首页 > 最新文献

Open Hypertension Journal最新文献

英文 中文
Modulation of Reactive Oxygen Species and Collagen Synthesis by Angiotensin II in Cardiac Fibroblasts 血管紧张素II对心肌成纤维细胞中活性氧和胶原合成的调节
Q4 Medicine Pub Date : 2011-05-16 DOI: 10.2174/1876526201104010001
P. Lijnen, J. Prihadi, J. Pelt, R. Fagard
{"title":"Modulation of Reactive Oxygen Species and Collagen Synthesis by Angiotensin II in Cardiac Fibroblasts","authors":"P. Lijnen, J. Prihadi, J. Pelt, R. Fagard","doi":"10.2174/1876526201104010001","DOIUrl":"https://doi.org/10.2174/1876526201104010001","url":null,"abstract":"","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68144696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Pharmacogenomics of Adrenergic Receptors; from Hypertension to Heart Failure 肾上腺素能受体的药物基因组学研究从高血压到心力衰竭
Q4 Medicine Pub Date : 2010-09-28 DOI: 10.2174/1876526201003010014
S. Nonen, J. Azuma, Y. Fujio
Cardiovascular medicine is a leading area of pharmacogenomics (PGx). A number of PGx studies have linked genetic polymorphisms to patients' response to the drugs in the pharmacotherapy against cardiovascular diseases. Among them, PGx of adrenoceptors is one of the most important fields, because adrenergic networks play important roles in car- diovascular systems. The excess of adrenergic stimuli result in cardiovascular disorders, such as hypertension and heart failure (HF). One of the aims of PGx studies of adrenoreceptors is the personalization of β-blocker therapy. In this review, we have described biological and clinical impacts on genetic variants of adrenoreceptors, some of which have showed clear association with the reduction in heart rate and blood pressure in response to β-blockers. Beyond anti-hypertension therapy, PGx of adrenoreceptors would contribute to the individualization of pharmacotherapy against HF.
心血管医学是药物基因组学(PGx)的领先领域。许多PGx研究已经将遗传多态性与心血管疾病药物治疗中患者对药物的反应联系起来。其中,肾上腺素受体的PGx是最重要的领域之一,因为肾上腺素能网络在血管系统中起着重要的作用。过量的肾上腺素能刺激导致心血管疾病,如高血压和心力衰竭。肾上腺素受体PGx研究的目的之一是β受体阻滞剂治疗的个体化。在这篇综述中,我们描述了对肾上腺素受体遗传变异的生物学和临床影响,其中一些已经显示出β受体阻滞剂对心率和血压降低的明显关联。除了抗高血压治疗,肾上腺素受体的PGx将有助于个体化药物治疗心衰。
{"title":"Pharmacogenomics of Adrenergic Receptors; from Hypertension to Heart Failure","authors":"S. Nonen, J. Azuma, Y. Fujio","doi":"10.2174/1876526201003010014","DOIUrl":"https://doi.org/10.2174/1876526201003010014","url":null,"abstract":"Cardiovascular medicine is a leading area of pharmacogenomics (PGx). A number of PGx studies have linked genetic polymorphisms to patients' response to the drugs in the pharmacotherapy against cardiovascular diseases. Among them, PGx of adrenoceptors is one of the most important fields, because adrenergic networks play important roles in car- diovascular systems. The excess of adrenergic stimuli result in cardiovascular disorders, such as hypertension and heart failure (HF). One of the aims of PGx studies of adrenoreceptors is the personalization of β-blocker therapy. In this review, we have described biological and clinical impacts on genetic variants of adrenoreceptors, some of which have showed clear association with the reduction in heart rate and blood pressure in response to β-blockers. Beyond anti-hypertension therapy, PGx of adrenoreceptors would contribute to the individualization of pharmacotherapy against HF.","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68144684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The Renin Angiotensin System and the Metabolic Syndrome~!2010-02-12~!2010-04-19~!2010-06-25~! 肾素血管紧张素系统与代谢综合征2010-02-12 2010-04-19 2010-06-25
Q4 Medicine Pub Date : 2010-07-06 DOI: 10.2174/1876526201003010001
C. Wang, Feng Li, N. Takahashi
{"title":"The Renin Angiotensin System and the Metabolic Syndrome~!2010-02-12~!2010-04-19~!2010-06-25~!","authors":"C. Wang, Feng Li, N. Takahashi","doi":"10.2174/1876526201003010001","DOIUrl":"https://doi.org/10.2174/1876526201003010001","url":null,"abstract":"","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68144638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
The renin angiotensin system and the metabolic syndrome. 肾素血管紧张素系统和代谢综合征。
Q4 Medicine Pub Date : 2010-01-01 DOI: 10.2174/1876526203010001
Chih-Hong Wang, Feng Li, Nobuyuki Takahashi

The renin angiotensin system (RAS) is important for fluid and blood pressure regulation. Recent studies suggest that an overactive RAS is involved in the metabolic syndrome. This article discusses recent advances on how genetic alteration of the RAS affects cardiovascular and metabolic phenotypes, with a special emphasis on the potential role of angiotensin-independent effects of renin.

