar to adults. Abnormal Blood ... condition is called isolated systolic hypertension (ISH). Many older adults have this condition. ISH can cause as ...

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... or blindness. Heart Attack : When the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked and the heart doesn’t get oxygen. The most common warning symptoms of a heart ...

  16. Diagnosis of High Blood Pressure

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    Full Text Available ... Genetic causes of this condition are why family history is a risk factor for this condition. Screening and Prevention Healthy lifestyle habits, proper use of medicines, and regular medical care can prevent high blood ...

  17. Diagnosis of High Blood Pressure

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    Full Text Available ... management techniques include: Being physically active Listening to music or focusing on something calm or peaceful Performing ... multidisciplinary researchers on June 10, 2016, to share current scientific k... View all events on High Blood ...

  18. Diagnosis of High Blood Pressure

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    Full Text Available ... pressure. The DASH eating plan focuses on fruits, vegetables, whole grains, and other foods that are heart ... such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, and carrots Legumes, such ...

  19. Development of a blood pressure alarm detector based on seven ...

    African Journals Online (AJOL)

    This paper introduces the development of a blood pressure alarm detector, meant to be incorporated into an electronic blood pressure tracking unit, from which it detects signals for the measured blood pressure (BP), that is, the systolic blood pressure (SBP) and diastolic blood pressure (DBP). It simultaneously displays the ...

  20. Working meeting on blood pressure measurement: suggestions for measuring blood pressure to use in populations surveys.

    Science.gov (United States)

    2003-11-01

    As part of the Pan American Hypertension Initiative (PAHI), the Pan American Health Organization and the National Heart, Lung, and Blood Institute of the National Institutes of Health of the United States of America conducted a working meeting to discuss blood pressure (BP) measurement methods used in various hypertension prevalence surveys and clinical trials, with the objective of developing a BP measurement protocol for use in hypertension prevalence surveys in the Americas. No such common protocol has existed in the Americas, so it has been difficult to compare hypertension prevention and intervention strategies. This piece describes a proposed standard method for measuring blood pressure for use in population surveys in the Region of the Americas. The piece covers: considerations for developing a common blood pressure measurement protocol, critical issues in measuring blood pressure in national surveys, minimum procedures for blood pressure measurement during surveillance, and quality assessment of blood pressure.

  1. Dietary fiber and blood pressure control.

    Science.gov (United States)

    Aleixandre, A; Miguel, M

    2016-04-01

    In the past few years, new strategies to control blood pressure levels are emerging by developing new bioactive components of foods. Fiber has been linked to the prevention of a number of cardiovascular diseases and disorders. β-Glucan, the main soluble fiber component in oat grains, was initially linked to a reduction in plasma cholesterol. Several studies have shown afterward that dietary fiber may also improve glycaemia, insulin resistance and weight loss. The effect of dietary fiber on arterial blood pressure has been the subject of far fewer studies than its effect on the above-mentioned variables, but research has already shown that fiber intake can decrease arterial blood pressure in hypertensive rats. Moreover, certain fibers can improve arterial blood pressure when administered to hypertensive and pre-hypertensive subjects. The present review summarizes all those studies which attempt to establish the antihypertensive effects of dietary fiber, as well as its effect on other cardiovascular risk factors.

  2. Managing Stress to Control High Blood Pressure

    Science.gov (United States)

    ... at work, talk with your neighbor if his dog bothers you or get help when you have ... Doctor (PDF) Find More Resources and Fact Sheets Popular Articles 1 Understanding Blood Pressure Readings 2 Sodium ...

  3. High Blood Pressure and Kidney Disease

    Science.gov (United States)

    ... CKD) High Blood Pressure Related Topics English English French Español Section Navigation Chronic Kidney Disease (CKD) What ... products they can use to quit smoking. Stress Learning how to manage stress, relax, and cope with ...

  4. How Is High Blood Pressure Treated?

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

  5. Risk Factors for High Blood Pressure

    Science.gov (United States)

    ... include: Whole grains Fruits, such as apples, bananas, oranges, pears, and prunes Vegetables, such as broccoli, cabbage, ... ACE inhibitors block this process, which stops the production of Angiotensin II, lowering blood pressure. Angiotensin II ...

  6. Preeclampsia and High Blood Pressure During Pregnancy

    Science.gov (United States)

    ... Gynecologists f AQ FREQUENTLY ASKED QUESTIONS FAQ034 PREGNANCY Preeclampsia and High Blood Pressure During Pregnancy • What is ... is chronic hypertension during pregnancy managed? • What is preeclampsia? • When does preeclampsia occur? • What causes preeclampsia? • What ...

  7. Low blood pressure in psychiatric inpatients.

    OpenAIRE

    Masterton, G; Main, C J; Lever, A F; Lever, R S

    1981-01-01

    Blood pressure recordings in 116 female psychiatric inpatients were analysed. Sixty-nine women had schizophrenia, the remainder a variety of psychiatric conditions. All had been in hospital continuously for more than one year, the average for 19 years continuously. An average of seven recordings of blood pressure per patient had been made during that time. The latest of these compared well with measurements made independently using a sphygmomanometer free from observer bias. On admission to h...

  8. Propranolol LA and ambulatory blood pressure.

    OpenAIRE

    Mann, S; Craig, M W; Balasubramanian, V; Raftery, E B

    1980-01-01

    1 The technique of continuous recording of intra-arterial blood pressure in ambulant hypertensives has been used to investigate the effects of a long-acting formulation of propranolol (propranolol LA). 2 Seven subjects with untreated essential hypertension were studied before and 2 months after commencing treatment with propranolol LA once daily in the morning, results showing that smooth control of blood pressure and heart rate occurred throughout 24 h. 3 Bicycle ergometry tests performed by...

  9. Influence of short-term blood pressure variability on blood pressure determinations

    NARCIS (Netherlands)

    Bos, W. J.; van Goudoever, J.; van Montfrans, G. A.; Wesseling, K. H.

    1992-01-01

    To evaluate the effect of blood pressure variability on Riva Rocci Korotkoff blood pressure determinations, we studied the intra-arterial pressure during Riva Rocci Korotkoff determinations in 25 patients. In 50 measurements with a cuff deflation rate of 2.5 mm Hg/sec, the systolic intra-arterial

  10. Relationships between childhood growth parameters and adult blood pressure: the Fels Longitudinal Study.

    Science.gov (United States)

    Sabo, R T; Wang, A; Deng, Y; Sabo, C S; Sun, S S

    2017-02-01

    Previous research has shown that childhood body size is associated with blood pressure in adulthood, and that early and rapid growth rates are correlated with adverse cardiovascular outcomes. Our objectives are to estimate associations between childhood body size growth parameters and adult blood pressure, and to examine the effect of early attainment of critical growth milestones on adult blood pressure, relative to normal or late attainment. Lifetime height and body mass index (BMI) measurements in childhood, and systolic blood pressure (SBP) and diastolic blood pressure (DBP) measurements in adulthood are taken from participants in the Fels Longitudinal Study. Childhood growth curves are estimated separately for stature and BMI using the Preece-Baines and third-degree polynomial models, respectively. Associations between the resulting parameter estimates and adult blood pressure are then examined using linear mixed models. Our findings show that the ages of achievement of the stature-based growth onset and peak velocity, as well as the age of achievement of the BMI-based adiposity rebound, are negatively associated with adult blood pressure, implying that early height or BMI growth can lead to increased blood pressure in adulthood. There were subtle differences in these relationships based on age and gender, and also between SBP and DBP. These results expand on the existing literature, showing that not only childhood body size, but also the timing of childhood growth can have a deleterious effect on adult cardiovascular health.

  11. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Heart, Lung, and Blood Institute (NHLBI)-sponsored Hispanic Community Health Study/Study of Latinos , which studied Hispanics living ... su vida: Controle su presión arterial alta Hispanic Community Health Study Data Book In Brief: Your Guide to ...

  12. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... birth and low birth weight. If you’re thinking about having a baby and have high blood ... su presión arterial alta Hispanic Community Health Study Data Book In Brief: Your Guide to Lowering Your ...

  13. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... carrots Legumes, such as kidney beans, lentils, chick peas, black-eyed peas, and lima beans Fat-free or low-fat ... Stroke Other Resources Many resources are available for support and to provide additional information on high blood ...

  14. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... discomfort, upper body discomfort, and shortness of breath. Heart Failure : When the heart can’t pump enough blood ... the body’s needs. Common signs and symptoms of heart failure include shortness of breath or trouble breathing; feeling ...

  15. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... treatment plan by prescribing medicines to treat the disease. Health care providers prescribe children and teens medicines at special doses that are ... diagnosing, and treating heart, lung, blood, and sleep disorders. Learn more about participating ... Children and Clinical Studies to hear experts, parents, and ...

  16. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... upper body discomfort, and shortness of breath. Heart Failure : When the heart can’t pump enough blood to meet the body’s needs. Common signs and symptoms of heart failure include shortness of breath or trouble breathing; feeling ...

  17. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... Heart, Lung, and Blood Institute (NHLBI)-sponsored Hispanic Community Health Study/Study of Latinos , which studied Hispanics ... su vida: Controle su presión arterial alta Hispanic Community Health Study Data Book In Brief: Your Guide ...

  18. Diagnosis of High Blood Pressure

    Medline Plus

    Full Text Available ... muscle suddenly becomes blocked and the heart doesn’t get oxygen. The most common warning symptoms of ... of breath. Heart Failure : When the heart can’t pump enough blood to meet the body’s needs. ...

  19. An underwater blood pressure measuring device.

    Science.gov (United States)

    Sieber, Arne; Kuch, Benjamin; L'abbate, Antonio; Wagner, Matthias; Dario, Paolo; Bedini, Remo

    2008-09-01

    Measurement of arterial blood pressure is an important vital sign for monitoring the circulation. However, up to now no instrument has been available that enables the measurement of blood pressure underwater. The present paper details a novel, oscillometric, automatic digital blood pressure (BP) measurement device especially designed for this purpose. It consists mainly of analogue and digital electronics in a lexan housing that is rated to a depth of up to 200 metres' sea water, a cuff and a solenoid for inflation of the cuff with air supplied from a scuba tank. An integrated differential pressure sensor, exposed to the same ambient pressure as the cuff, allows accurate BP measurement. Calculation of systolic and diastolic pressures is based on the analysis of pressure oscillations recorded during the deflation. In hyperbaric chamber tests to pressures up to 405 kPa, BP measurements taken with the prototype were comparable to those obtained with established manual and automated methods. Swimming pool tests confirmed the correct functioning of the system underwater. The quality of the recorded pressure oscillations was very good even at 10 metres' fresh water, and allowed determination of diastolic and systolic pressure values. Based on these results we envisage that this device will lead to a better understanding of human cardiovascular physiology in underwater and hyperbaric environments.

  20. Blood pressure profiles among Makerere University undergraduate ...

    African Journals Online (AJOL)

    The purpose of this study was to set reference values for spot blood pressure and its derivatives among Makerere university undergraduate students. Study Design: This was a cross- sectional study. Materials and methods: A total of 183 undergraduates including 63 females and 120 males participated in the study. Blood ...

  1. High Blood Pressure: Unique to Older Adults

    Science.gov (United States)

    ... hypertension is treated by reducing blood pressure, using anti-hypertensive drugs, diuretics (water pills), vasodilators (drugs that relax your blood vessels), and lifestyle changes. Limit your intake of salt and eat ... also anti-anxiety medicines available if needed. Your healthcare provider ...

  2. High Blood Pressure Dangers: Hypertension's Effects on Your Body

    Science.gov (United States)

    High blood pressure dangers: Hypertension's effects on your body High blood pressure is a risk factor for ... High blood pressure (hypertension) can quietly damage your body for years before symptoms develop. Left uncontrolled, you ...

  3. Blood pressure to height ratio as a screening tool for ...

    African Journals Online (AJOL)

    2015-12-03

    117:3171‑80. 4. National High Blood Pressure Education Program Working Group on High. Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in ...

  4. Calcium Supplements: Do They Interfere with Blood Pressure Drugs?

    Science.gov (United States)

    ... with blood pressure drugs? Is it true that calcium supplements may interact with blood pressure medications? Answers ... G. Sheps, M.D. Yes. In large amounts, calcium supplements may interact with some blood pressure medications. ...

  5. Blood Pressure Quiz | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... this page please turn Javascript on. Feature: High Blood Pressure Blood Pressure Quiz Past Issues / Fall 2011 Table of Contents Blood pressure changes throughout the day. It… is highest while ...

  6. Office blood pressure or ambulatory blood pressure for the prediction of cardiovascular events.

    Science.gov (United States)

    Mortensen, Rikke Nørmark; Gerds, Thomas Alexander; Jeppesen, Jørgen Lykke; Torp-Pedersen, Christian

    2017-11-21

    To determine the added value of (i) 24-h ambulatory blood pressure relative to office blood pressure and (ii) night-time ambulatory blood pressure relative to daytime ambulatory blood pressure for 10-year person-specific absolute risks of fatal and non-fatal cardiovascular events. A total of 7927 participants were included from the International Database on Ambulatory blood pressure monitoring in relation to Cardiovascular Outcomes. We used cause-specific Cox regression to predict 10-year person-specific absolute risks of fatal and non-fatal cardiovascular events. Discrimination of 10-year outcomes was assessed by time-dependent area under the receiver operating characteristic curve (AUC). No differences in predicted risks were observed when comparing office blood pressure and ambulatory blood pressure. The median difference in 10-year risks (1st; 3rd quartile) was -0.01% (-0.3%; 0.1%) for cardiovascular mortality and -0.1% (-1.1%; 0.5%) for cardiovascular events. The difference in AUC (95% confidence interval) was 0.65% (0.22-1.08%) for cardiovascular mortality and 1.33% (0.83-1.84%) for cardiovascular events. Comparing daytime and night-time blood pressure, the median difference in 10-year risks was 0.002% (-0.1%; 0.1%) for cardiovascular mortality and -0.01% (-0.5%; 0.2%) for cardiovascular events. The difference in AUC was 0.10% (-0.08 to 0.29%) for cardiovascular mortality and 0.15% (-0.06 to 0.35%) for cardiovascular events. Ten-year predictions obtained from ambulatory blood pressure are similar to predictions from office blood pressure. Night-time blood pressure does not improve 10-year predictions obtained from daytime measurements. For an otherwise healthy population sufficient prognostic accuracy of cardiovascular risks can be achieved with office blood pressure.

