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Mobile Device for Monitoring of Cardiovascular System State Based on Assessment of Synchronization of its Low-Frequency Rhythms 基于低频节律同步评估的心血管系统状态监测移动装置
Q4 Medicine Pub Date : 2018-11-23 DOI: 10.2174/1876526201810010046
Prokhorov, D. Kulminskiy, E. Borovkova, A. Karavaev, V. Ponomarenko, A. Kiselev, B. Bezruchko
We develop an autonomous mobile device for continuous monitoring of cardiovascular system functional state, which is based on the assessment of synchronization between the low-frequency oscillations in heart rate and blood flow having a basic frequency close to 0.1 Hz.
我们开发了一种用于心血管系统功能状态连续监测的自主移动设备,该设备基于评估心率低频振荡与血流之间的同步性,其基本频率接近0.1 Hz。
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引用次数: 3
Regulation of Biogenesis and Fusion/Fission Processes of Vascular Mitochondria In Aldosterone-Induced Hypertension 醛固酮诱导的高血压中血管线粒体的生物发生和融合/分裂过程的调控
Q4 Medicine Pub Date : 2018-11-15 DOI: 10.2174/1876526201810010076
Elena Olivares-Álvaro, M. B. Ruiz-Roso, M. Klett-Mingo, S. Ballesteros, R. Gredilla, Adrian Galiana-Simal, N. Heras, V. Lahera, B. Martín-Fernández
Aldosterone plays a key role in the development of endothelial dysfunction and hypertension. The regulation of biogenesis and fusion/fission processes of vascular mitochondria has not been examined in aldosterone-induced hypertension. Thereby, we sought to explore in greater depth the role of aldosterone in mitochondrial biogenesis and fusion/fission processes in hypertension and the associated increases in oxidative stress.Male Wistar rats received aldosterone (1mg/Kg/day) + 1% NaCl as drinking water for 3 weeks.Systolic blood pressure was elevated (p<0.05) in aldosterone-treated rats. eNOS and p-eNOSSer1177protein expression was down regulated (p<0.05) and NADPH oxidase subunit p22phox expression was increased (p<0.05) in aldosterone-treated rats. Expression of mitochondrial biogenesis proteins SIRT1, PGC1α, PPARγ, and TFAM decreased (p<0.05) in aldosterone-treated rats. Protein expression of vascular DRP1, OMA1 and S-OPA1 up regulated (p<0.05) in aldosterone-treated rats. MFN1 and L-OPA1 (p<0.05) decreased in aldosterone-treated animals.The results showed that, in aldosterone-treated rats, hypertension is likely associated with increased oxidative stress in the aorta and with changes in the regulation of two key mitochondrial processes such as biogenesis and fusion/fission processes. The overall mitochondrial alterations observed in the study may play a role in aldosterone-derived vascular oxidative stress and hypertension.
醛固酮在内皮功能障碍和高血压的发展中起着关键作用。血管线粒体的生物发生和融合/分裂过程的调节尚未在醛固酮诱导的高血压中得到研究。因此,我们试图更深入地探索醛固酮在高血压线粒体生物发生和融合/分裂过程中的作用,以及相关的氧化应激增加。雄性Wistar大鼠接受醛固酮(1mg/Kg/天)+1%NaCl作为饮用水,持续3周。醛固酮治疗的大鼠收缩压升高(p<0.05)。醛固酮处理的大鼠eNOS和p-eNOSSer1177蛋白表达下调(p<0.05),NADPH氧化酶亚基p22phox表达增加(p<0.05)。醛固酮治疗大鼠线粒体生物发生蛋白SIRT1、PGC1α、PPARγ和TFAM的表达降低(p<0.05)。醛固酮治疗大鼠血管DRP1、OMA1和S-OPA1的蛋白表达上调(p<0.05)。在醛固酮治疗的动物中MFN1和L-OPA1降低(p<0.05)。结果表明,在醛固酮治疗的大鼠中,高血压可能与主动脉氧化应激增加以及两个关键线粒体过程(如生物发生和融合/分裂过程)的调节变化有关。研究中观察到的总体线粒体变化可能在醛固酮衍生的血管氧化应激和高血压中发挥作用。
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引用次数: 0
Suboptimal Adherence to Antihypertensive Treatment: Causes and Management 对降压治疗的次优依从性:原因和处理
Q4 Medicine Pub Date : 2018-10-23 DOI: 10.2174/1876526201810010041
Stelina Alkagiet, K. Tziomalos
Suboptimal adherence to antihypertensive treatment is very common and is associated with poor control of blood pressure and increased risk for cardiovascular events. Therefore, frequent evaluation of compliance is essential in all hypertensive patients. Simplifying treatment regimens, using fixed-dose combinations and long-acting agents improves adherence, facilitates achievement of treatment targets and reduces cardiovascular morbidity and healthcare expenditures. Accordingly, physicians should be educated to implement these changes in hypertensive patients, particularly in those who require multiple antihypertensive agents to achieve blood pressure controls and in those who receive additional medications for comorbidities.