肾素血管紧张素系统(RAS)对液体和血压调节很重要。最近的研究表明,过度活跃的RAS与代谢综合征有关。本文讨论了RAS基因改变如何影响心血管和代谢表型的最新进展,特别强调了肾素的血管紧张素独立效应的潜在作用。
{"title":"The renin angiotensin system and the metabolic syndrome.","authors":"Chih-Hong Wang,&nbsp;Feng Li,&nbsp;Nobuyuki Takahashi","doi":"10.2174/1876526203010001","DOIUrl":"https://doi.org/10.2174/1876526203010001","url":null,"abstract":"<p><p>The renin angiotensin system (RAS) is important for fluid and blood pressure regulation. Recent studies suggest that an overactive RAS is involved in the metabolic syndrome. This article discusses recent advances on how genetic alteration of the RAS affects cardiovascular and metabolic phenotypes, with a special emphasis on the potential role of angiotensin-independent effects of renin.</p>","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995894/pdf/nihms-204451.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29513205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 120
Possible Ameliorative Effect of Antioxidant (Taurine) in Pregnant Toxemic Female Rats 抗氧化剂(牛磺酸)对怀孕毒血症雌性大鼠可能的改善作用
Q4 Medicine Pub Date : 2009-10-23 DOI: 10.2174/1876526200902010001
Ibrahim M.A. El-Agousa, D. E. El-Nashar, S. Eissa, Mona N. Sharoud
The present study was designed to investigate the possible effects of the antioxidant taurine on pregnant adriamycin (ADR) induced toxemic female rats. ADR was injected intraperitoneally to 50 pregnant female rats (5 groups) to induce toxemia. the first is Frank control group injected only with saline; the second group is the Taurine group that determined the effect of taurine alone; the third group is the Toxemic group that showed the toxicity of Adriamycin; the fourth group is the Therapeutic group (Adriamycin followed by Taurine) and the fifth group is the Protective group (Taurine followed by Adriamycin) that showed the amelurative effect of taurine in these groups. Blood pressure, liver and kidney function, lipid profile, taurine concentration in plasma, serum cortisone, T3 &T4 were measured for all animals. Furthermore, histopathological examination and morphometric study for liver, kidney and cardiac muscle were done for all groups. The results showed that, the Protective group has marked improvement in most biochemical parameters than the Therapeutic group compared to Toxemic group. Morphometric study revealed a significant decrease in the nuclear area in the tissues of toxemic rats. Also, marked disturbances were observed in the histopathological architecture of the kidney, liver and heart in all toxemic rats. However, a marked improvement in morphometrical parameters and histopathological architecture was observed in protective group. The results support the ameliorative effect of taurine in the protection against toxemia during pregnancy in experimental animals.