  7. Beat-to-Beat Blood Pressure Monitor

    Science.gov (United States)

    Lee, Yong Jin

    2012-01-01

    This device provides non-invasive beat-to-beat blood pressure measurements and can be worn over the upper arm for prolonged durations. Phase and waveform analyses are performed on filtered proximal and distal photoplethysmographic (PPG) waveforms obtained from the brachial artery. The phase analysis is used primarily for the computation of the mean arterial pressure, while the waveform analysis is used primarily to obtain the pulse pressure. Real-time compliance estimate is used to refine both the mean arterial and pulse pressures to provide the beat-to-beat blood pressure measurement. This wearable physiological monitor can be used to continuously observe the beat-to-beat blood pressure (B3P). It can be used to monitor the effect of prolonged exposures to reduced gravitational environments and the effectiveness of various countermeasures. A number of researchers have used pulse wave velocity (PWV) of blood in the arteries to infer the beat-to-beat blood pressure. There has been documentation of relative success, but a device that is able to provide the required accuracy and repeatability has not yet been developed. It has been demonstrated that an accurate and repeatable blood pressure measurement can be obtained by measuring the phase change (e.g., phase velocity), amplitude change, and distortion of the PPG waveforms along the brachial artery. The approach is based on comparing the full PPG waveform between two points along the artery rather than measuring the time-of-flight. Minimizing the measurement separation and confining the measurement area to a single, well-defined artery allows the waveform to retain the general shape between the two measurement points. This allows signal processing of waveforms to determine the phase and amplitude changes.

  8. Comparison of ambulatory blood pressure monitoring and office blood pressure measurements in obese children and adolescents.

    Science.gov (United States)

    Renda, Rahime

    2017-10-24

    Obesity in adults has been related to hypertension and abnormal nocturnal dipping of blood pressure, which are associated with poor cardiovascular and renal outcomes. Here, we aimed to resolve the relationship between the degree of obesity, the severity of hypertension and dipping status on ambulatory blood pressure in obese children. A total 72 patients with primary obesity aged 7 to 18 years (mean: 13.48 ± 3.25) were selected. Patients were divided into three groups based on body mass index (BMİ) Z-score. Diagnosis and staging of ambulatory hypertension based on 24-h blood pressure measurements, obtained from ambulatory blood pressure monitoring. Based on our ambulatory blood pressure data, 35 patients (48.6%) had hypertension, 7 (20%) had ambulatory prehypertension, 21 (60%) had hypertension, and 7 patients (20%) had severe ambulatory hypertension. There was a significant relationship between severity of hypertension and the degree of obesity (p < 0.05). Thirty-one patients (88.6%) had isolated nighttime hypertension, and 53 patients (73.6%) were non-dippers. All systolic blood pressure results and loads were similar between groups. Diastolic and mean arterial blood pressure levels during the night, diastolic blood pressure loads, and heart rate during the day were significantly higher in Group 3 (p < 0.05). Nocturnal non-dipping was not associated with severity of obesity. Obesity was associated with severity of hypertension, higher diastolic blood pressure at night, mean arterial pressure at night, diastolic blood pressure loads and heart rate at day. Increase in BMI Z-score does not a significant impact on daytime blood pressure and nocturnal dipping status.

  9. Blood Pressure Percentiles for School Children

    Directory of Open Access Journals (Sweden)

    İsmail Özanli

    2016-06-01

    Full Text Available Objective: The prevalence of hypertension in childhood and adolescence is gradually increasing. We aimed to in­vestigate the blood pressure (BP values of children aged 7-18 years. Methods: This study was conducted in a total of 3375 (1777 females, 1598 males children from 27 schools. Blood pressures of children were measured using sphyg­momanometer appropriate to arm circumference. Results: A positive relationship was found between sys­tolic blood pressure (SBP and diastolic blood pressure (DBP and the body weight, height, age and body mass index (BMI in male and female children. SBP was high­er in males than females after the age of 13. DBP was higher in males than the females after the age of 14. The mean annual increase of SBP was 2.06 mmHg in males and 1.54 mmHg in females. The mean annual increase of DBP was 1.52 mmHg in males and 1.38 mmHg in fe­males. Conclusion: In this study, we identified the threshold val­ues for blood pressure in children between the age of 7 and 18 years in Erzurum province. It is necessary to com­bine and evaluate data obtained from various regions for the identification of BP percentiles according to the age, gender and height percentiles of Turkish children.

  10. [Central blood pressure and vascular damage].

    Science.gov (United States)

    Pérez-Lahiguera, Francisco; Rodilla, Enrique; Costa, José Antonio; Pascual, José María

    2015-07-20

    The aim of this study was to assess the relationship between central blood pressure and vascular damage. This cross-sectional study involved 393 never treated hypertensive patients (166 women). Clinical blood pressure (BP), 24h blood pressure (BP24h) and central blood pressure (CBP) were measured. Vascular organ damage (VOD) was assessed by calculating the albumin/creatinine ratio (ACR), wave pulse pressure velocity and echocardiographic left ventricular mass index (LVMI). Patients with VOD had higher values of BP, BP24h, and CBP than patients without ACR. When comparing several systolic BP, systolic BP24h had a higher linear correlation with CBP (Z Steiger test: 2.26; P=.02) and LVMI (Z Steiger test: 3.23; P=.01) than PAC. In a multiple regression analysis corrected by age, sex and metabolic syndrome, all pressures were related with VOD but systolic BP24h showed the highest correlation. In a logistic regression analysis, having the highest tercile of systolic BP24h was the stronger predictor of VOD (multivariate odds ratio: 3.4; CI 95%: 2.5-5.5, P=.001). CBP does not have more correlation with VOD than other measurements of peripheral BP. Systolic BP24h is the BP measurement that best predicts VOD. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  11. Effect of cocoa on blood pressure.

    Science.gov (United States)

    Ried, Karin; Fakler, Peter; Stocks, Nigel P

    2017-04-25

    High blood pressure is an important risk factor for cardiovascular disease, contributing to about 50% of cardiovascular events worldwide and 37% of cardiovascular-related deaths in Western populations. Epidemiological studies suggest that cocoa-rich products reduce the risk of cardiovascular disease. Flavanols found in cocoa have been shown to increase the formation of endothelial nitric oxide which promotes vasodilation and therefore blood pressure reduction. Here we update previous meta-analyses on the effect of cocoa on blood pressure. To assess the effects on blood pressure of chocolate or cocoa products versus low-flavanol products or placebo in adults with or without hypertension when consumed for two weeks or longer. This is an updated version of the review initially published in 2012. In this updated version, we searched the following electronic databases from inception to November 2016: Cochrane Hypertension Group Specialised Register, CENTRAL, MEDLINE and Embase. We also searched international trial registries, and the reference lists of review articles and included trials. Randomised controlled trials (RCTs) investigating the effects of chocolate or cocoa products on systolic and diastolic blood pressure in adults for a minimum of two weeks duration. Two review authors independently extracted data and assessed the risks of bias in each trial. We conducted random-effects meta-analyses on the included studies using Review Manager 5. We explored heterogeneity with subgroup analyses by baseline blood pressure, flavanol content of control group, blinding, age and duration. Sensitivity analyses explored the influence of unusual study design. Thirty-five trials (including 40 treatment comparisons) met the inclusion criteria. Of these, we added 17 trials (20 treatment comparisons) to the 18 trials (20 treatment comparisons) in the previous version of this updated review.Trials provided participants with 30 to 1218 mg of flavanols (mean = 670 mg) in 1.4 to 105

  12. PPARγ Agonists: Blood Pressure and Edema

    Directory of Open Access Journals (Sweden)

    Bonnie L. Blazer-Yost

    2010-01-01

    Full Text Available Peroxisome proliferator activated receptor γ (PPARγ agonists are widely used in the treatment of type 2 diabetes. Side effects of drug treatment include both fluid retention and a lowering of blood pressure. Data from animal and human studies suggest that these effects arise, at least in part, from drug-induced changes in the kidney. In order to capitalize on the positive aspect (lowering of blood pressure and exclude the negative one (fluid retention, it is necessary to understand the mechanisms of action underlying each of the effects. When interpreted with known physiological principles, current hypotheses regarding potential mechanisms produce enigmas that are difficult to resolve. This paper is a summary of the current understanding of PPARγ agonist effects on both blood pressure and fluid retention from a renal perspective and concludes with the newest studies that suggest alternative pathways within the kidney that could contribute to the observed drug-induced effects.

  13. Aldosterone in uremia - beyond blood pressure.

    Science.gov (United States)

    Ritz, Eberhard; Koleganova, Nadezda

    2010-01-01

    Aldosterone was in the past considered only as a prohypertensinogenic agent. It has recently become clear that apart from the classical endocrine action, i.e. causing blood pressure elevation as a result of salt retention, aldosterone has numerous blood-pressure-independent actions on nonepithelial tissue. Under conditions of high salt concentration, aldosterone is injurious to the kidney, heart and vasculature. Of particular interest are recent observations that aldosterone is a permissive factor for the effect of minor increases in plasma sodium concentration on endothelial cell dysfunction. Despite surprising effects of aldosterone blockade on blood pressure of anuric dialysis patients, the potential role of mineralocorticoid receptor blockade in dialysis patients is currently unclear and requires controlled investigation to define the risk of potential hazards, specifically hyperkalemia. Copyright (c) 2010 S. Karger AG, Basel.

  14. Predictive role of the nighttime blood pressure

    DEFF Research Database (Denmark)

    Hansen, Tine W; Li, Yan; Boggia, José

    2011-01-01

    Numerous studies addressed the predictive value of the nighttime blood pressure (BP) as captured by ambulatory monitoring. However, arbitrary cutoff limits in dichotomized analyses of continuous variables, data dredging across selected subgroups, extrapolation of cross-sectional studies to prospe......Numerous studies addressed the predictive value of the nighttime blood pressure (BP) as captured by ambulatory monitoring. However, arbitrary cutoff limits in dichotomized analyses of continuous variables, data dredging across selected subgroups, extrapolation of cross-sectional studies...... of conclusive evidence proving that nondipping is a reversible risk factor, the option whether or not to restore the diurnal blood pressure profile to a normal pattern should be left to the clinical judgment of doctors and should be individualized for each patient. Current guidelines on the interpretation...

  15. Risk Stratification by Ambulatory Blood Pressure Monitoring Across JNC Classes of Conventional Blood Pressure

    DEFF Research Database (Denmark)

    Brguljan-Hitij, Jana; Thijs, Lutgarde; Li, Yan

    2014-01-01

    BACKGROUND: Guidelines propose classification of conventional blood pressure (CBP) into normotension (<120/<80 mm Hg), prehypertension (120-139/80-89 mm Hg), and hypertension (≥140/≥90 mm Hg). METHODS: To assess the potential differential contribution of ambulatory blood pressure (ABP) in predict...

  16. An implantable blood pressure and flow transmitter.

    Science.gov (United States)

    Rader, R. D.; Meehan, J. P.; Henriksen, J. K. C.

    1973-01-01

    A miniature totally implantable FM/FM telemetry system has been developed to simultaneously measure blood pressure and blood flow, thus providing an appreciation of the hemodynamics of the circulation to the entire body or to a particular organ. Developed for work with animal subjects, the telemetry system's transmission time is controlled by an RF signal that permits an operating life of several months. Pressure is detected by a miniature intravascular transducer and flow is detected by an extravascular interferometric ultrasonic technique. Both pressure and flow are calibrated prior to implanting. The pressure calibration can be checked after the implanting by cannulation; flow calibration can be verified only at the end of the experiment by determining the voltage output from the implanted sensing system as a function of several measured flow rates. The utility of this device has been established by its use in investigating canine renal circulation during exercise, emotional encounters, administration of drugs, and application of accelerative forces.

  17. Oscillometric blood pressure: a review for clinicians.

    Science.gov (United States)

    Alpert, Bruce S; Quinn, David; Gallick, David

    2014-12-01

    Oscillometric devices for the non-invasive estimation of blood pressure (BP) have become the "clinical standard" because of training requirements for determination of BP by auscultation, cost, and the phasing-out/banning of mercury in many states and countries. Analysis of recent publications reveals a lack of understanding of the "meaning" of oscillometric blood pressure (OBP) measurements by authors, journal editors, and clinicians. We were invited to submit a review of OBP methodology written for clinicians. We hope that the material contained herein will clarify how clinicians should interpret OBP values for their patients. Copyright © 2014 American Society of Hypertension. Published by Elsevier Inc. All rights reserved.

  18. A novel approach to office blood pressure measurement: 30-minute office blood pressure vs daytime ambulatory blood pressure

    NARCIS (Netherlands)

    Wel, M.C. van der; Buunk, I.E.; Weel, C. van; Thien, Th.; Bakx, J.C.