亚理想的抗高血压治疗是非常常见的,并且与血压控制不佳和心血管事件风险增加有关。因此,对所有高血压患者进行频繁的依从性评估是至关重要的。简化治疗方案,使用固定剂量组合和长效药物可以提高依从性,促进治疗目标的实现,并减少心血管发病率和医疗保健支出。因此,应该教育医生在高血压患者中实施这些改变,特别是在那些需要多种降压药来控制血压的患者和那些接受额外药物治疗合并症的患者中。
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引用次数: 0
Nocturnal Blood Pressure Decrease in Hypertensive Patients and Normotensives- Association with Obstructive Sleep Apnoea and Renal Function 高血压患者和正常人夜间血压下降与阻塞性睡眠呼吸暂停和肾功能的关系
Q4 Medicine Pub Date : 2018-10-17 DOI: 10.2174/1876526201810010028
B. Hornstrup, Jeppe B. Rosenbaek, N. Hoffmann-petersen, Pia H. Gjoerup, J. Wessels, T. G. Lauridsen, Erling B. Pedersen, J. Bech
Blunted nocturnal Blood Pressure (BP) decrease is seen in patients with hypertension and obstructive sleep apnoea (OSA). The influence of OSA and renal function on nocturnal BP decrease is not fully clarified.In this case control study of hypertensive patients and healthy controls, we aimed to analyse the relationship between nocturnal BP decrease on one hand and presence of OSA, renal function, plasma levels of syndecan and vasoactive hormones, and urinary sodium excretion on the other.In 75 hypertensive patients and 56 controls, we performed brachial and central 24h ambulatory BP measurement and cardio respiratory monitoring. We measured syndecan, renin, angiotensinII, aldosterone, vasopressin, and brain natriuretic peptide in plasma and 24h urinary excretion of sodium, aquaporin2, and a component of the epithelial sodium channel (u-ENaCγ).Nocturnal BP decrease was lower in patients than controls, brachial (13% versus 17%,p=0.001) and central (8% versus 10%,p=0.019). Moderate-to-severe OSA was present in 13% of patients, 2% of controls (p<0.005). Neither brachial nor central nocturnal BP decrease was associated with OSA, renal function, plasma levels of vasoactive hormones, syndecan-1, or urinary sodium excretion. P-syndecan and u-ENaCɣ were higher in patients than controls.Both brachial and central nocturnal BP decrease was lower in patients than in controls. Neither brachial nor central nocturnal BP decrease was associated with the presence of OSA, renal function, or plasma levels of vasoactive hormones. Increased syndecan in plasma in hypertensive patients suggested damage to the endothelial glycocalyx.