本研究旨在探讨抗氧化剂牛磺酸对妊娠阿霉素(ADR)中毒雌性大鼠的可能影响。5组50只妊娠雌性大鼠腹腔注射ADR诱导毒血症。第一组为Frank对照组,只注射生理盐水;第二组是牛磺酸组,确定单独使用牛磺酸的效果;第三组是毒血症组,显示阿霉素的毒性;第四组为治疗组(阿霉素后加牛磺酸),第五组为保护组(牛磺酸后加阿霉素),显示牛磺酸在这两组中有改善作用。测定所有动物的血压、肝肾功能、血脂、血浆牛磺酸浓度、血清可的松、T3和t4。各组大鼠分别进行肝、肾、心肌组织病理学检查和形态计量学研究。结果表明,与毒血症组相比,保护组在大部分生化指标上均有明显改善。形态计量学研究显示,毒血症大鼠组织核区明显减少。此外,在所有中毒大鼠的肾脏、肝脏和心脏的组织病理学结构中都观察到明显的紊乱。然而,保护组在形态学参数和组织病理学结构上有明显的改善。结果支持牛磺酸对实验动物妊娠期毒血症的保护作用。
{"title":"Possible Ameliorative Effect of Antioxidant (Taurine) in Pregnant Toxemic Female Rats","authors":"Ibrahim M.A. El-Agousa, D. E. El-Nashar, S. Eissa, Mona N. Sharoud","doi":"10.2174/1876526200902010001","DOIUrl":"https://doi.org/10.2174/1876526200902010001","url":null,"abstract":"The present study was designed to investigate the possible effects of the antioxidant taurine on pregnant adriamycin (ADR) induced toxemic female rats. ADR was injected intraperitoneally to 50 pregnant female rats (5 groups) to induce toxemia. the first is Frank control group injected only with saline; the second group is the Taurine group that determined the effect of taurine alone; the third group is the Toxemic group that showed the toxicity of Adriamycin; the fourth group is the Therapeutic group (Adriamycin followed by Taurine) and the fifth group is the Protective group (Taurine followed by Adriamycin) that showed the amelurative effect of taurine in these groups. Blood pressure, liver and kidney function, lipid profile, taurine concentration in plasma, serum cortisone, T3 &T4 were measured for all animals. Furthermore, histopathological examination and morphometric study for liver, kidney and cardiac muscle were done for all groups. The results showed that, the Protective group has marked improvement in most biochemical parameters than the Therapeutic group compared to Toxemic group. Morphometric study revealed a significant decrease in the nuclear area in the tissues of toxemic rats. Also, marked disturbances were observed in the histopathological architecture of the kidney, liver and heart in all toxemic rats. However, a marked improvement in morphometrical parameters and histopathological architecture was observed in protective group. The results support the ameliorative effect of taurine in the protection against toxemia during pregnancy in experimental animals.","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68144629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Long-Term Therapy with Nifedipine-CR Improves Arterio-Sclerosis Related Markers in Patients with Untreated Essential Hypertension 硝苯地平- cr长期治疗可改善未经治疗的原发性高血压患者动脉硬化相关标志物
Q4 Medicine Pub Date : 2009-01-02 DOI: 10.2174/1876526200801010001
T. Kita, Mariko Tokashiki, K. Kitamura
Increased arteriosclerosis is associated with high risk of cardiovascular events. Several non-invasive markers for arteriosclerosis have been introduced, such as pulse wave velocity (PWV), augmentation index (AI), and carotid prop- erties assessed by echogram, to estimate the current risk and therapeutic merit of antihypertensives. In this study, 17 hy- pertensive patients were treated with nifedipine-CR alone for one year, and the non-invasive markers were simultaneously monitored every 3 months. Nifedipine-CR treatment achieved stable blood pressure control, and PWV and AI improved in parallel with the blood pressure. Interestingly, the elastic property of the carotid artery progressively decreased and there was a significant difference between the results at 3 and 12 months (85.8 ± 6.1 vs 72.4 ± 5.0 kPa, P = 0.009). In- tima-media thickness of the carotid artery also decreased. In conclusion, nifedipine-CR demonstrated a stable anti-sclerotic quality in hypertensive patients and seems to be prominent in large arteries such as the carotid.