    2011-01-01

    PURPOSE: Current office blood pressure measurement (OBPM) is often not executed according to guidelines and cannot prevent the white-coat effect. Serial, automated, oscillometric OBPM has the potential to overcome both these problems. We therefore developed a 30-minute OBPM method that we compared

  19. Dietary phosphorus and blood pressure: international study of macro- and micro-nutrients and blood pressure.

    Science.gov (United States)

    Elliott, Paul; Kesteloot, Hugo; Appel, Lawrence J; Dyer, Alan R; Ueshima, Hirotsugu; Chan, Queenie; Brown, Ian J; Zhao, Liancheng; Stamler, Jeremiah

    2008-03-01

    Raised blood pressure is a leading cause of morbidity and mortality worldwide; improved nutritional approaches to population-wide prevention are required. Few data are available on dietary phosphorus and blood pressure and none are available on possible combined effects of phosphorus, magnesium, and calcium on blood pressure. The International Study of Macro- and Micro-Nutrients and Blood Pressure is a cross-sectional epidemiologic study of 4680 men and women ages 40 to 59 from 17 population samples in Japan, China, United Kingdom, and United States. Blood pressure was measured 8 times at 4 visits. Dietary intakes were obtained from four 24-hour recalls plus data on supplement use. Dietary phosphorus was inversely associated with blood pressure in a series of predefined multiple regression models, with the successive addition of potential confounders, both nondietary and dietary. Estimated blood pressure differences per 232 mg/1000 kcal (2 SD) of higher dietary phosphorus were -1.1 to -2.3 mm Hg systolic/-0.6 to -1.5 mm Hg diastolic (n=4680) and -1.6 to -3.5 mm Hg systolic/-0.8 to -1.8 mm Hg diastolic for 2238 "nonintervened" individuals, ie, those without special diet/nutritional supplements or diagnosis/treatment for cardiovascular disease or diabetes. Dietary calcium and magnesium, correlated with phosphorus (partial r=0.71 and r=0.68), were inversely associated with blood pressure. Blood pressures were lower by 1.9 to 4.2 mm Hg systolic/1.2 to 2.4 mm Hg diastolic for people with intakes above versus below country-specific medians for all 3 of the minerals. These results indicate the potential for increased phosphorus/mineral intake to lower blood pressure as part of the recommendations for healthier eating patterns for the prevention and control of prehypertension and hypertension.

  20. Patient Blood Pressure and Pulse Rate Monitoring With an Alert ...

    African Journals Online (AJOL)

    Blood pressure and pulse rate are two of the vital signs of humans and it is imperative that the chronically ill and the elderly patients need to have their blood pressure and pulse rate checked from time to time. This paper describes the use of the Omron 790it blood pressure monitor to check the blood pressure and the pulse ...

  1. 21 CFR 870.1100 - Blood pressure alarm.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Blood pressure alarm. 870.1100 Section 870.1100...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1100 Blood pressure alarm. (a) Identification. A blood pressure alarm is a device that accepts the signal from a blood pressure...

  2. Dysglycemia induces abnormal circadian blood pressure variability

    Directory of Open Access Journals (Sweden)

    Kumarasamy Sivarajan

    2011-11-01

    Full Text Available Abstract Background Prediabetes (PreDM in asymptomatic adults is associated with abnormal circadian blood pressure variability (abnormal CBPV. Hypothesis Systemic inflammation and glycemia influence circadian blood pressure variability. Methods Dahl salt-sensitive (S rats (n = 19 after weaning were fed either an American (AD or a standard (SD diet. The AD (high-glycemic-index, high-fat simulated customary human diet, provided daily overabundant calories which over time lead to body weight gain. The SD (low-glycemic-index, low-fat mirrored desirable balanced human diet for maintaining body weight. Body weight and serum concentrations for fasting glucose (FG, adipokines (leptin and adiponectin, and proinflammatory cytokines [monocyte chemoattractant protein-1 (MCP-1 and tumor necrosis factor-α (TNF-α] were measured. Rats were surgically implanted with C40 transmitters and blood pressure (BP-both systolic; SBP and diastolic; DBP and heart rate (HR were recorded by telemetry every 5 minutes during both sleep (day and active (night periods. Pulse pressure (PP was calculated (PP = SBP-DBP. Results [mean(SEM]: The AD fed group displayed significant increase in body weight (after 90 days; p Conclusion These data validate our stated hypothesis that systemic inflammation and glycemia influence circadian blood pressure variability. This study, for the first time, demonstrates a cause and effect relationship between caloric excess, enhanced systemic inflammation, dysglycemia, loss of blood pressure control and abnormal CBPV. Our results provide the fundamental basis for examining the relationship between dysglycemia and perturbation of the underlying mechanisms (adipose tissue dysfunction induced local and systemic inflammation, insulin resistance and alteration of adipose tissue precursors for the renin-aldosterone-angiotensin system which generate abnormal CBPV.

  3. Relationship between outdoor temperature and blood pressure.

    Science.gov (United States)

    Halonen, Jaana I; Zanobetti, Antonella; Sparrow, David; Vokonas, Pantel S; Schwartz, Joel

    2011-04-01

    Cardiovascular mortality has been linked to changes in outdoor temperature. However, the mechanisms behind these effects are not well established. We aimed to study the effect of outdoor temperature on blood pressure, as increased blood pressure is a risk factor for cardiovascular death. The study population consisted of men aged 53-100 years living in the Boston area. We used a mixed effects model to estimate the effect of three temperature variables: ambient, apparent and dew point temperature (DPT), on repeated measures (every 3-5 years) of diastolic (DBP) and systolic blood pressure (SBP). Random intercepts for subjects and several possible confounders were used in the models, including black carbon and barometric pressure. We found modest associations between DBP and ambient and apparent temperature. In the basic models, DBP in association with a 5 °C decrease in 7-day moving averages of temperatures increased by 1.01% (95% CI -0.06% to 2.09%) and 1.55% (95% CI 0.61% to 2.49%) for ambient and apparent temperature, respectively. Excluding extreme temperatures strengthened these associations (2.13%, 95% CI 0.66% to 3.63%, and 1.65%, 95% CI 0.41% to 2.90%, for ambient and apparent temperature, respectively). Effect estimates for DPT were close to null. The effect of apparent temperature on SBP was similar (1.30% increase (95% CI 0.32% to 2.29%) for a 5 °C decrease in 7-day moving average). Cumulative exposure to decreasing ambient and apparent temperature may increase blood pressure. These findings suggest that an increase in blood pressure could be a mechanism behind cold-related, but not heat-related, cardiovascular mortality.

  4. Blood pressure modifies retinal susceptibility to intraocular pressure elevation.

    Directory of Open Access Journals (Sweden)

    Zheng He

    Full Text Available Primary open angle glaucoma affects more than 67 million people. Elevated intraocular pressure (IOP is a risk factor for glaucoma and may reduce nutrient availability by decreasing ocular perfusion pressure (OPP. An interaction between arterial blood pressure and IOP determines OPP; but the exact contribution that these factors have for retinal function is not fully understood. Here we sought to determine how acute modifications of arterial pressure will affect the susceptibility of neuronal function and blood flow to IOP challenge. Anaesthetized (ketamine:xylazine Long-Evan rats with low (∼60 mmHg, sodium nitroprusside infusion, moderate (∼100 mmHg, saline, or high levels (∼160 mmHg, angiotensin II of mean arterial pressure (MAP, n = 5-10 per group were subjected to IOP challenge (10-120 mmHg, 5 mmHg steps every 3 minutes. Electroretinograms were measured at each IOP step to assess bipolar cell (b-wave and inner retinal function (scotopic threshold response or STR. Ocular blood flow was measured using laser-Doppler flowmetry in groups with similar MAP level and the same IOP challenge protocol. Both b-wave and STR amplitudes decreased with IOP elevation. Retinal function was less susceptible to IOP challenge when MAP was high, whereas the converse was true for low MAP. Consistent with the effects on retinal function, higher IOP was needed to attenuated ocular blood flow in animals with higher MAP. The susceptibility of retinal function to IOP challenge can be ameliorated by acute high BP, and exacerbated by low BP. This is partially mediated by modifications in ocular blood flow.

  5. Association between blood Pressure, waist circumference ...

    African Journals Online (AJOL)

    Objective: Blood pressure (BP) is one of the main cardiovascular risk indicators, but studies on its relationship with waist circumference, triglycerides and cholesterol are rare in low and middle income countries and even non-existent in some areas like the north of Cameroon. The aim of our study was to determine the ...

  6. Economic evaluation of home blood pressure telemonitoring

    DEFF Research Database (Denmark)

    Madsen, Line Bille; Christiansen, Terkel; Kirkegaard, Peder

    2011-01-01

    Aims. The purpose of the present study was to compare the costs of home blood pressure (BP) telemonitoring (HBPM) with the costs of conventional office BP monitoring. In a randomized controlled trial, 105 hypertensive patients performed HBPM and 118 patients received usual care with conventional...

  7. Blood pressure and anthropometric measurements in healthy ...

    African Journals Online (AJOL)

    To describe blood pressure and its relationship to weight and height in healthy newly enrolled school entrants in. Jos, Plateau State ... 10.0) mmHg, respectively, and were significantly higher in private school pupils compared with public school pupils (97.1 (SD ..... as young as 5 years of age.12 Gender and race do not have.

  8. Ethnic Variations in Blood Pressure and Hypertension

    NARCIS (Netherlands)

    C.O. Agyemang (Charles)

    2005-01-01

    textabstractThe objective of the study was to review published evidence on whether blood pressure levels and the prevalence of hypertension are higher or lower in South Asian adults living in the UK as compared to white populations. A systematic literature review was carried out using MEDLINE

  9. Casual blood pressure among Tanzanian undergraduate students ...

    African Journals Online (AJOL)

    Background: Despite of the recommendations to use population specific blood pressure (BP) references which consider time, ethnicity and environmental factors, there is limited information regarding BP profile among Tanzanians. This cross sectional study was done to determine casual BP profile among healthy volunteer ...

  10. Renoprotection with and without blood pressure reduction

    NARCIS (Netherlands)

    Laverman, GD; Andersen, S; Rossing, P; Navis, G; de Zeeuw, D; Parving, HH

    Background. AT1-receptor blockade dose dependently lowers blood pressure (BP) and albuminuria. Reduction of BP and albuminuria are independent treatment targets for renoprotection, but whether this requires similar dose titration is unknown. Methods. We tested this in two studies designed to find

  11. Anthropometric characteristics, blood pressure profile and medical ...

    African Journals Online (AJOL)

    The practice of contraception is influenced by several factors at different settings. ... gain, elevated blood pressure/other cardiovascular risks, etc have been linked to ... Using BMI classification, 40.6% of the woman were obese, 38.2% were ... More about AJOL · AJOL's Partners · Contact AJOL · Terms and Conditions of Use.

  12. Blood Pressure and Electrocardiographic changes During Face ...

    African Journals Online (AJOL)

    The cardiovascular responses in non-exercising and regularly exercising young men (22.0-32.0 yr) to breath-holding and face immersion in water at 210C or 400C is reported. The possibility of a myocardial oxygen conserving effect of face immersion in water is also investigated. Blood Pressure (BP) and ...

  13. Fruits and vegetables moderate blood pressure, fibrinogen ...

    African Journals Online (AJOL)

    Fruits and vegetables contain vital components such as potassium, antioxidants, vitamins and folic acid that might contribute to lowering blood pressure which is a major risk factor in cardiovascular disorders. However, the results of the few investigations on the correlation between intake of fruits and vegetables and ...

  14. Caffeine: How Does It Affect Blood Pressure?

    Science.gov (United States)

    ... caffeine. If you plan to cut back on caffeine, do so gradually over several days to a week to avoid withdrawal headaches. With Sheldon G. Sheps, M.D. References Papakonstantinou E, et al. Acute effects of coffee consumption on self-reported gastrointestinal symptoms, blood pressure and ...

  15. Vegetarian diet, blood pressure and cardiovascular risk.

    Science.gov (United States)

    Rouse, I L; Beilin, L J; Armstrong, B K; Vandongen, R

    1984-08-01

    This paper reviews the association between a vegetarian diet and a number of risk factors for cardiovascular disease investigated in a series of epidemiological and experimental studies. Ninety-eight Seventh-day Adventist "vegetarians" were similar to 113 Mormon omnivores for strength of religious affiliation, consumption of alcohol, tea and coffee and use of tobacco, but were significantly less obese and had significantly lower blood pressures adjusted for age, height and weight. A random sample of forty-seven Adventist vegetarians had significantly lower home blood pressures, serum cholesterol levels and blood pressure responses to a cold-pressor test than Mormon omnivores carefully matched for age, sex and Quetelet's index. In a controlled dietary intervention study mean systolic and diastolic blood pressures and serum cholesterol fell significantly during feeding with a vegetarian diet--an effect unrelated to changes in other lifestyle factors. Dietary analysis indicated that a vegetarian diet provided more polyunsaturated fat, fibre, vitamin C, vitamin E, magnesium, calcium and potassium and significantly less total fat, saturated fat and cholesterol than an omnivore diet. There was no evidence for a difference between vegetarians and omnivores in levels of catecholamines, plasma renin activity, angiotensin II, cortisol or serum and urinary prostanoids.

  16. Asymptomatic proteinuria and elevated blood pressure among ...

    African Journals Online (AJOL)

    All the participants had their urine examined for protein using the combo- 9 (Midi test) according to manufacturer's specification. Their blood pressure was measured after at least five minutes of rest in seated position using mercury sphygmomanometer, (Accoson® DEKAMET, MK.3 England). Data was analysed using SPSS ...

  17. Dietary protein, blood pressure and mortality

    NARCIS (Netherlands)

    Tielemans, S.M.A.J.

    2016-01-01

    Cardiovascular diseases (CVD) are the main cause of death worldwide. In 2012, about 17.5 million people died from CVD, accounting for 30% of all deaths. High blood pressure (BP) is a major cardiovascular risk factor, which was responsible for 10.4 million deaths in 2013. Diet and lifestyle play an

  18. Teaming Up Against High Blood Pressure

    Centers for Disease Control (CDC) Podcasts

    2012-09-04

    This podcast is based on the September 2012 CDC Vital Signs report. A team-based approach by patients, health care systems, and health care providers is one of the best ways to treat uncontrolled high blood pressure.  Created: 9/4/2012 by Centers for Disease Control and Prevention (CDC).   Date Released: 9/4/2012.

