Pub Date : 2023-12-31DOI: 10.23937/2474-3690/1510076
Hayes Michael, Sexton Donal J
Introduction: Bilateral renal artery stenosis (RAS) causing recurrent hypertensive emergency and pulmonary oedema is difficult to manage. Use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) is usually contraindicated. We present a systematic review of literature and a case vignette which highlights the useful properties of mineralocorticoid receptor antagonists (MRAs) in this scenario. Methods: Medline, EMBASE, and the Cochrane Central Register of Controlled Trials were searched. Online searches were also conducted. Eligible studies involved the use of MRAs in bilateral RAS. Our search included case reports, case series, case-controls, cohort studies, randomised controlled trials, and systematic reviews. Consensus guidelines on the management of bilateral RAS were also included. Results: 354 abstracts were screened. One case report was included for review. This reported successful use of eplerenone in bilateral RAS following unilateral renal artery stenting. Online search yielded one international guideline for inclusion. This did not mention the use of MRAs in bilateral RAS. Discussion and conclusion: There is no evidence or recommendations from controlled trials, cohort studies, or consensus guidelines to inform clinicians on the use of MRAs in bilateral RAS. One case report describes successful use of eplerenone for management of refractory hypertension secondary to bilateral RAS. We describe our experience of the successful addition of spironolactone to an anti-hypertensive regimen which prevented recurrence of hypertensive emergency and pulmonary oedema in a patient with multiple previous hospital admissions. We feel that MRAs offer an effective and relatively safe but underused option in this condition.
简介导致复发性高血压急症和肺水肿的双侧肾动脉狭窄（RAS）很难处理。通常禁用血管紧张素转换酶抑制剂（ACEi）和血管紧张素 II 受体阻滞剂（ARB）。我们对文献进行了系统回顾，并通过一则病例强调了矿物皮质激素受体拮抗剂（MRA）在这种情况下的有用特性。研究方法检索了 Medline、EMBASE 和 Cochrane Central Register of Controlled Trials。此外还进行了在线搜索。符合条件的研究涉及在双侧 RAS 中使用 MRA。我们的检索包括病例报告、系列病例、病例对照、队列研究、随机对照试验和系统综述。此外还包括有关双侧 RAS 管理的共识指南。结果：共筛选出 354 篇摘要。一份病例报告被纳入审查范围。该报告称在单侧肾动脉支架术后成功使用依普利酮治疗双侧 RAS。在线搜索得到一份国际指南供纳入。该指南并未提及在双侧 RAS 中使用 MRA。讨论与结论：目前还没有来自对照试验、队列研究或共识指南的证据或建议来指导临床医生在双侧 RAS 中使用 MRA。一份病例报告描述了成功使用依普利酮治疗继发于双侧 RAS 的难治性高血压。我们介绍了在抗高血压治疗方案中添加螺内酯的成功经验，该方案防止了一名曾多次入院的患者再次出现高血压急症和肺水肿。我们认为，在这种情况下，MRA 是一种有效且相对安全的选择，但却未得到充分利用。
{"title":"Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis","authors":"Hayes Michael, Sexton Donal J","doi":"10.23937/2474-3690/1510076","DOIUrl":"https://doi.org/10.23937/2474-3690/1510076","url":null,"abstract":"Introduction: Bilateral renal artery stenosis (RAS) causing recurrent hypertensive emergency and pulmonary oedema is difficult to manage. Use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) is usually contraindicated. We present a systematic review of literature and a case vignette which highlights the useful properties of mineralocorticoid receptor antagonists (MRAs) in this scenario. Methods: Medline, EMBASE, and the Cochrane Central Register of Controlled Trials were searched. Online searches were also conducted. Eligible studies involved the use of MRAs in bilateral RAS. Our search included case reports, case series, case-controls, cohort studies, randomised controlled trials, and systematic reviews. Consensus guidelines on the management of bilateral RAS were also included. Results: 354 abstracts were screened. One case report was included for review. This reported successful use of eplerenone in bilateral RAS following unilateral renal artery stenting. Online search yielded one international guideline for inclusion. This did not mention the use of MRAs in bilateral RAS. Discussion and conclusion: There is no evidence or recommendations from controlled trials, cohort studies, or consensus guidelines to inform clinicians on the use of MRAs in bilateral RAS. One case report describes successful use of eplerenone for management of refractory hypertension secondary to bilateral RAS. We describe our experience of the successful addition of spironolactone to an anti-hypertensive regimen which prevented recurrence of hypertensive emergency and pulmonary oedema in a patient with multiple previous hospital admissions. We feel that MRAs offer an effective and relatively safe but underused option in this condition.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"20 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130132","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}
Pub Date : 2023-12-31DOI: 10.23937/2474-3690/1510077
Ngeh Etienne Ngeh
Hypertension is an emerging health concern in Cameroon that is expected to cause a heavy health burden in the future. Prevention and management with non-pharmacological interventions are feasible and effective. This article highlights the benefits, and challenges of implementing non-pharmacological interventions in Cameroon and proposes strategies to improve the situation