动脉硬化的增加与心血管事件的高风险有关。一些非侵入性动脉硬化标志物,如脉搏波速度(PWV)、增强指数(AI)和颈动脉超声特性评估,已经被引入来评估当前抗高血压药物的风险和治疗价值。在本研究中,17例高血压患者单独使用硝苯地平- cr治疗1年,每3个月同时监测无创标志物。硝苯地平- cr治疗后血压得到稳定控制,PWV和AI随血压同步改善。有趣的是,颈动脉的弹性性能逐渐下降,3个月和12个月的结果有显著差异(85.8±6.1 vs 72.4±5.0 kPa, P = 0.009)。颈动脉中膜厚度也有所下降。综上所述,硝苯地平- cr在高血压患者中表现出稳定的抗硬化特性,并且在颈动脉等大动脉中表现突出。
{"title":"Long-Term Therapy with Nifedipine-CR Improves Arterio-Sclerosis Related Markers in Patients with Untreated Essential Hypertension","authors":"T. Kita, Mariko Tokashiki, K. Kitamura","doi":"10.2174/1876526200801010001","DOIUrl":"https://doi.org/10.2174/1876526200801010001","url":null,"abstract":"Increased arteriosclerosis is associated with high risk of cardiovascular events. Several non-invasive markers for arteriosclerosis have been introduced, such as pulse wave velocity (PWV), augmentation index (AI), and carotid prop- erties assessed by echogram, to estimate the current risk and therapeutic merit of antihypertensives. In this study, 17 hy- pertensive patients were treated with nifedipine-CR alone for one year, and the non-invasive markers were simultaneously monitored every 3 months. Nifedipine-CR treatment achieved stable blood pressure control, and PWV and AI improved in parallel with the blood pressure. Interestingly, the elastic property of the carotid artery progressively decreased and there was a significant difference between the results at 3 and 12 months (85.8 ± 6.1 vs 72.4 ± 5.0 kPa, P = 0.009). In- tima-media thickness of the carotid artery also decreased. In conclusion, nifedipine-CR demonstrated a stable anti-sclerotic quality in hypertensive patients and seems to be prominent in large arteries such as the carotid.","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68144618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Cardiovascular Disease in Patients with Chronic Kidney Disease 慢性肾病患者的心血管疾病
Q4 Medicine Pub Date : 1900-01-01 DOI: 10.15713/INS.JOHTN.0146
P. McCullough, Aaron Y. Kluger
: Patients with chronic kidney disease have a high burden of cardiovascular morbidity and mortality. The vast majority of patients with chronic kidney disease do not progress to end stage renal failure, but do have a significantly higher incidence of all cardiovascular co-morbidities. Traditional cardiovascular risk factors only partially account for this increased incidence of cardiovascular disease. In patients with kidney disease the basic biology underlying cardiovascular disease may be similar to that in patients without kidney disease, but it would seem many more risk factors are involved as a consequence of renal dysfunction. Although emphasis is placed on delaying the progression of chronic kidney disease, it must be appreciated that for many patients it is vital to address their cardiovascular risk factors at an early stage to prevent premature cardiovascular death. This review examines available epidemiological evidence, discusses common cardiovascular risk factors in patients with chronic kidney disease, and suggests possible treatment strategies. Potential areas for important research are also described.