  19. Neighborhood Disadvantage and Variations in Blood Pressure

    Science.gov (United States)

    Cathorall, Michelle L.; Xin, Huaibo; Peachey, Andrew; Bibeau, Daniel L.; Schulz, Mark; Aronson, Robert

    2015-01-01

    Purpose: To examine the extent to which neighborhood disadvantage accounts for variation in blood pressure. Methods: Demographic, biometric, and self-reported data from 19,261 health screenings were used. Addresses of participants were geocoded and located within census block groups (n = 14,510, 75.3%). Three hierarchical linear models were…

  20. High Blood Pressure: MedlinePlus Health Topic

    Science.gov (United States)

    ... Disease Education Program) What Is High Blood Pressure? (American Heart Association) Symptoms What Are the Signs, Symptoms, and Complications ... Lung, and Blood Institute) Shaking the Salt Habit (American Heart Association) Understanding Blood Pressure Readings (American Heart Association) Related ...

  1. Stress and High Blood Pressure: What's the Connection?

    Science.gov (United States)

    Stress and high blood pressure: What's the connection? Stress and long-term high blood pressure may not be linked, but taking steps to reduce your stress can improve your general health, including your blood ...

  2. Blood pressure control for diabetic retinopathy.

    Science.gov (United States)

    Do, Diana V; Wang, Xue; Vedula, Satyanarayana S; Marrone, Michael; Sleilati, Gina; Hawkins, Barbara S; Frank, Robert N

    2015-01-31

    Diabetic retinopathy is a common complication of diabetes and a leading cause of visual impairment and blindness. Research has established the importance of blood glucose control to prevent development and progression of the ocular complications of diabetes. Simultaneous blood pressure control has been advocated for the same purpose, but findings reported from individual studies have supported varying conclusions regarding the ocular benefit of interventions on blood pressure. The primary aim of this review was to summarize the existing evidence regarding the effect of interventions to control or reduce blood pressure levels among diabetics on incidence and progression of diabetic retinopathy, preservation of visual acuity, adverse events, quality of life, and costs. A secondary aim was to compare classes of anti-hypertensive medications with respect to the same outcomes. We searched a number of electronic databases including CENTRAL as well as ongoing trial registries. We last searched the electronic databases on 25 April 2014. We also reviewed reference lists of review articles and trial reports selected for inclusion. In addition, we contacted investigators of trials with potentially pertinent data. We included in this review randomized controlled trials (RCTs) in which either type 1 or type 2 diabetic participants, with or without hypertension, were assigned randomly to intense versus less intense blood pressure control, to blood pressure control versus usual care or no intervention on blood pressure, or to different classes of anti-hypertensive agents versus placebo. Pairs of review authors independently reviewed titles and abstracts from electronic and manual searches and the full text of any document that appeared to be relevant. We assessed included trials independently for risk of bias with respect to outcomes reported in this review. We extracted data regarding trial characteristics, incidence and progression of retinopathy, visual acuity, quality of life

  3. Oscillometric blood pressure measurements: A signal analysis

    Science.gov (United States)

    Barbé, K.; Van Moer, W.; Lauwers, L.

    2010-07-01

    In this paper, the oscillometric waveform measured by automatic non-invasive blood pressure meters (NIBP) is analyzed by transforming the data from the time domain to the frequency domain. The signal's spectrum of the oscillometric waveform is in current literature badly understood or explored. The only known link between the oscillometric waveform and the blood pressure is the maximum of the oscillometry's envelope equalling the mean arterial pressure (MAP). This link is established under the assumption that the oscillometry is an AM-signal. Unfortunately, computing the MAP is difficult in practice due to the non-sinusoidal nature of the actual measured signals. In this paper, we construct the best AM-signal approximation of the oscillometry and explore its use to compute the MAP.

  4. Self-monitoring and blood pressure.

    Science.gov (United States)

    Sparacino, J; Ronchi, D; Bigley, T K; Flesch, A L; Kuhn, J W

    1983-02-01

    The association between self-monitoring (regulation and control of nonverbal and expressive behavior) and blood pressure was examined in a field study of 594 municipal employees. For persons not taking antihypertensive medication, the Acting/Extraversion scale was mildly positively associated with resting blood pressure among whites in general, blue collar, clerical, and professional groups. Stronger positive correlations were obtained for attorneys and customer service representatives. These results are contrasted with slightly negative associations for blacks in general, first-level supervisors, and a group of previously studied union stewards. An interactive effect was also obtained between Acting/Extraversion and relative participation in work versus nonwork groups and activities; Acting/Extraversion and systolic pressure were inversely related for employees more active in extrawork groups but not related among other workers. Differential consequences of greater or lesser interpersonal involvement and emotional regulation in different jobs are considered.

  5. [Elevated blood pressure as cardiovascular risk factor].

    Science.gov (United States)

    Kowalewski, Wiesław; Hebel, Kazimiera

    2013-01-01

    Cardiovascular diseases for decades have been and still are the main and current health problem of the Polish society and there are many reasons for these diseases. Hypertension is one of the major risk factors for developing cardiovascular disease. The factors significantly increasing risk the of cardiovascular disease are in addition to high blood pressure, smoking (also passive), high blood fats (cholesterol and its HDL, LDL fractions as well as triglyceride levels, obesity, lack of exercise, diabetes and hereditary features. Other important factors which play an important role are external factors such as e.g. environmental pollution, lifestyle, stress. Prediction of cardiovascular disease should start from the evaluation of the fetal period because low birth weight may be a risk of coronary heart disease, hypertension, obesity or diabetes in adulthood. The authors of the referred tests showed that the level of blood pressure observed during childhood is closely associated with the level of blood pressure in adults and is also dependent on the body weight. Since the issue of the effects of high pressure on the cardiovascular system is inherent in the issue of the metabolic syndrome, it should be mentioned also that another causative factor may be an irregularity in the removal of urine from the body and the amount of insulin. The control of hypertension is a complex problem, at least in view of the wide range of adverse factors affecting the human body: hypertension is often either a constituent of other lesions. Therefore, it is difficult to treat high blood pressure in the strict sense; more often it is a combination therapy based on pharmacology caused for other reasons.

  6. Peripheral blood pressure by Dinamap and central blood pressure by applanation tonometry in outpatient general practice.

    Science.gov (United States)

    Santiago, Luiz Miguel; Simões, Ana Rita; Ricardo Miranda, Paula; Matias, Catarina; Rosendo, Inês; Constantino, Liliana; Santos, Tiago; Neto, Maria da Glória; Francisco, Maria dos Prazeres

    2013-06-01

    Central blood pressure (CBP) is the pressure exerted by the blood column at any given moment on the aortic and carotid artery walls, which is a close proxy for the blood pressure inside the brain and the heart, and is thus a better marker of cardiovascular morbidity and mortality than peripheral blood pressure (PBP). To assess how the augmentation index (AI), peripheral pulse pressure (pPP), central pulse pressure (cPP) and subendocardial viability ratio (SEVR) vary in hypertensive patients according to level of control of CBP and PBP. We performed an observational, cross-sectional study in a convenience sample from a general practice in Central Portugal over a period of four days in May 2010. Measurements were taken after a four-minute resting period. The following values were considered to reflect controlled pressures: PBP blood pressure, CBP, pPP and cPP; the same was true of those with controlled CBP, who also had a significantly better AI. The percentage of the cardiac cycle in diastole had a desirable value for 92,2% of the subjects. Copyright © 2011 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  7. Renoprotection with and without blood pressure reduction

    DEFF Research Database (Denmark)

    Laverman, Gozewijn Dirk; Andersen, Steen; Rossing, Peter

    2005-01-01

    BACKGROUND: AT1-receptor blockade dose dependently lowers blood pressure (BP) and albuminuria. Reduction of BP and albuminuria are independent treatment targets for renoprotection, but whether this requires similar dose titration is unknown. METHODS: We tested this in two studies designed to find...... arterial pressure (MAP) were measured. Patients were divided into "good" and "poor" BP responders (BP+, BP-) according to BP response above or below group median. RESULTS: Baseline MAP in the BP- groups was 102 (97, 104) mm Hg in DM (median, 95% CI) and 91 (80, 108) mm Hg in ND. The top of the dose...

  8. Worldwide trends in blood pressure from 1975 to 2015

    DEFF Research Database (Denmark)

    Overvad, Kim

    2017-01-01

    BACKGROUND: Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised blood pressure, defined as systolic blood...... pressure of 140 mm Hg or higher or diastolic blood pressure of 90 mm Hg or higher. METHODS: For this analysis, we pooled national, subnational, or community population-based studies that had measured blood pressure in adults aged 18 years and older. We used a Bayesian hierarchical model to estimate trends...... from 1975 to 2015 in mean systolic and mean diastolic blood pressure, and the prevalence of raised blood pressure for 200 countries. We calculated the contributions of changes in prevalence versus population growth and ageing to the increase in the number of adults with raised blood pressure. FINDINGS...

  9. Effects of endurance training on blood pressure, blood pressure-regulating mechanisms, and cardiovascular risk factors.

    Science.gov (United States)

    Cornelissen, Véronique A; Fagard, Robert H

    2005-10-01

    Previous meta-analyses of randomized controlled trials on the effects of chronic dynamic aerobic endurance training on blood pressure reported on resting blood pressure only. Our aim was to perform a comprehensive meta-analysis including resting and ambulatory blood pressure, blood pressure-regulating mechanisms, and concomitant cardiovascular risk factors. Inclusion criteria of studies were: random allocation to intervention and control; endurance training as the sole intervention; inclusion of healthy sedentary normotensive or hypertensive adults; intervention duration of > or =4 weeks; availability of systolic or diastolic blood pressure; and publication in a peer-reviewed journal up to December 2003. The meta-analysis involved 72 trials, 105 study groups, and 3936 participants. After weighting for the number of trained participants and using a random-effects model, training induced significant net reductions of resting and daytime ambulatory blood pressure of, respectively, 3.0/2.4 mm Hg (Ppressure was more pronounced in the 30 hypertensive study groups (-6.9/-4.9) than in the others (-1.9/-1.6; Ppressure through a reduction of vascular resistance, in which the sympathetic nervous system and the renin-angiotensin system appear to be involved, and favorably affects concomitant cardiovascular risk factors.

  10. Health Instruction Packages: How to Take a Blood Pressure.

    Science.gov (United States)

    Lancaster, Carolyn; And Others

    Text, illustrations, and exercises are utilized in these four learning modules to teach dental hygiene students, nursing students, and the general public how to measure blood pressure. The first module, "Can You Take a Blood Pressure?" by Carolyn Lancaster, defines blood pressure, distinguishes between systolic and diastolic pressure and…

  11. Perinatal development and adult blood pressure

    Directory of Open Access Journals (Sweden)

    N. Ashton

    2000-07-01

    Full Text Available A growing body of evidence supports the concept of fetal programming in cardiovascular disease in man, which asserts that an insult experienced in utero exerts a long-term influence on cardiovascular function, leading to disease in adulthood. However, this hypothesis is not universally accepted, hence animal models may be of value in determining potential physiological mechanisms which could explain how fetal undernutrition results in cardiovascular disease in later life. This review describes two major animal models of cardiovascular programming, the in utero protein-restricted rat and the cross-fostered spontaneously hypertensive rat. In the former model, moderate maternal protein restriction during pregnancy induces an increase in offspring blood pressure of 20-30 mmHg. This hypertensive effect is mediated, in part, by fetal exposure to excess maternal glucocorticoids as a result of a deficiency in placental 11-ß hydroxysteroid dehydrogenase type 2. Furthermore, nephrogenesis is impaired in this model which, coupled with increased activity of the renin-angiotensin system, could also contribute to the greater blood pressure displayed by these animals. The second model discussed is the cross-fostered spontaneously hypertensive rat. Spontaneously hypertensive rats develop severe hypertension without external intervention; however, their adult blood pressure may be lowered by 20-30 mmHg by cross-fostering pups to a normotensive dam within the first two weeks of lactation. The mechanisms responsible for this antihypertensive effect are less clear, but may also involve altered renal function and down-regulation of the renin-angiotensin system. These two models clearly show that adult blood pressure is influenced by exposure to one of a number of stimuli during critical stages of perinatal development.

  12. Alcohol is bad for blood pressure.

    Science.gov (United States)

    Puddey, Ian B; Beilin, Lawrence J

    2006-09-01

    1. The regular consumption of alcohol elevates blood pressure, with global estimates that the attributable risk for hypertensive disease from alcohol is 16%. 2. The increase in blood pressure is approximately 1 mmHg for each 10 g alcohol consumed and is largely reversible within 2-4 weeks of abstinence or a substantial reduction in alcohol intake. 3. This increase in blood pressure occurs irrespective of the type of alcoholic beverage. In particular, the postulated effects of vasodilator flavonoid components of red wine to lessen or reverse alcohol-related hypertension have not been borne out in intervention studies. 4. Heavy drinking, especially a binge pattern of drinking, is linked to a higher incidence of cerebral thrombosis, cerebral haemorrhage and coronary artery disease deaths, although a role for alcohol-related hypertension in the causal pathway is not well defined. 5. In contrast, the light to moderate intake of alcohol has been consistently linked to a reduced risk of atherosclerotic vascular disease end-points. Such a protective effect may also extend to hypertensive subjects. 6. However, the magnitude of any protective effect appears to have been exaggerated because of unmeasured confounders, especially diet, lifestyle and patterns of drinking. Furthermore, a decrease in overall mortality with drinking appears confined to older subjects and to populations with a high background cardiovascular risk profile. 7. Any putative cardiovascular benefits from drinking need to be carefully considered against the effects of alcohol to elevate blood pressure, together with many other adverse health consequences from drinking. Maximum cardiovascular benefit occurs at relatively low levels of consumption (i.e. one to two standard drinks a day in men (10-20 g alcohol) and up to one a day in women (10 g alcohol)). In hypertensive subjects, consumption beyond these levels would be unwise.

  13. Does nicotinic acid (niacin) lower blood pressure?

    OpenAIRE

    Bays, H E; Rader, D.J.

    2009-01-01

    Nicotinic acid (niacin) is a well-established treatment for dyslipidaemia ? an important cardiovascular disease (CVD) risk factor. However, niacin may also reduce blood pressure (BP), which is another important CVD risk factor. This review examines the limited publicly available data on niacin?s BP effects. Acute administration of immediate-release niacin may lower BP because of niacin?s acute vasodilatory effects. Although not always supported by clinical trial data, the package insert of a ...