{"title":"The Increasing Burden of Hypertension in Cameroon: Considerations for Prevention and Non-Pharmacological Interventions","authors":"Ngeh Etienne Ngeh","doi":"10.23937/2474-3690/1510077","DOIUrl":"https://doi.org/10.23937/2474-3690/1510077","url":null,"abstract":"Hypertension is an emerging health concern in Cameroon that is expected to cause a heavy health burden in the future. Prevention and management with non-pharmacological interventions are feasible and effective. This article highlights the benefits, and challenges of implementing non-pharmacological interventions in Cameroon and proposes strategies to improve the situation","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"2 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135649","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}
Pub Date : 2023-06-30DOI: 10.23937/2474-3690/1510074
Helvaci Mehmet Rami, Kaya Yasemin, Yalcin Atilla, Muftuoglu Orhan Ekrem, Abyad Abdulrazak, Pocock Lesley
{"title":"Smoking May Not Have a Long Term Effect on Body Weight","authors":"Helvaci Mehmet Rami, Kaya Yasemin, Yalcin Atilla, Muftuoglu Orhan Ekrem, Abyad Abdulrazak, Pocock Lesley","doi":"10.23937/2474-3690/1510074","DOIUrl":"https://doi.org/10.23937/2474-3690/1510074","url":null,"abstract":"","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47842623","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}
Pub Date : 2023-06-30DOI: 10.23937/2474-3690/1510075
Harrisingh Kamahl, Gursky Paul, Himed Khaled, Shoreibah Ahmed
Hypertension (HTN) is a systemic disease characterized by the force of pressure within the arterial vessels. HTN is a modifiable risk factor for multiple health outcomes, including cardiovascular disease and stroke, which have substantial impact on an individual's quality of life and the healthcare system as a whole. Accumulating evidence suggests lifestyle interventions can play an important role in the reduction of blood pressure and in some cases may obviate the need for pharmacotherapy. Interventions which show the most promise include dietary modification, weight loss
{"title":"Beyond Pills: Exploring Effective Ways to Tackle Hypertension through Non-Pharmacological Means","authors":"Harrisingh Kamahl, Gursky Paul, Himed Khaled, Shoreibah Ahmed","doi":"10.23937/2474-3690/1510075","DOIUrl":"https://doi.org/10.23937/2474-3690/1510075","url":null,"abstract":"Hypertension (HTN) is a systemic disease characterized by the force of pressure within the arterial vessels. HTN is a modifiable risk factor for multiple health outcomes, including cardiovascular disease and stroke, which have substantial impact on an individual's quality of life and the healthcare system as a whole. Accumulating evidence suggests lifestyle interventions can play an important role in the reduction of blood pressure and in some cases may obviate the need for pharmacotherapy. Interventions which show the most promise include dietary modification, weight loss","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42736157","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}
Pub Date : 2023-06-30DOI: 10.23937/2474-3690/1510073
Levine Minna, Buonanno Ferdinando, Calvanio Ronald, G. Richard, Jacobson Jared, MingMing Ning
Background: We tried to understand whether or not there is a long term effect of smoking on the body weight. Method: Consecutive daily smokers at least with a history of one pack-year and age and sex-matched non-smokers were studied. Results: The study included 247 smokers (173 males) and 167 non-smokers (112 males). The mean age of smokers was 46.2 years, and 70.0% of them were males. Plasma triglycerides (163.1 versus 151.3 mg/dL, p < 0.05), low density lipoproteins (LDL) (123.8 versus 117.5 mg/dL, p < 0.05), erythrocyte sedimentation rate (ESR) (10.6 versus 9.3 mm/h, p < 0.05), and C-reactive protein (CRP) (2.3 versus 2.0 mg/L, p < 0.05) were higher in the smokers. Whereas high density lipoproteins (HDL) (40.9 versus 44.0 mg/dL, p < 0.05) and fasting plasma glucose (FPG) (102.3 versus 111.6 mg/dL, p = 0.007) values and prevalence of diabetes mellitus (8.9% versus 14.3%, p < 0.05) were lower in the smokers. Interestingly, the body weight (76.1 versus 74.7 kg) and body mass index (BMI) (26.6 versus 26.5 kg/ m 2 ) were higher in the smokers, nonsignificantly ( p > 0.05 for both). Smokers had a mean history of 20.5 ± 15.0 (1-100) pack years. Conclusion: Smoking may cause a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerosis-induced end-organ insufficiencies all over the body. Plasma triglycerides, LDL, ESR, and CRP may be positive whereas HDL and FPG negative acute phase reactants indicating such inflammatory effects in the body. Probably due to the low-grade nature of inflammation caused by smoking, the body weight and BMI were not suppressed in the smokers in long term.