慢性肾脏疾病患者有很高的心血管发病率和死亡率负担。绝大多数慢性肾脏疾病患者不会进展到终末期肾衰竭,但所有心血管合并症的发生率确实明显较高。传统的心血管危险因素只能部分解释心血管疾病发病率的增加。肾脏疾病患者心血管疾病的基本生物学原理可能与非肾脏疾病患者相似,但肾功能不全似乎涉及到更多的危险因素。虽然重点放在延缓慢性肾脏疾病的进展,但必须认识到,对于许多患者来说,在早期阶段解决心血管危险因素以防止心血管疾病过早死亡至关重要。本文回顾了现有的流行病学证据,讨论了慢性肾病患者常见的心血管危险因素,并提出了可能的治疗策略。还描述了重要研究的潜在领域。
{"title":"Cardiovascular Disease in Patients with Chronic Kidney Disease","authors":"P. McCullough, Aaron Y. Kluger","doi":"10.15713/INS.JOHTN.0146","DOIUrl":"https://doi.org/10.15713/INS.JOHTN.0146","url":null,"abstract":": Patients with chronic kidney disease have a high burden of cardiovascular morbidity and mortality. The vast majority of patients with chronic kidney disease do not progress to end stage renal failure, but do have a significantly higher incidence of all cardiovascular co-morbidities. Traditional cardiovascular risk factors only partially account for this increased incidence of cardiovascular disease. In patients with kidney disease the basic biology underlying cardiovascular disease may be similar to that in patients without kidney disease, but it would seem many more risk factors are involved as a consequence of renal dysfunction. Although emphasis is placed on delaying the progression of chronic kidney disease, it must be appreciated that for many patients it is vital to address their cardiovascular risk factors at an early stage to prevent premature cardiovascular death. This review examines available epidemiological evidence, discusses common cardiovascular risk factors in patients with chronic kidney disease, and suggests possible treatment strategies. Potential areas for important research are also described.","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90050125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Renovascular Hypertension 肾血管性高血压
Q4 Medicine Pub Date : 1900-01-01 DOI: 10.15713/ins.johtn.0171
J. Vijaykumar, B. C. Srinivas, K. Ravindranath, C. N. Manjunath
* See Last Page for Key Revised 2017 Harvin/Verma Page 1 Reference Study Type Patients/ Events Study Objective (Purpose of Study) Study Results Study Quality 1. O'Neill WC, Bardelli M, Yevzlin AS. Imaging for renovascular disease. Semin Nephrol. 2011;31(3):272-282. Review/OtherDx N/A To describe the utility of sonography, CTA, MRA, and conventional angiography for imaging renovascular disease. No consensus can be drawn from existing data concerning the appropriate screening test for RAS. All modalities are plagued by the lack of a clear understanding of what constitutes a significant stenosis. Operator-dependence and subjectivity in the interpretation are also major problems. 4
参考研究类型患者/事件研究目的(研究目的)研究结果研究质量1。O'Neill WC, Bardelli M, Yevzlin AS。肾血管性疾病的影像学检查。中国生物医学工程学报,2011;31(3):272-282。目的:描述超声、CTA、MRA和常规血管造影在肾血管性疾病成像中的应用。关于RAS的适当筛选试验的现有数据无法达成共识。由于缺乏对什么构成严重狭窄的清晰理解,所有的模式都受到了困扰。判读中的算子依赖性和主观性也是主要问题。4
{"title":"Renovascular Hypertension","authors":"J. Vijaykumar, B. C. Srinivas, K. Ravindranath, C. N. Manjunath","doi":"10.15713/ins.johtn.0171","DOIUrl":"https://doi.org/10.15713/ins.johtn.0171","url":null,"abstract":"* See Last Page for Key Revised 2017 Harvin/Verma Page 1 Reference Study Type Patients/ Events Study Objective (Purpose of Study) Study Results Study Quality 1. O'Neill WC, Bardelli M, Yevzlin AS. Imaging for renovascular disease. Semin Nephrol. 2011;31(3):272-282. Review/OtherDx N/A To describe the utility of sonography, CTA, MRA, and conventional angiography for imaging renovascular disease. No consensus can be drawn from existing data concerning the appropriate screening test for RAS. All modalities are plagued by the lack of a clear understanding of what constitutes a significant stenosis. Operator-dependence and subjectivity in the interpretation are also major problems. 4","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76125167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypertension in Children 儿童高血压
Q4 Medicine Pub Date : 1900-01-01 DOI: 10.15713/ins.johtn.0185
S. Garekar
Prevalence of hypertension (HT) in children is increasing. Part of the reason is the rise in the population of children with obesity and part is better screening for HT though far from ideal. Neonatal and infantile HT remains relatively poorly described in terms of epidemiology, normative data, and available antihypertensive medications. The 2017 American Academy of Pediatrics guidelines on the management of HT in children have used data from children with normal body mass index thereby lowering the cutoffs for definition of HT compared to earlier. HT is now staged as elevated, Stage 1 and Stage 2, making earlier terminologies obsolete. Elevated blood pressure (BP) is important as studies show that an elevated BP as a child increases risk of developing HT as an adult as well as metabolic syndrome. Ambulatory BP monitoring in pediatrics is increasingly being used in various situations though so far there is no normative data for children <120 cm in height. Investigations into the cause of HT may be limited when the patient is over 6 years of age and is overweight or obese or has family history of HT and the physical examination is normal. The two major causes of secondary HT in pediatrics are renal/reno-vascular and endocrine. Lifestyle modification plays a major role in therapy. It includes weight reduction/control by increasing physical activity, nutritious, and low-fat diet and reducing salt intake. The first-line medications for oral therapy are angiotensin converting enzyme inhibitors, angiotensin receptor blockers, thiazide diuretics, and calcium channel blockers. Lifelong follow-up is essential for care of the pediatric patient with HT.