  14. Renal intercalated cells and blood pressure regulation

    Directory of Open Access Journals (Sweden)

    Susan M. Wall

    2017-12-01

    Full Text Available Type B and non-A, non-B intercalated cells are found within the connecting tubule and the cortical collecting duct. Of these cell types, type B intercalated cells are known to mediate Cl⁻ absorption and HCO₃⁻ secretion largely through pendrin-dependent Cl⁻/HCO₃⁻ exchange. This exchange is stimulated by angiotensin II administration and is also stimulated in models of metabolic alkalosis, for instance after aldosterone or NaHCO₃ administration. In some rodent models, pendrin-mediated HCO₃⁻ secretion modulates acid-base balance. However, the role of pendrin in blood pressure regulation is likely of more physiological or clinical significance. Pendrin regulates blood pressure not only by mediating aldosterone-sensitive Cl⁻ absorption, but also by modulating the aldosterone response for epithelial Na⁺ channel (ENaC-mediated Na⁺ absorption. Pendrin regulates ENaC through changes in open channel of probability, channel surface density, and channels subunit total protein abundance. Thus, aldosterone stimulates ENaC activity through both direct and indirect effects, the latter occurring through its stimulation of pendrin expression and function. Therefore, pendrin contributes to the aldosterone pressor response. Pendrin may also modulate blood pressure in part through its action in the adrenal medulla, where it modulates the release of catecholamines, or through an indirect effect on vascular contractile force. This review describes how aldosterone and angiotensin II-induced signaling regulate pendrin and the contributory role of pendrin in distal nephron function and blood pressure.

  15. Blood Pressure J-Curve: Current Concepts

    OpenAIRE

    Banach, Maciej; Aronow, Wilbert S.

    2012-01-01

    The blood pressure (BP) J-curve debate started in 1979, and we still cannot definitively answer all the questions. However, available studies of antihypertensive treatment provide strong evidence for J-shaped relationships between both diastolic and systolic BP and main outcomes in the general population of hypertensive patients, as well as in high-risk populations, including subjects with coronary artery disease, diabetes mellitus, left ventricular hypertrophy, and elderly patients. However,...

  16. Dietary spermidine for lowering high blood pressure

    Science.gov (United States)

    Eisenberg, Tobias; Abdellatif, Mahmoud; Zimmermann, Andreas; Schroeder, Sabrina; Pendl, Tobias; Harger, Alexandra; Stekovic, Slaven; Schipke, Julia; Magnes, Christoph; Schmidt, Albrecht; Ruckenstuhl, Christoph; Dammbrueck, Christopher; Gross, Angelina S.; Herbst, Viktoria; Carmona-Gutierrez, Didac; Pietrocola, Federico; Pieber, Thomas R.; Sigrist, Stephan J.; Linke, Wolfgang A.; Mühlfeld, Christian; Sadoshima, Junichi; Dengjel, Joern; Kiechl, Stefan; Kroemer, Guido; Sedej, Simon; Madeo, Frank

    2017-01-01

    ABSTRACT Loss of cardiac macroautophagy/autophagy impairs heart function, and evidence accumulates that an increased autophagic flux may protect against cardiovascular disease. We therefore tested the protective capacity of the natural autophagy inducer spermidine in animal models of aging and hypertension, which both represent major risk factors for the development of cardiovascular disease. Dietary spermidine elicits cardioprotective effects in aged mice through enhancing cardiac autophagy and mitophagy. In salt-sensitive rats, spermidine supplementation also delays the development of hypertensive heart disease, coinciding with reduced arterial blood pressure. The high blood pressure-lowering effect likely results from improved global arginine bioavailability and protection from hypertension-associated renal damage. The polyamine spermidine is naturally present in human diets, though to a varying amount depending on food type and preparation. In humans, high dietary spermidine intake correlates with reduced blood pressure and decreased risk of cardiovascular disease and related death. Altogether, spermidine represents a cardio- and vascular-protective autophagy inducer that can be readily integrated in common diets. PMID:28118075

  17. Ambulatory blood pressure values in healthy children

    Directory of Open Access Journals (Sweden)

    Paripović Dušan

    2006-01-01

    Full Text Available Ambulatory blood pressure monitoring (ABPM is an important tool in the diagnosis and management of childhood hypertension. Normal ambulatory blood pressure (ABP values in children with body heights between 100 and 120 cm have not been reported. The aim of the study was to establish the normal range of values for ABPM in these children. 24-hour ABPM was performed in 40 normotensive (auscultatory casual blood pressure was obtained before ABPM subjects, aged from 4 to 6 years (26 males, 14 females with body heights between 95 and 125 cm. ABPM was carried out on non-dominant arm using the oscillometric device (SpaceLab 90207 with appropriate cuff size. The monitor was programmed to measure BP every 15 min. during the day (6 a.m. to 10 p.m. and every 30 min. during the night (10 p.m. to 6 a.m.. The mean daytime SBP/DBP in boys and girls was 108+/-6/67+/-5 and 105+/-5/66+/-1, respectively. The mean nighttime SBP/DBP in boys and girls was 98+/-6/56+/-5 and 97+/-7/56+/-4, respectively. There was a significant difference between day and night readings of SBP, DBP and heart rate (nocturnal fall was observed. The distribution of ABP noted in this study could serve as preliminary reference. A multicenter study should be performed to provide normal ranges of ABP.

  18. Blood Pressure Control: Stroke and Stroke Prevention

    Directory of Open Access Journals (Sweden)

    Hans-Christoph Diener

    2005-03-01

    Full Text Available Hypertension is the most important modifiable risk factor for primary and secondary stroke prevention.All antihypertensive drugs are effective in primary prevention: the risk reduction for stroke is 30—42%. However, not all classes of drugs have the same effects: there is some indication that angiotensin receptor blockers may be superior to other classes of antihypertensive drugs in stroke prevention.Seventy-five percent of patients who present to hospital with acute stroke have elevated blood pressure within the first 24—48 hours. Extremes of systolic blood pressure (SBP increase the risk of death or dependency. The aim of treatment should be to achieve and maintain the SBP in the range 140—160 mmHg. However, fast and drastic blood pressure lowering can have adverse consequences.The PROGRESS trial of secondary prevention with perindopril + indapamide versus placebo + placebo showed a decrease in numbers of stroke recurrences in patients given both active antihypertensive agents, more impressive for cerebral haemorrhage.There were also indications that active treatment might decrease the development of post-stroke dementia.

  19. Alcohol and its relationship to blood pressure.

    Science.gov (United States)

    Kodavali, Lavanya; Townsend, Raymond R

    2006-08-01

    Ethanol is a molecule of enduring research interest because its consumption has important social as well as medical implications. With excessive ethanol consumption, there is higher prevalence for hypertension, stroke, cardiomyopathy, and arrhythmias. A principal mechanism by which ethanol exerts these cardiovascular effects is through modulation of blood pressure. In this article, we focus on recent research that pursues information on the effects of alcohol on blood pressure in human subjects, regardless of whether they have hypertension or not. Known means by which alcohol exerts hemodynamic effects are briefly covered, and insights on novel biomediators, such as endothelin and gene-based mechanisms, are presented. Newer tools, such as the Alcohol Use Disorders Identification Test-Consumption Questions (AUDIT-C) survey and carbohydrate-deficient transferrin (CDT) serum test, are also covered. Reducing excessive alcohol intake can produce a reduction in blood pressure of up to 4 mm Hg, on average, which could substantially affect the rates of stroke and ischemic heart disease.

  20. Blood pressure j-curve: current concepts.

    Science.gov (United States)

    Banach, Maciej; Aronow, Wilbert S

    2012-12-01

    The blood pressure (BP) J-curve debate started in 1979, and we still cannot definitively answer all the questions. However, available studies of antihypertensive treatment provide strong evidence for J-shaped relationships between both diastolic and systolic BP and main outcomes in the general population of hypertensive patients, as well as in high-risk populations, including subjects with coronary artery disease, diabetes mellitus, left ventricular hypertrophy, and elderly patients. However, further studies are still necessary in order to clarify this issue. This is connected to the fact that most available studies were observational, and randomized trials did not have or lost their statistical power and were inconclusive. Perhaps only the Systolic Blood Pressure Intervention Trial (SPRINT) and Optimal Blood Pressure and Cholesterol Targets for Preventing Recurrent Stroke in Hypertensives (ESH-CHL-SHOT) will be able to finally answer all the questions. According to the current state of knowledge, it seems reasonable to suggest lowering BP to values within the 130-139/80-85 mmHg range, possibly close to the lower values in this range, in all hypertensive patients and to be very careful with further BP level reductions, especially in high-risk hypertensive patients.

  1. Blood Pressure Measurement: Clinic, Home, Ambulatory, and Beyond

    Science.gov (United States)

    Drawz, Paul E.; Abdalla, Mohamed; Rahman, Mahboob

    2014-01-01

    Blood pressure has traditionally been measured in the clinic setting using the auscultory method and a mercury sphygmomanometer. Technological advances have led to improvements in measuring clinic blood pressure and allowed for measuring blood pressures outside the clinic. This review outlines various methods for evaluating blood pressure and the clinical utility of each type of measurement. Home blood pressures and 24 hour ambulatory blood pressures have improved our ability to evaluate risk for target organ damage and hypertension related morbidity and mortality. Measuring home blood pressures may lead to more active participation in health care by patients and has the potential to improve blood pressure control. Ambulatory blood pressure monitoring enables the measuring nighttime blood pressures and diurnal changes, which may be the most accurate predictors of risk associated with elevated blood pressure. Additionally, reducing nighttime blood pressure is feasible and may be an important component of effective antihypertensive therapy. Finally, estimating central aortic pressures and pulse wave velocity are two of the newer methods for assessing blood pressure and hypertension related target organ damage. PMID:22521624

  2. Blood pressure control for diabetic retinopathy

    Science.gov (United States)

    Do, Diana V; Wang, Xue; Vedula, Satyanarayana S; Marrone, Michael; Sleilati, Gina; Hawkins, Barbara S; Frank, Robert N

    2015-01-01

    Background Diabetic retinopathy is a common complication of diabetes and a leading cause of visual impairment and blindness. Research has established the importance of blood glucose control to prevent development and progression of the ocular complications of diabetes. Simultaneous blood pressure control has been advocated for the same purpose, but findings reported from individual studies have supported varying conclusions regarding the ocular benefit of interventions on blood pressure. Objectives The primary aim of this review was to summarize the existing evidence regarding the effect of interventions to control or reduce blood pressure levels among diabetics on incidence and progression of diabetic retinopathy, preservation of visual acuity, adverse events, quality of life, and costs. A secondary aim was to compare classes of anti-hypertensive medications with respect to the same outcomes. Search methods We searched a number of electronic databases including CENTRAL as well as ongoing trial registries. We last searched the electronic databases on 25 April 2014. We also reviewed reference lists of review articles and trial reports selected for inclusion. In addition, we contacted investigators of trials with potentially pertinent data. Selection criteria We included in this review randomized controlled trials (RCTs) in which either type 1 or type 2 diabetic participants, with or without hypertension, were assigned randomly to intense versus less intense blood pressure control, to blood pressure control versus usual care or no intervention on blood pressure, or to different classes of anti-hypertensive agents versus placebo. Data collection and analysis Pairs of review authors independently reviewed titles and abstracts from electronic and manual searches and the full text of any document that appeared to be relevant. We assessed included trials independently for risk of bias with respect to outcomes reported in this review. We extracted data regarding trial

  3. Blood pressure control for diabetic retinopathy

    Directory of Open Access Journals (Sweden)

    Diana V. Do

    Full Text Available BACKGROUND: Diabetic retinopathy is a common complication of diabetes and a leading cause of visual impairment and blindness. Research has established the importance of blood glucose control to prevent development and progression of the ocular complications of diabetes. Simultaneous blood pressure control has been advocated for the same purpose, but findings reported from individual studies have supported varying conclusions regarding the ocular benefit of interventions on blood pressure.OBJECTIVES: The primary aim of this review was to summarize the existing evidence regarding the effect of interventions to control or reduce blood pressure levels among diabetics on incidence and progression of diabetic retinopathy, preservation of visual acuity, adverse events, quality of life, and costs. A secondary aim was to compare classes of anti-hypertensive medications with respect to the same outcomes.METHODS:Search methods: We searched a number of electronic databases including CENTRAL as well as ongoing trial registries. We last searched the electronic databases on 25 April 2014. We also reviewed reference lists of review articles and trial reports selected for inclusion. In addition, we contacted investigators of trials with potentially pertinent data. Selection criteria: We included in this review randomized controlled trials (RCTs in which either type 1 or type 2 diabetic participants, with or without hypertension, were assigned randomly to intense versus less intense blood pressure control, to blood pressure control versus usual care or no intervention on blood pressure, or to different classes of anti-hypertensive agents versus placebo. Data collection and analysis: Pairs of review authors independently reviewed titles and abstracts from electronic and manual searches and the full text of any document that appeared to be relevant. We assessed included trials independently for risk of bias with respect to outcomes reported in this review. We

  4. Ambulatory Blood Pressure Monitoring in Clinical Practice: A Review

    Science.gov (United States)

    Viera, Anthony J.; Shimbo, Daichi

    2016-01-01

    Ambulatory blood pressure monitoring offers the ability to collect blood pressure readings several times an hour across a 24-hour period. Ambulatory blood pressure monitoring facilitates the identification of white-coat hypertension, the phenomenon whereby certain individuals who are not on antihypertensive medication show elevated blood pressure in a clinical setting but show non-elevated blood pressure averages when assessed by ambulatory blood pressure monitoring. Additionally, readings can be segmented into time windows of particular interest, e.g., mean daytime and nighttime values. During sleep, blood pressure typically decreases, or dips, such that mean sleep blood pressure is lower than mean awake blood pressure. A non-dipping pattern and nocturnal hypertension are strongly associated with increased cardiovascular morbidity and mortality. Approximately 70% of individuals dip ≥10% at night, while 30% have non-dipping patterns, when blood pressure remains similar to daytime average, or occasionally rises above daytime average. The various blood pressure categorizations afforded by ambulatory blood pressure monitoring are valuable for clinical management of high blood pressure since they increase accuracy for diagnosis and the prediction of cardiovascular risk. PMID:25107387

  5. High Blood Pressure, Afib and Your Risk of Stroke

    Science.gov (United States)

    ... Peripheral Artery Disease Venous Thromboembolism Aortic Aneurysm More High Blood Pressure, AFib and Your Risk of Stroke Updated:Aug ... have a stroke for the first time have high blood pressure . And an irregular atrial heart rhythm — a condition ...