高血压和阻塞性睡眠呼吸暂停(OSA)患者的夜间血压(BP)下降缓慢。OSA和肾功能对夜间血压下降的影响尚未完全阐明。在这项针对高血压患者和健康对照的病例对照研究中,我们旨在分析夜间血压下降与OSA、肾功能、综合征和血管活性激素的血浆水平以及尿钠排泄之间的关系。在75名高血压患者和56名对照组中,我们进行了肱动脉和中枢24小时动态血压测量和心肺监测。我们测量了血浆中的syndecan、肾素、血管紧张素II、醛固酮、加压素和脑钠尿肽,以及24小时尿钠、水通道蛋白2和上皮钠通道成分(u-ENaCγ)的排泄量。患者夜间血压下降低于对照组,肱动脉(13%对17%,p=0.001)和中枢(8%对10%,p=0.019)。13%的患者和2%的对照组出现中度至重度OSA(p<0.005)。肱动脉和中枢夜间血压下降均与OSA、肾功能、血管活性激素血浆水平、综合征-1或尿钠排泄无关。患者的P-syndecan和u-ENaC均高于对照组。患者的肱动脉和中枢夜间血压下降均低于对照组。臂性和中枢性夜间血压下降均与OSA、肾功能或血浆血管活性激素水平无关。高血压患者血浆中syndecan的增加表明内皮糖盏受损。
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引用次数: 3
Determinants of Blood Pressure Control and Prevalence of Hypertension in Adults in 2017: A Population-Based Study in West Jakarta 2017年成人血压控制和高血压患病率的决定因素:雅加达西部一项基于人群的研究
Q4 Medicine Pub Date : 2018-09-28 DOI: 10.2174/1876526201810010015
L. Bawazir, W. Sianipar
The high prevalence of hypertension in developing countries underlines the need for accurate data on the prevalence of adult hypertension, as well as patient characteristics and determinants of blood pressure control. As this information is currently not available, our aim was to collect such data from a population of patients in the Tegal Alur Administrative Village, West Jakarta Indonesia.We conducted a case-control study (n = 152) to identify determinants of hypertension and a cross-sectional study (n = 3842) to determine hypertension prevalence and investigate determinants of blood pressure control in hypertensive adults (≥18 years old).The cross-sectional design involved the diagnosis of hypertension via home visits (active detection) and routine clinical examinations at the Tegal Alur II Community Health Center (passive detection). In the case-control design, the groups were sex-matched.In 2017, the prevalence of hypertension in adults in Tegal Alur was 16.8% (n = 646), and the rate of uncontrolled hypertension was 89% (n = 572). A multivariate analysis showed that the adjusted prevalence ratio for comorbidities was 2.1 (95% confidence interval [CI]: 1.48–3.12;p= 0.005). A body mass index indicative of being overweight (≥23 kg/m2) had an odds ratio of 2.25 (95% CI: 1.14–4.44;p= 0.016).Comorbidities were the strongest predictor of uncontrolled blood pressure in hypertensive adults of Tegal Alur. Being overweight (BMI ≥23 kg/m2) was significantly associated with hypertension.
发展中国家的高血压患病率很高,这突出表明需要关于成人高血压患病率的准确数据,以及患者特征和血压控制的决定因素。由于目前还没有这些信息,我们的目的是从印度尼西亚西雅加达Tegal Alur行政村的患者群体中收集这些数据。我们进行了一项病例对照研究(n=152),以确定高血压的决定因素,并进行了一个横断面研究(n=3842),以测定高血压患病率,并调查高血压成年人(≥18岁)血压控制的决定因素。横断面设计包括通过家访(主动检测)和Tegal Alur II社区卫生中心的常规临床检查(被动检测)诊断高血压。在病例对照设计中,各组性别匹配。2017年,Tegal Alur成人高血压患病率为16.8%(n=646),未控制高血压的比率为89%(n=572)。多变量分析显示,合并症的校正患病率为2.1(95%置信区间[CI]:1.48–3.12;p=0.005)。表明超重(≥23 kg/m2)的体重指数的比值比为2.25(95%可信区间:1.14–4.44;p=0.016)。合并症是Tegal Alur高血压成人血压失控的最强预测因素。超重(BMI≥23 kg/m2)与高血压显著相关。
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引用次数: 1
Features of the Lipid Profile in Patients with Arterial Hypertension and Cardiovascular Diseases According to Smoking Status 从吸烟状态看动脉高压和心血管疾病患者的血脂特征