儿童高血压(HT)患病率正在上升。部分原因是肥胖儿童人数的增加,部分原因是更好的HT筛查,尽管远不理想。新生儿和婴儿HT在流行病学、规范数据和可用的抗高血压药物方面仍然相对缺乏描述。2017年美国儿科学会关于儿童HT管理的指南使用了来自正常体重指数儿童的数据,因此与早期相比降低了HT定义的临界值。HT现在被分为提升阶段1和阶段2,使早期的术语过时。血压升高很重要,因为研究表明,儿童血压升高会增加成年后患HT和代谢综合征的风险。儿科动态血压监测越来越多地应用于各种情况,但目前尚无关于身高<120 cm儿童的规范数据。当患者年龄超过6岁,超重或肥胖或有HT家族史,体格检查正常时,对HT病因的调查可能会受到限制。儿科继发性HT的两个主要原因是肾/肾血管和内分泌。生活方式的改变在治疗中起着重要作用。它包括通过增加体力活动、营养和低脂饮食以及减少盐摄入量来减轻/控制体重。口服治疗的一线药物是血管紧张素转换酶抑制剂、血管紧张素受体阻滞剂、噻嗪类利尿剂和钙通道阻滞剂。终身随访对儿童HT患者的护理至关重要。
{"title":"Hypertension in Children","authors":"S. Garekar","doi":"10.15713/ins.johtn.0185","DOIUrl":"https://doi.org/10.15713/ins.johtn.0185","url":null,"abstract":"Prevalence of hypertension (HT) in children is increasing. Part of the reason is the rise in the population of children with obesity and part is better screening for HT though far from ideal. Neonatal and infantile HT remains relatively poorly described in terms of epidemiology, normative data, and available antihypertensive medications. The 2017 American Academy of Pediatrics guidelines on the management of HT in children have used data from children with normal body mass index thereby lowering the cutoffs for definition of HT compared to earlier. HT is now staged as elevated, Stage 1 and Stage 2, making earlier terminologies obsolete. Elevated blood pressure (BP) is important as studies show that an elevated BP as a child increases risk of developing HT as an adult as well as metabolic syndrome. Ambulatory BP monitoring in pediatrics is increasingly being used in various situations though so far there is no normative data for children <120 cm in height. Investigations into the cause of HT may be limited when the patient is over 6 years of age and is overweight or obese or has family history of HT and the physical examination is normal. The two major causes of secondary HT in pediatrics are renal/reno-vascular and endocrine. Lifestyle modification plays a major role in therapy. It includes weight reduction/control by increasing physical activity, nutritious, and low-fat diet and reducing salt intake. The first-line medications for oral therapy are angiotensin converting enzyme inhibitors, angiotensin receptor blockers, thiazide diuretics, and calcium channel blockers. Lifelong follow-up is essential for care of the pediatric patient with HT.","PeriodicalId":38918,"journal":{"name":"Open Hypertension Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82696736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Open Hypertension Journal
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1