  6. High blood pressure - what to ask your doctor

    Science.gov (United States)

    What to ask your doctor about high blood pressure; Hypertension - what to ask your doctor ... problems? What medicines am I taking to treat high blood pressure? Do they have any side effects? What should ...

  7. Correlation between systolic blood pressure and physical development in adolescence

    National Research Council Canada - National Science Library

    Akahoshi, M; Soda, M; Carter, R L; Nakashima, E; Shimaoka, K; Seto, S; Yano, K

    1996-01-01

    Although the close relation between blood pressure and physical development in adolescence has been established in cross-sectional and comparative cross-sectional studies, the entire trend of systolic blood pressure (SBP...

  8. Non-invasive blood pressure measurement in mice.

    Science.gov (United States)

    Feng, Minjie; DiPetrillo, Keith

    2009-01-01

    Hypertension is a leading cause of heart attack, stroke, and kidney failure and represents a serious medical issue worldwide. The genetic basis of hypertension is well-established, but few causal genes have been identified thus far. Non-invasive blood pressure measurements are a critical component of high-throughput genetic studies to identify genes controlling blood pressure. Whereas this technique is fairly routine for blood pressure measurements in rats, non-invasive blood pressure measurement in mice has proven to be more challenging. This chapter describes an experimental protocol measuring blood pressure in mice using a CODA non-invasive blood pressure monitoring system. This method enables accurate blood pressure phenotyping in mice for linkage or mutagenesis studies, as well as for other experiments requiring high-throughput blood pressure measurement.

  9. Blood Pressure: Does It Have a Daily Pattern?

    Science.gov (United States)

    ... Kidney disease Diabetes Thyroid problems Nervous system problems Cardiovascular disease Risk factors for developing an abnormal blood pressure pattern include: Night-shift work Tobacco use Anxiety Too much stress Taking blood pressure ...

  10. [An integrated system of blood pressure measurement with bluetooth communication].

    Science.gov (United States)

    Wang, Wei; Wang, Jing; Sun, Hongyang; Xu, Zuyang; Chai, Xinyu

    2012-07-01

    The development of the integrated blood pressure system with bluetooth communication function is introduced. Experimental results show that the system can complete blood pressure measurement and data transmission wireless effectively, which can be used in m-Health in future.

  11. Blood Pressure Medications: Can They Raise My Triglycerides?

    Science.gov (United States)

    ... medications: Can they raise my triglycerides? Can some blood pressure medications cause an increase in triglycerides? Answers from Sheldon G. Sheps, M.D. Yes, some blood pressure medications can affect triglyceride and cholesterol levels. Hydrochlorothiazide ...

  12. Snapshot: Blood Pressure in the U.S.

    Science.gov (United States)

    ... please visit this page: About CDC.gov . Home Blood Pressure: Make Control Your Goal Infographic Recommend on Facebook ... Compartir Copy the code below to use the Blood Pressure Infographic on your web page or social media ...

  13. Methods of Blood Pressure Measurement in the ICU

    Science.gov (United States)

    Lehman, Li-wei H.; Saeed, Mohammed; Talmor, Daniel; Mark, Roger; Malhotra, Atul

    2013-01-01

    Objective Minimal clinical research has investigated the significance of different blood pressure monitoring techniques in the ICU and whether systolic vs. mean blood pressures should be targeted in therapeutic protocols and in defining clinical study cohorts. The objectives of this study are to compare real-world invasive arterial blood pressure with noninvasive blood pressure, and to determine if differences between the two techniques have clinical implications. Design We conducted a retrospective study comparing invasive arterial blood pressure and noninvasive blood pressure measurements using a large ICU database. We performed pairwise comparison between concurrent measures of invasive arterial blood pressure and noninvasive blood pressure. We studied the association of systolic and mean invasive arterial blood pressure and noninvasive blood pressure with acute kidney injury, and with ICU mortality. Setting Adult intensive care units at a tertiary care hospital. Patients Adult patients admitted to intensive care units between 2001 and 2007. Interventions None. Measurements and Main Results Pairwise analysis of 27,022 simultaneously measured invasive arterial blood pressure/noninvasive blood pressure pairs indicated that noninvasive blood pressure overestimated systolic invasive arterial blood pressure during hypotension. Analysis of acute kidney injury and ICU mortality involved 1,633 and 4,957 patients, respectively. Our results indicated that hypotensive systolic noninvasive blood pressure readings were associated with a higher acute kidney injury prevalence (p = 0.008) and ICU mortality (p invasive arterial blood pressure in the same range (≤70 mm Hg). Noninvasive blood pressure and invasive arterial blood pressure mean arterial pressures showed better agreement; acute kidney injury prevalence (p = 0.28) and ICU mortality (p = 0.76) associated with hypotensive mean arterial pressure readings (≤60 mm Hg) were independent of measurement technique

  14. Comparison between invasive blood pressure and a non-invasive blood pressure monitor in anesthetized sheep.

    Science.gov (United States)

    Almeida, Daniel; Barletta, Michele; Mathews, Lindsey; Graham, Lynelle; Quandt, Jane

    2014-12-01

    Monitoring blood pressure under general anesthesia in animals is important to prevent hypotension and poor tissue perfusion. Thirteen sheep were enrolled to evaluate the accuracy of the petMAP, a portable non-invasive blood pressure (NIBP) monitor. Animals were anesthetized with midazolam, fentanyl, ketamine, propofol and maintained with isoflurane in oxygen for ovariectomy. Invasive and non-invasive (petMAP) blood pressure measurements were recorded simultaneously every 5 minutes. Agreement between IBP and NIBP was assessed by evaluation of bias and 95% limits of agreement (LOA) using the Bland-Altman method and correlation coefficient. None of the measurements met the criteria for good agreement between invasive and non-invasive readings established by the Association for the Advancement of Medical Instrumentation. Systolic blood pressure readings obtained at the left thoracic limb site and mean blood pressure at the right pelvic limb site met the bias and LOA criteria established by the American College of Veterinary Internal Medicine. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Association of brief health literacy screening and blood pressure in primary care.

    Science.gov (United States)

    Willens, David E; Kripalani, Sunil; Schildcrout, Jonathan S; Cawthon, Courtney; Wallston, Ken; Mion, Lorraine C; Davis, Corinne; Danciu, Iona; Rothman, Russell L; Roumie, Christianne L

    2013-01-01

    Health literacy impacts health outcomes. However, the relationship to blood pressure is inconsistent. This study aimed to determine whether health literacy, assessed by clinic staff, is associated with blood pressure among patients with hypertension. The design was a cross-sectional study of a large sample of primary care patient encounters in 3 academic medical center clinics in Nashville, Tennessee. Health literacy was assessed using the Brief Health Literacy Screen, with higher scores indicating higher health literacy. Blood pressure was extracted from the electronic health record. Using 23,483 encounters in 10,644 patients, the authors examined the association of health literacy with blood pressure in multivariable analyses, adjusting for age, gender, race, education, and clinic location. Independent of educational attainment, 3-point increases in health literacy scores were associated with 0.74 mmHg higher systolic blood pressure (95% CI [0.38, 1.09]) and 0.30 mmHg higher diastolic blood pressure (95% CI [0.08, 0.51]). No interaction between education and health literacy was observed (p = .91). In this large primary care population of patients with hypertension, higher health literacy, as screened in clinical practice, was associated with a small increase in blood pressures. Future research is needed to explore this unexpected finding.

  16. Methods of Blood Pressure Measurement in the ICU*

    OpenAIRE

    Talmor, Daniel; Malhotra, Atul; Lehman, Li-Wei; Saeed, Mohammed; Mark, Roger G

    2013-01-01

    OBJECTIVE:: Minimal clinical research has investigated the significance of different blood pressure monitoring techniques in the ICU and whether systolic vs. mean blood pressures should be targeted in therapeutic protocols and in defining clinical study cohorts. The objectives of this study are to compare real-world invasive arterial blood pressure with noninvasive blood pressure, and to determine if differences between the two techniques have clinical implications. DESIGN:: We conducted a re...

  17. Sleep Deprivation: A Cause of High Blood Pressure?

    Science.gov (United States)

    ... Is it true that sleep deprivation can cause high blood pressure? Answers from Sheldon G. Sheps, M.D. Possibly. It's thought ... night may be at higher risk of developing high blood pressure or worsening already high blood pressure. There's also ...

  18. Blood pressure variations in Subjects with different Haemoglobin ...

    African Journals Online (AJOL)

    Dr Olaleye Samuel

    variations in blood pressures as well as relating the blood pressures in different haemoglobin. (HB) genotypes to each other. Blood pressures in 20 steady and crisis states SCD patients respectively with 40 apparently healthy heterozygous HB AS and HB AA genotype (age and sex –matched). They were aged between 20 ...

  19. How High Blood Pressure Can Lead to Stroke

    Science.gov (United States)

    ... More How High Blood Pressure Can Lead to Stroke Updated:Jan 29,2018 Stroke and high blood pressure Stroke is a leading cause of death and severe, ... disability. Most people who’ve had a first stroke also had high blood pressure (HBP or hypertension). ...

  20. Admission Blood Pressure of Stroke Patients and Its Relationship to ...

    African Journals Online (AJOL)

    Background: High blood pressure is often said to be associated with poor outcome in stroke. However, there remains some uncertainly about the relationship of blood pressure to mortality in stroke. Objective: This study seeks to determine the influence of admission blood pressure on early mortality of stroke patients at the ...

  1. Worldwide trends in blood pressure from 1975 to 2015

    NARCIS (Netherlands)

    Ezzati, Majid; Geleijnse, J.M.

    2017-01-01

    Background

    Raised blood pressure is an important risk factor for cardiovascular diseases and chronic kidney disease. We estimated worldwide trends in mean systolic and mean diastolic blood pressure, and the prevalence of, and number of people with, raised blood pressure, defined as systolic

  2. A modified isometric test to evaluate blood pressure control with ...

    African Journals Online (AJOL)

    Blood pressure at rest is not predictive of roundthe- clock values. Blood pressure should therefore be measured during effort to evaluate hypertension and its response to treatment. The effect of sustained-release verapamil (240 mg taken once a day) on blood pressure at rest and during isometric effort was therefore ...

  3. Anxiety and blood pressure prior to dental treatment.

    NARCIS (Netherlands)

    Benjamins, C.; Schuurs, A.H.; Asscheman, H.; Hoogstraten, J.

    1990-01-01

    Assessed dental anxiety and blood pressure immediately prior to a dental appointment in 24 patients attending a university dental clinic or a clinic for anxious dental patients in the Netherlands. Blood pressure was assessed by 2 independent methods, and the interchangeability of the blood-pressure

  4. 21 CFR 870.1130 - Noninvasive blood pressure measurement system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Noninvasive blood pressure measurement system. 870... SERVICES (CONTINUED) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1130 Noninvasive blood pressure measurement system. (a) Identification. A noninvasive blood pressure measurement...

  5. Salt, Blood Pressure and Cardiovascular Changes in Human and ...

    African Journals Online (AJOL)

    The present review describes the effects of ingestion of high salt diet on blood pressure and attempts to elucidate some of the cardiovascular changes that give rise to elevated blood pressure. High dietary salt loading especially in experimental animals tend to result in elevated levels of arterial blood pressure. Studies in ...

  6. Blood Pressure Pattern in Barako - A Rural Community in Rivers ...

    African Journals Online (AJOL)

    Alasia Datonye

    Wokoma F.S, Alasia D.D - Blood Pressure Pattern in a rural Community. It is on this background that this blood pressure survey in. Barako, a rural community in Gokana local government area of Rivers State was carried out with the objective of determining the prevalence and pattern of blood pressure elevation and ...

  7. Pattern of Blood Pressure in Adolescents | Mijinyawa | Sahel ...

    African Journals Online (AJOL)

    Background: Out of office blood pressure has been shown to be a better representation of an individual's blood pressure. This prospective ... The prevalence of hypertension and the relationship between blood pressure level and height, body mass index, age and socio-economic status were determined. Results: The mean ...

  8. The computation of evoked heart rate and blood pressure

    NARCIS (Netherlands)

    Koers, G.; Mulder, L.J.M.; van der Veen, F.M.

    1999-01-01

    For many years psychophysiologists have been interested in stimulus related changes in heart rate and blood pressure. To represent these evoked heart rate and blood pressure patterns, heart rate and blood pressure data have to be transformed into equidistant time series. This paper presents an

  9. A modified isometric test to evaluate blood pressure control with ...

    African Journals Online (AJOL)

    SAMJ. VOL 83. NOV 1993. A modified isometric test to evaluate blood pressure control with once-daily slow-release verapamil. A. CANTOR, H. GILUTZ, T. MEYER. Abstract Blood pressure at rest is not predictive of round- the-clock values. Blood pressure should therefore be measured during effort to evaluate hypertension.

  10. 21 CFR 870.1120 - Blood pressure cuff.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Blood pressure cuff. 870.1120 Section 870.1120...) MEDICAL DEVICES CARDIOVASCULAR DEVICES Cardiovascular Diagnostic Devices § 870.1120 Blood pressure cuff. (a) Identification. A blood pressure cuff is a device that has an inflatable bladder in an inelastic...

  11. Blood pressure variations in Subjects with different Haemoglobin ...

    African Journals Online (AJOL)

    Previous studies on low blood pressure in patients with homozygous sickle cell disease (SCD) have sought various hypotheses on the mechanism of their low blood pressure. However, these studies have not compared the role of the single inheritance of the s-gene in the variations in blood pressures as well as relating the ...