Q4 Medicine Pub Date : 2018-03-30 DOI: 10.2174/1876526201810010008
O. Gaisenok, S. Martsevich, M. Leonova
RESEARCH ARTICLE Features of the Lipid Profile in Patients with Arterial Hypertension and Cardiovascular Diseases According to Smoking Status Oleg V. Gaisenok, Sergey Yu. Martsevich and Marina V. Leonova Department of Cardiology, United Hospital with outpatient Department, Moscow, Russia Department of Preventive Pharmacotherapy, National Research Center for Preventive Medicine, Moscow, Russia Department of Clinical Pharmacology, Russian National Research Medical University N.I. Pirogov,Russia
吸烟状况对高血压和心血管疾病患者血脂特征的影响俄罗斯莫斯科联合医院门诊部心脏病科俄罗斯莫斯科国家预防医学研究中心预防药物治疗科俄罗斯国立研究医科大学nii Pirogov临床药理学系
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引用次数: 1
Perceptions, Attitudes and Self-care Practices on Management of Hypertension Among Hypertensive Patients at Teaching Hospital, Batticaloa District, Sri Lanka 斯里兰卡Batticaloa区教学医院高血压患者高血压管理的认知、态度和自我保健实践
Q4 Medicine Pub Date : 2018-01-25 DOI: 10.2174/1876526201810010001
G. Kisokanth, Ilankoon Imps, K. Arulanandem, Sundaresan Kt, Goonewardena Cse, J. Joseph
Department of Supplementary Health Sciences, Faculty of Health Care Sciences, Eastern University, Chenkaladi, Sri Lanka Department of Allied Health Sciences, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka Department of Primary Health Care, Faculty of Health Care Sciences, Eastern University, Chenkaladi, Sri Lanka Department of Clinical Sciences, Faculty of Health Care Sciences, Eastern University, Chenkaladi, Sri Lanka Department of Community Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka
东部大学陈卡拉迪卫生保健科学系补充卫生科学系、斯里兰卡联合卫生科学系、医学科学系、斯里贾耶瓦德纳普拉大学努格戈达、斯里兰卡初级卫生保健系、东部大学陈卡拉迪卫生保健科学系、斯里兰卡临床科学系、东部大学陈卡拉迪卫生保健科学系、斯里兰卡社区医学系、斯里兰卡努格戈达斯里贾耶瓦尔德纳普拉大学医学院
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引用次数: 3
Estimation of Delay Times in Coupling Between Autonomic Regulatory Loops of Human Heart Rate and Blood Flow Using Phase Dynamics Analysis 用相动力学分析估计人体心率和血流自主调节回路耦合的延迟时间
Q4 Medicine Pub Date : 2017-12-29 DOI: 10.2174/1876526201709010016
V. Khorev, A. Karavaev, E. Lapsheva, T. A. Galushko, M. Prokhorov, A. Kiselev
Department of Dynamic Modeling and Biomedical Engineering, Saratov State University; 83, Astrakhanskaya str., Saratov, 410012, Russia Saratov Branch of the Institute of Radio Engineering and Electronics of Russian Academy of Sciences, 38, Zelyonaya str, Saratov; 410019, Russia Department of New Cardiological Informational Technologies, Research Institute of Cardiology, Saratov State Medical University n.a. V.I. Razumovsky; 112, Bolshaya Kazachya str, Saratov, 410012, Russia Department of Surgical Treatment for Interactive Pathology, Bakulev Scientific Center for Cardiovascular Surgery; 135, Rublevskoe Shosse, Moscow, 121552, Russia
萨拉托夫州立大学动态建模与生物医学工程系;萨拉托夫Astrakhanskaya街83号,410012,俄罗斯科学院无线电工程与电子研究所俄罗斯萨拉托夫分院,萨拉托夫Zelyonaya街38号;410019,萨拉托夫国立医科大学心血管研究所俄罗斯新心血管信息技术系,n.a.V.I.Razumovsky;112,Bolshaya Kazachya str,Saratov,410012,俄罗斯交互病理外科治疗部,巴库列夫心血管外科科学中心;135,Rublevskoe Shosse,莫斯科,121552,俄罗斯