  12. Cerebral blood flow in normal pressure hydrocephalus

    Energy Technology Data Exchange (ETDEWEB)

    Mamo, H.L.; Meric, P.C.; Ponsin, J.C.; Rey, A.C.; Luft, A.G.; Seylaz, J.A.

    1987-11-01

    A xenon-133 method was used to measure cerebral blood flow (CBF) before and after cerebrospinal fluid (CSF) removal in patients with normal pressure hydrocephalus (NPH). Preliminary results suggested that shunting should be performed on patients whose CBF increased after CSF removal. There was a significant increase in CBF in patients with NPH, which was confirmed by the favorable outcome of 88% of patients shunted. The majority of patients with senile and presenile dementia showed a decrease or no change in CBF after CSF removal. It is suggested that although changes in CBF and clinical symptoms of NPH may have the same cause, i.e., changes in the cerebral intraparenchymal pressure, there is no simple direct relation between these two events. The mechanism underlying the loss of autoregulation observed in NPH is also discussed.

  13. Blood Pressure Management Controversies in Neurocritical Care.

    Science.gov (United States)

    McNett, Molly; Koren, Jay

    2016-03-01

    Blood pressure (BP) management is essential in neurocritical care settings to ensure adequate cerebral perfusion and prevent secondary brain injury. Despite consensus on the importance of BP monitoring, significant practice variations persist regarding optimal methods for monitoring and treatment of BP values among patients with neurologic injuries. This article provides a summary of research investigating various approaches for BP management in neurocritical care. Evidence-based recommendations, areas for future research, and current technological advancements for BP management are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Principles of Blood Pressure Measurement - Current Techniques, Office vs Ambulatory Blood Pressure Measurement.

    Science.gov (United States)

    Vischer, Annina S; Burkard, Thilo

    2017-01-01

    Blood pressure measurement has a long history and a crucial role in clinical medicine. Manual measurement using a mercury sphygmomanometer and a stethoscope remains the Gold Standard. However, this technique is technically demanding and commonly leads to faulty values. Automatic devices have helped to improve and simplify the technical aspects, but a standardised procedure of obtaining comparable measurements remains problematic and may therefore limit their validity in clinical practice. This underlines the importance of less error-prone measurement methods such as ambulatory or home blood pressure measurements and automated office blood pressure measurements. These techniques may help to uncover patients with otherwise unrecognised or overestimated arterial hypertension. Additionally these techniques may yield a better prognostic value.

  15. Risk of cardiovascular events among women with high normal blood pressure or blood pressure progression: prospective cohort study

    OpenAIRE

    Conen, David; Ridker, Paul M.; Buring, Julie E.; Glynn, Robert J

    2007-01-01

    Objective To compare cardiovascular risk among women with high normal blood pressure (130-9/85-9 mm Hg) against those with normal blood pressure (120-9/75-84 mm Hg) and those with baseline hypertension.

  16. Associations of maternal and paternal blood pressure patterns and hypertensive disorders during pregnancy with childhood blood pressure

    NARCIS (Netherlands)

    K. Miliku (Kozeta); N.E. Bergen (Nienke); H. Bakker (Hanneke); A. Hofman (Albert); E.A.P. Steegers (Eric); R. Gaillard (Romy); V.W.V. Jaddoe (Vincent)

    2016-01-01

    textabstractBackground-Hypertensive disorders in pregnancy may affect the cardiovascular risk of offspring. We examined the associations of maternal blood pressure throughout pregnancy and hypertensive disorders in pregnancy with childhood blood pressure of offspring. Specific focus was on the

  17. Patient-Specific Oscillometric Blood Pressure Measurement.

    Science.gov (United States)

    Liu, Jiankun; Cheng, Hao-Min; Chen, Chen-Huan; Sung, Shih-Hsien; Moslehpour, Mohsen; Hahn, Jin-Oh; Mukkamala, Ramakrishna

    2016-06-01

    Most automatic cuff blood pressure (BP) measurement devices are based on oscillometry. These devices estimate BP from the envelopes of the cuff pressure oscillations using fixed ratios. The values of the fixed ratios represent population averages, so the devices may only be accurate in subjects with normal BP levels. The objective was to develop and demonstrate the validity of a patient-specific oscillometric BP measurement method. The idea of the developed method was to represent the cuff pressure oscillation envelopes with a physiologic model, and then estimate the patient-specific parameters of the model, which includes BP levels, by optimally fitting it to the envelopes. The method was investigated against gold standard reference BP measurements from 57 patients with widely varying pulse pressures. A portion of the data was used to optimize the patient-specific method and a fixed-ratio method, while the remaining data were used to test these methods and a current office device. The patient-specific method yielded BP root-mean-square-errors ranging from 6.0 to 9.3 mmHg. On an average, these errors were nearly 40% lower than the errors of each existing method. The patient-specific method may improve automatic cuff BP measurement accuracy. A patient-specific oscillometric BP measurement method was proposed and shown to be more accurate than the conventional method and a current device.

  18. Automatic Blood Pressure Measurements During Exercise

    Science.gov (United States)

    Weaver, Charles S.

    1985-01-01

    Microprocessor circuits and a computer algorithm for automatically measuring blood pressure during ambulatory monitoring and exercise stress testing have been under development at SRI International. A system that records ECG, Korotkov sound, and arm cuff pressure for off-line calculation of blood pressure has been delivered to NASA, and an LSLE physiological monitoring system that performs the algorithm calculations in real-time is being constructed. The algorithm measures the time between the R-wave peaks and the corresponding Korotkov sound on-set (RK-interval). Since the curve of RK-interval versus cuff pressure during deflation is predictable and slowly varying, windows can be set around the curve to eliminate false Korotkov sound detections that result from noise. The slope of this curve, which will generally decrease during exercise, is the inverse of the systolic slope of the brachial artery pulse. In measurements taken during treadmill stress testing, the changes in slopes of subjects with coronary artery disease were markedly different from the changes in slopes of healthy subjects. Measurements of slope and O2 consumption were also made before and after ten days of bed rest during NASA/Ames Research Center bed rest studies. Typically, the maximum rate of O2 consumption during the post-bed rest test is less than the maximum rate during the pre-bed rest test. The post-bed rest slope changes differ from the pre-bed rest slope changes, and the differences are highly correlated with the drop in the maximum rate of O2 consumption. We speculate that the differences between pre- and post-bed rest slopes are due to a drop in heart contractility.

  19. Oscillometric blood pressure measurements: differences between measured and calculated mean arterial pressure.

    NARCIS (Netherlands)

    Kiers, H.D.; Hofstra, J.M.; Wetzels, J.F.M.

    2008-01-01

    Mean arterial pressure (MAP) is often used as an index of overall blood pressure. In recent years, the use of automated oscillometric blood pressure measurement devices is increasing. These devices directly measure and display MAP; however, MAP is often calculated from systolic blood pressure (SBP)

  20. Blood pressure documentation in the emergency department.

    Science.gov (United States)

    Daniel, Ana Carolina Queiroz Godoy; Machado, Juliana Pereira; Veiga, Eugenia Velludo

    2017-01-01

    To analyze the frequency of blood pressure documentation performed by nursing professionals in an emergency department. This is a cross-sectional, observational, descriptive, and analytical study, which included medical records of adult patients admitted to the observation ward of an emergency department, between March and May 2014. Data were obtained through a collection instrument divided into three parts: patient identification, triage data, and blood pressure documentation. For statistical analysis, Pearson's correlation coefficient was used, with a significance level of αvalores obtidos estavam alterados. O tempo médio de admissão até o registro da primeira pressão arterial foi de 2,5 minutos, e de 42 minutos entre as medidas subsequentes. Não foi encontrada correlação entre os valores de pressão arterial sistólica e o intervalo médio de tempo entre os registros da pressão arterial: 0,173 (p=0,031). O presente estudo não encontrou correlação entre frequência de verificação da pressão arterial e os valores de pressão arterial. A frequência do registro da pressão arterial aumentou de acordo com a gravidade do paciente e diminuiu durante seu tempo de permanência no serviço de emergência.

  1. Noninvasive 24-hour ambulatory arterial blood pressure monitoring in cirrhosis

    DEFF Research Database (Denmark)

    Møller, Søren; Wiinberg, N; Henriksen, Jens Henrik

    1995-01-01

    Cirrhotic patients have disturbed systemic hemodynamics with reduced arterial blood pressure, but this has not been investigated during daily activity and sleep. Systolic (SBP), diastolic (DBP), and mean arterial blood pressure (MAP), and heart rate (HR) were measured by an automatic ambulant......, but surprisingly normal arterial blood pressure during the nighttime, and the circadian variation in blood pressure and HR is diminished, probably because of an almost unaltered cardiac output during the 24 hours. These results may reflect a major defect in the ability of optimal regulation of blood pressure...

  2. [Uncontrolled factors of blood pressure in essential hypertension: from "patient's high blood pressure" to "hypertensive patient"].

    Science.gov (United States)

    Xiong, Xing-Jiang; Wang, Jie

    2014-04-01

    Hypertension is a significant medical and public health issue which puts an enormous burden on health care resources and the community. It is a chronic medical condition in which the systemic arterial blood pressure (BP) is elevated. Serious complications including cardiovascular and cerebrovascular diseases would be preventable if the rise in BP with age could be prevented or diminished. The majority of hypertensive patients require long-term treatment. Oral antihypertensive drugs, lifestyle modification including exercise and dietary modification are milestones for hypertension therapy. However, the control rate of hypertension hasn't reached the expected requirements currently. "Three lows" status quo, just low awareness, low treatment, and low control, are still the major problems confronting modern medicine. Recently, uncontrolled factors of blood pressure are widely concerned, which include insomnia, constipation, mood disorders, exogenous, etc. What's more, the control strategies of hypertension should not only pay close attention to "patient's high blood pressure", but also to "hypertensive patient". Therefore, the treatment of uncontrolled factors of blood pressure plays an important role in hypertensive therapy, which could be further research priorities.

  3. RELATIONSHIP BETWEEN BLOOD-PRESSURE DURING HEMODIALYSIS AND AMBULATORY BLOOD-PRESSURE IN BETWEEN DIALYSES

    NARCIS (Netherlands)

    HUISMAN, RM; DEBRUIN, C; KLONT, D; SMIT, AJ

    1995-01-01

    Background. Ambulatory blood pressure measurements in haemodialysis patients are relevant in view of the high cardiovascular morbidity and mortality in chronic haemodialysis patients. Methods. Twelve normotensive patients were studied from the beginning of one dialysis until the end of the next

  4. Invasively Measured Aortic Systolic Blood Pressure and Office Systolic Blood Pressure in Cardiovascular Risk Assessment

    DEFF Research Database (Denmark)

    Laugesen, Esben; Knudsen, Søren T; Hansen, Klavs W

    2016-01-01

    Aortic systolic blood pressure (BP) represents the hemodynamic cardiac and cerebral burden more directly than office systolic BP. Whether invasively measured aortic systolic BP confers additional prognostic value beyond office BP remains debated. In this study, office systolic BP and invasively...

  5. Blood pressure load does not add to ambulatory blood pressure level for cardiovascular risk stratification

    DEFF Research Database (Denmark)

    Li, Yan; Thijs, Lutgarde; Boggia, José

    2014-01-01

    Experts proposed blood pressure (BP) load derived from 24-hour ambulatory BP recordings as a more accurate predictor of outcome than level, in particular in normotensive people. We analyzed 8711 subjects (mean age, 54.8 years; 47.0% women) randomly recruited from 10 populations. We expressed BP...

  6. Office blood pressure measurements with oscillometric devices in adolescents: a comparison with home blood pressure.

    Science.gov (United States)

    Jardim, Thiago Veiga; Gaziano, Thomas A; Nascente, Flávia Miquetichuc; Carneiro, Carolina de Souza; Morais, Polyana; Roriz, Vanessa; Mendonça, Karla Lorena; Póvoa, Thaís Inácio Rolim; Barroso, Weimar Kunz Sebba; Sousa, Ana Luiza Lima; Jardim, Paulo César Veiga

    2017-10-01

    Compare multiple in office BP measurements in adolescents using an oscillometric device with out-of-office blood pressure measurements (home blood pressure monitoring - HBPM). Office measurements were performed with validated semi-automatic devices twice (3 minutes interval) in two different moments (1 week apart), with a total of four readings. These BP readings were named R1, R2, R3 and R4 (following the sequence they were performed), FDM (mean of two readings on first day) and SDM (mean of two readings on second day) and SRM (R2-R4 means). The HBPM protocol included two day-time and two evening-time measurements over 6 days. A total of 1024 students between 12 and 17 years were included (mean age 14.68 years; 52.4% females). The mean systolic blood pressure (SBP) values of R2, SDM and SRM were similar to HBPM values. Regarding diastolic blood pressure (DBP) HBPM value was different than R4. High SBP and DBP correlation coefficients with HBPM values were found for R2, SDM and SRM values. The second office BP measurement performed with an oscilometric device in adolescents was comparable to HBPM values, suggesting that two office readings might be suitable to rule out hypertension in this age group.

  7. Heritability of blood pressure traits and the genetic contribution to blood pressure variance explained by four blood-pressure-related genes.

    NARCIS (Netherlands)

    Rijn, M.J. van; Schut, A.F.; Aulchenko, Y.S.; Deinum, J.; Sayed-Tabatabaei, F.A.; Yazdanpanah, M.; Isaacs, A.; Axenovich, T.I.; Zorkoltseva, I.V.; Zillikens, M.C.; Pols, H.A.; Witteman, J.C.; Oostra, B.A.; Duijn, C.M. van

    2007-01-01

    OBJECTIVE: To study the heritability of four blood pressure traits and the proportion of variance explained by four blood-pressure-related genes. METHODS: All participants are members of an extended pedigree from a Dutch genetically isolated population. Heritability and genetic correlations of

  8. Cocoa, Blood Pressure, and Vascular Function

    Science.gov (United States)

    Ludovici, Valeria; Barthelmes, Jens; Nägele, Matthias P.; Enseleit, Frank; Ferri, Claudio; Flammer, Andreas J.; Ruschitzka, Frank; Sudano, Isabella

    2017-01-01

    Cardiovascular disease (CVD) represents the most common cause of death worldwide. The consumption of natural polyphenol-rich foods, and cocoa in particular, has been related to a reduced risk of CVD, including coronary heart disease and stroke. Intervention studies strongly suggest that cocoa exerts a beneficial impact on cardiovascular health, through the reduction of blood pressure (BP), improvement of vascular function, modulation of lipid and glucose metabolism, and reduction of platelet aggregation. These potentially beneficial effects have been shown in healthy subjects as well as in patients with risk factors (arterial hypertension, diabetes, and smoking) or established CVD (coronary heart disease or heart failure). Several potential mechanisms are supposed to be responsible for the positive effect of cocoa; among them activation of nitric oxide (NO) synthase, increased bioavailability of NO as well as antioxidant, and anti-inflammatory properties. It is the aim of this review to summarize the findings of cocoa and chocolate on BP and vascular function. PMID:28824916

  9. Hybrid Optical Unobtrusive Blood Pressure Measurements

    Directory of Open Access Journals (Sweden)

    Guangfei Zhang

    2017-07-01

    Full Text Available Blood pressure (BP is critical in diagnosing certain cardiovascular diseases such as hypertension. Some previous studies have proved that BP can be estimated by pulse transit time (PTT calculated by a pair of photoplethysmography (PPG signals at two body sites. Currently, contact PPG (cPPG and imaging PPG (iPPG are two feasible ways to obtain PPG signals. In this study, we proposed a hybrid system (called the ICPPG system employing both methods that can be implemented on a wearable device, facilitating the measurement of BP in an inconspicuous way. The feasibility of the ICPPG system was validated on a dataset with 29 subjects. It has been proved that the ICPPG system is able to estimate PTT values. Moreover, the PTT measured by the new system shows a correlation on average with BP variations for most subjects, which could facilitate a new generation of BP measurement using wearable and mobile devices.

  10. Blood Pressure Management After Intracerebral Hemorrhage.

    Science.gov (United States)

    Sato, Shoichiro; Carcel, Cheryl; Anderson, Craig S

    2015-12-01

    Elevated blood pressure (BP), which presents in approximately 80 % of patients with acute intracerebral hemorrhage (ICH), is associated with increased risk of poor outcome. The Second Intensive Blood Pressure Reduction in Acute Cerebral Haemorrhage Trial (INTERACT2) study, a multinational, multicenter, randomized controlled trial published in 2013, demonstrated better functional outcomes with no harm for patients with acute spontaneous ICH within 6 h of onset who received target-driven, early intensive BP lowering (systolic BP target <140 mmHg within 1 h, continued for 7 days) and suggested that greater and faster reduction in BP might enhance the treatment effect by limiting hematoma growth. The trial resulted in revisions of guidelines for acute management of ICH, in which intensive BP lowering in patients with acute ICH is recommended as safe and effective treatment for improving functional outcome. BP lowering is also the only intervention that is proven to reduce the risk of recurrent ICH. Current evidences from several randomized trials, including PROGRESS and SPS3, indicate that long-term strict BP control in patients with ICH is safe and could offer additional benefits in major reduction in risk of recurrent ICH. The latest American Heart Association/American Stroke Association (AHA/ASA) guidelines recommended a target BP of <130/80 mmHg after ICH, but supporting evidence is limited. Randomized controlled trials are needed that focus on strict BP control, initiated early after onset of the disease and continued long-term, to demonstrate effective prevention of recurrent stroke and other major vascular events without additional harms in the ICH population.

  11. Blood Pressure Targets in the Hypertensive Elderly.

    Science.gov (United States)

    Liu, Peng; Zheng, Jin-Gang

    2017-08-20

    Hypertension is an important risk factor of cardiovascular disease and increases mortality in the elderly. However, the available medical evidences are both inconsistent and insufficient regarding establishing credible and useful blood pressure (BP) targets in the hypertensive elderly. This review summarizes the existing evidences used for establishing optimal BP targets for this patient population and points out some data inconsistencies which have added to the uncertainty. We conducted a search for the articles published in English in the PubMed database up to March 2017, with the keywords "hypertension," "elderly," "blood pressure," and "antihypertensive." Articles that related to BP targeting in the hypertensive elderly were selected for this review. The selected studies indicated that antihypertensive therapy can substantially reduce the risk of cardiovascular events and mortality, for a subset of the elderly (60 years or older) with systolic BP> 160 mmHg. Studies regarding more strict targets yielded mixed findings. For the very old and frail patients (80 years or older), there is a lack of evidence that optimal BP targets and intensive antihypertensives are helpful but in fact may be harmful. There are solid evidences that patients who are 60-80 years old and in good health have benefited from lowering their BP to below 150/90 mmHg. If well tolerated, the BP target can be further lowered to below 140/90 mmHg. However, for the very old and frail, individualized and careful assessment is crucial. Antihypertensive treatment should be cautious and the adverse effect of drugs requires close monitoring as such treatment can be counterproductive.

  12. Blood pressure management in children on dialysis.

    Science.gov (United States)

    Paglialonga, F; Consolo, S; Edefonti, A; Montini, G

    2017-06-09

    Hypertension is a leading cause of cardiovascular complications in children on dialysis. Volume overload and activation of the renin-angiotensin-aldosterone system play a major role in the pathophysiology of hypertension. The first step in managing blood pressure (BP) is the careful assessment of ambulatory BP monitoring. Volume control is essential and should start with the accurate identification of dry weight, based on a comprehensive assessment, including bioimpedance analysis and intradialytic blood volume monitoring (BVM). Reduction of interdialytic weight gain (IDWG) is critical, as higher IDWG is associated with a worse left ventricular mass index and poorer BP control: it can be obtained by means of salt restriction, reduced fluid intake, and optimized sodium removal in dialysis. Optimization of peritoneal dialysis and intensified hemodialysis or hemodiafiltration have been shown to improve both fluid and sodium management, leading to better BP levels. Studies comparing different antihypertensive agents in children are lacking. The pharmacokinetic properties of each drug should be considered. At present, BP control remains suboptimal in many patients and efforts are needed to improve the long-term outcomes of children on dialysis.

  13. Adolescent blood pressure pattern in Rivers State, Nigeria: A rural ...

    African Journals Online (AJOL)

    Background: Childhood and adolescent blood pressure pattern have been known to predict adult blood pressure levels and development of hypertension. Hypertension, once rare in traditional African societies, is now the commonest non-communicable disease in Nigeria. There are few studies on adolescent blood ...

  14. Laboratory reference intervals for systolic blood pressure, rectal ...

    African Journals Online (AJOL)

    ... urinalysis, venous blood gas and electrolytes, rectal temperature and systolic blood pressure. Reference intervals for rectal temperature (37.4-39.6 ºC) and systolic blood pressure (75-134 mm/Hg) were previously unreported in pet rabbits. Differences by more than 30% with reference intervals present in the bibliography ...

  15. Pomegranate Consumption and Blood Pressure: A Review.

    Science.gov (United States)

    Asgary, Sedigheh; Keshvari, Mahtab; Sahebkar, Amirhossein; Sarrafzadegan, Nizal

    2017-01-01

    Pomegranate (Punica granatum L.) is a polyphenol-rich fruit with diverse medicinal properties. Several lines of experimental and clinical evidence have shown that pomegranate intake helps lowering blood pressure (BP) through different mechanisms. This study aimed to present a narrative review on the anti-hypertensive properties of different parts of pomegranate such as pomegranate juice (PJ), pomegranate peels (PP), pomegranate seed oil (PSO), pomegranate fruit extract (PFE) and the mechanisms and phytochemicals responsible for these effects. A review on the efficacy of consuming different parts of pomegranate (juice, peels, fruit extract and seed oil) in lowering BP has been performed. To find relevant studies, a search in PubMed, Science Direct and Scopus up from inception to May 4, 2015 was performed. Human, animals and in vitro studies investigating the anti-hypertensive effects of pomegranate were included in the search. Findings arising from animal and clinical studies have shown pomegranate juice can reduce BP in both short-term and long-term course. These effects are accompanied by antioxidant and anti-atherosclerotic actions that collectively improve cardiovascular health. The anti-hypertensive effects have been reported for both pomegranate juice and seed oil. Both systolic and diastolic pressures are affected. Pomegranate juice possesses antioxidant, anti-hypertensive and anti-atherosclerotic properties. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  16. Lack of association of glycated haemoglobin with blood pressure ...

    African Journals Online (AJOL)

    2013-04-12

    Apr 12, 2013 ... Original Research: Lack of association of glycated haemoglobin with blood pressure and subclinical atherosclerosis. 148 ..... A-HP meds: anti-hypertensive medication, β: beta, DPB: diastolic blood pressure, GGT: gamma glutamyl transferase, HDL: high-density lipoprotein, M: men, PP: pulse pressure, SBP:.

  17. Child Abuse, Resting Blood Pressure, and Blood Pressure Reactivity to Psychosocial Stress.

    Science.gov (United States)

    Gooding, Holly C; Milliren, Carly E; Austin, S Bryn; Sheridan, Margaret A; McLaughlin, Katie A

    2016-01-01

    Childhood trauma is associated with hypertension in adults. It is unknown whether childhood trauma predicts elevated blood pressure earlier in development. We investigated whether the trauma of child abuse was associated with blood pressure in adolescents. The sample included 145 adolescents aged 13-17 years, 40% with exposure to child abuse. The mean age of participants was 14.93 years (SD = 1.33); 58% were female. The majority self-identified as non-Hispanic White (43%), with the remainder identifying as non-Hispanic Black (17%), Hispanic (17%), or other/mixed race (23%). We used established age/sex/height-specific cutoffs to determine the prevalence of prehypertension and hypertension in the sample. We used two-sample t tests to examine associations of abuse with resting systolic blood pressure (SBP) and diastolic blood pressure (DBP) and blood pressure reactivity to the Trier Social Stress Test and a frustration task. We used linear regression to adjust for potential confounders including sociodemographic variables, body mass index, smoking, and psychopathology. Mean resting SBP and DBP were 114.07 mmHg and 61.35 mmHg in those with a history of abuse and 111.39 mmHg and 56.89 mmHg in those without a history of abuse. This difference was significant for DBP only. Twelve percent of participants met criteria for prehypertension or hypertension based on resting blood pressure values; this did not differ between those with and without an abuse history. Child abuse was associated with lower DBP and SBP reactivity to laboratory stress tasks and reduced DBP reactivity to frustration. These associations were robust to adjustment for potential confounders. Child abuse is associated with higher resting DBP and blunted DBP and SBP reactivity to laboratory stress in adolescence. These findings suggest a potential pathway by which child abuse leads to hypertension. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All

  18. Monitoring Personalized Trait Using Oscillometric Arterial Blood Pressure Measurements

    Directory of Open Access Journals (Sweden)

    Young-Suk Shin

    2012-01-01

    Full Text Available The blood pressure patterns obtained from a linearly or stepwise deflating cuff exhibit personalized traits, such as fairly uniform peak patterns and regular beat geometry; it can support the diagnosis and monitoring of hypertensive patients with reduced sensitivity to fluctuations in Blood Pressure (BP over time. Monitoring of personalized trait in Oscillometric Arterial Blood Pressure Measurements (OABPM uses the Linear Discriminant Analysis (LDA algorithm. The representation of personalized traits with features from the oscillometric waveforms using LDA algorithm includes four phases. Data collection consists of blood pressure data using auscultatory measurements and pressure oscillations data obtained from the oscillometric method. Preprocessing involves the normalization of various sized oscillometric waveforms to a uniform size. Feature extraction involves the use of features from oscillometric amplitudes, and trait identification involves the use of the LDA algorithm. In this paper, it presents a novel OABPM-based blood pressure monitoring system that can monitor personalized blood pressure pattern. Our approach can reduce sensitivity to fluctuations in blood pressure with the features extracted from the whole area in oscillometric arterial blood pressure measurement. Therefore this technique offers reliable blood pressure patterns. This study provides a cornerstone for the diagnosis and management of hypertension in the foreseeable future.

  19. Vegetarian diet, lifestyle and blood pressure in two religious populations.

    Science.gov (United States)

    Rouse, I L; Armstrong, B K; Beilin, L J

    1982-01-01

    1. The association between vegetarianism and blood pressure was studied in relation to obesity, sex and aspects of lifestyle in 180 Seventh-day Adventists and 113 Mormons aged 25-44 y. 2. Volunteers completed a questionnaire, a 1-day diet record and submitted to standardized measurements of blood pressure, heart rate and body size. 3. Ninety-eight Adventist "vegetarians' were comparable to the 113 Mormon omnivores for strength of religious affiliation, consumption of alcohol, tea and coffee and use of tobacco, but were significantly less obese. 4. Obesity correlated positively with blood pressures in males and females of both diet classes. Age showed a positive correlation with blood pressure in females only. 5. Adjustment of blood pressures for age and Quetelet Index indicated that there is an additional blood pressure reducing effect associated with a vegetarian diet.

  20. [Usefulness for detection of inappropriate blood pressure variability using 'wearable blood pressure sensor'].

    Science.gov (United States)

    Iijima, Katsuya

    2015-11-01

    In the clinical settings, it has frequently seen that the elderly have rapid blood pressure (BP) elevation and decline, leading to such as orthostatic disorders and post-urination syncope. Excessive blood pressure variability (BPV) according to aging leads to aggravation of hypertensive target organ damage due to both disturbed baroreflex function and arterial stiffening. We developed continuous BP monitoring sensor using newly developing device 'wearable BP sensor', as our advantageous approach of without a cuff-stress. The new mobile device could reflect continuous beat-to-beat systolic BP, heart rate(HR), these very close changes and double product(sBPX HR) as a major indicator of cardiac lead, in consistent with cuff-based BP value. Our new challenge using this device might approach to the potential to achieve the quality-up of treatment strategy with consideration for very short-term BPV.