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引用次数: 2
Clinical Factors Affecting the Goal Blood Pressure in Hypertensive Patients of a Rural Polyclinic in Russia 影响俄罗斯农村综合医院高血压患者目标血压的临床因素
Q4 Medicine Pub Date : 2017-12-19 DOI: 10.2174/1876526201709010006
O. Posnenkova, S. N. Gerasimov, Y. V. Popova, I. Popov, G. N. Shemetova, V. Gridnev, A. Kiselev
We analyzed the data on 182 patients with essential hypertension (64.6 ± 11.3 yo; 48.5% men), who were treated in polyclinic settings of a rural settlement in the Saratov Region of the Russian Federation. Outpatient medical records were used as a source of clinical data. Repeat patients with hypertension diagnosis specified in their medical records, visiting a therapeutist or cardiologist on two randomly selected workdays, were enrolled in our study. The first appointment took place during 1-31 July, 2015 (n = 88), while the second visit occurred on 131 July, 2016 (n = 94). Eleven district therapeutists, two general practitioners and the only cardiologist of the polyclinic participated in the study. Discriminant function analysis was used to identify factors affecting the achievement of the goal blood pressure in the patients. Basic demographic and anamnesis data, risk factors, medical treatment type and lifestyle modification measures, if any, which exhibited statistical significance in univariate analysis (p<0.05), were selected for multi-factor discriminant analysis.
我们分析了182名原发性高血压患者(64.6±11.3岁;48.5%为男性)的数据,这些患者在俄罗斯联邦萨拉托夫地区一个农村定居点的综合诊所接受治疗。门诊病历被用作临床数据的来源。在两个随机选择的工作日,对医疗记录中明确诊断为高血压的重复患者进行了随访,并拜访了治疗专家或心脏病专家,这些患者被纳入了我们的研究。第一次就诊于2015年7月1日至31日(n=88),第二次就诊于2016年7月131日(n=94)。11名地区治疗师、两名全科医生和综合诊所唯一的心脏病专家参与了这项研究。使用判别函数分析来确定影响患者血压目标实现的因素。选择在单因素分析中具有统计学意义(p<0.05)的基本人口统计学和记忆数据、危险因素、医疗类型和生活方式改变措施(如果有的话)进行多因素判别分析。
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引用次数: 1
Arterial Stiffness and Nonalcoholic Fatty Liver Disease: Which is the Chicken and Which is the Egg? 动脉硬化与非酒精性脂肪性肝病:哪个是鸡哪个是蛋?
Q4 Medicine Pub Date : 2017-04-28 DOI: 10.2174/1876526201709010001
T. Griva, C. Boutari, K. Tziomalos, M. Doumas, A. Karagiannis, V. Athyros
Nonalcoholic fatty liver disease (NAFLD) is diagnosed when there is an accumulation of fat in the liver (>5%) in the absence of alcohol abuse or other chronic liver diseases (CLD) [1]. It is the most frequent cause of elevated liver enzyme levels worldwide [2]. NAFLD can progress to nonalcoholic steatohepatitis (NASH) with liver inflammation, fibrosis, cirrhosis or finally to hepatocellular cancer (HCC). However, cardiovascular disease (CVD) is the most frequent cause of death or disability in NASH patients [3].
非酒精性脂肪性肝病(NAFLD)是在没有酒精滥用或其他慢性肝病(CLD)的情况下,肝脏中有脂肪堆积(>5%)时诊断出来的。它是世界范围内肝酶水平升高的最常见原因。NAFLD可发展为伴有肝脏炎症、纤维化、肝硬化的非酒精性脂肪性肝炎(NASH)或最终发展为肝细胞癌(HCC)。然而,心血管疾病(CVD)是NASH患者最常见的死亡或残疾原因。
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引用次数: 0
期刊
Open Hypertension Journal
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