{"title":"Electronic Diary Monitoring for Hypertension Post Stroke","authors":"Levine Minna, Buonanno Ferdinando, Calvanio Ronald, G. Richard, Jacobson Jared, MingMing Ning","doi":"10.23937/2474-3690/1510073","DOIUrl":"https://doi.org/10.23937/2474-3690/1510073","url":null,"abstract":"Background: We tried to understand whether or not there is a long term effect of smoking on the body weight. Method: Consecutive daily smokers at least with a history of one pack-year and age and sex-matched non-smokers were studied. Results: The study included 247 smokers (173 males) and 167 non-smokers (112 males). The mean age of smokers was 46.2 years, and 70.0% of them were males. Plasma triglycerides (163.1 versus 151.3 mg/dL, p < 0.05), low density lipoproteins (LDL) (123.8 versus 117.5 mg/dL, p < 0.05), erythrocyte sedimentation rate (ESR) (10.6 versus 9.3 mm/h, p < 0.05), and C-reactive protein (CRP) (2.3 versus 2.0 mg/L, p < 0.05) were higher in the smokers. Whereas high density lipoproteins (HDL) (40.9 versus 44.0 mg/dL, p < 0.05) and fasting plasma glucose (FPG) (102.3 versus 111.6 mg/dL, p = 0.007) values and prevalence of diabetes mellitus (8.9% versus 14.3%, p < 0.05) were lower in the smokers. Interestingly, the body weight (76.1 versus 74.7 kg) and body mass index (BMI) (26.6 versus 26.5 kg/ m 2 ) were higher in the smokers, nonsignificantly ( p > 0.05 for both). Smokers had a mean history of 20.5 ± 15.0 (1-100) pack years. Conclusion: Smoking may cause a low-grade systemic inflammation on vascular endothelium terminating with an accelerated atherosclerosis-induced end-organ insufficiencies all over the body. Plasma triglycerides, LDL, ESR, and CRP may be positive whereas HDL and FPG negative acute phase reactants indicating such inflammatory effects in the body. Probably due to the low-grade nature of inflammation caused by smoking, the body weight and BMI were not suppressed in the smokers in long term.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48955807","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}
Pub Date : 2022-12-31DOI: 10.23937/2474-3690/1510072
Oumer Fetiya, Tolossa Tesfaye, Aragaw Abebaye
Background: Uncontrolled BP is a major health problem both in developed and developing countries. Life style, behavioral or genetic factors are some of the risk factors for uncontrolled BP. There are many researches have done on the risk factors for hypertension. However, there is no research done on the association between blood pressure, anthropometric indices and blood group among hypertensive patients in health centers in Addis Ababa, Ethiopia. The aim of this study was therefore, to assess the association between blood pressure, anthropometric indices and blood group among hypertensive patients. Materials and methods: A facility-based quantitative cross-sectional study was carried out among 235 hypertensive patients in health centers in Addis Ababa, Ethiopia. Structured questionnaires, anthropometric measurements and laboratory analysis were used to collect the data. The data were analyzed by using SPSS version 25 software. The binary and multiple logistic regression analysis were used. Result: In more than half, 142 (60.4%) of the hypertensive patients, the blood pressure was not controlled. “O” blood type was found to be the most common blood group accounting for 100 (42.6%), followed by “A” 66(28%), “B” 58(24.7%) and “AB” (4.7%). Physical inactivity (AOR = 2.47, 95% CI (1.10, 5.52), P = 0.027), salt intake (AOR = 2.22, 95% CI (1.03, 4.8), P = 0.043), BMI (AOR = 7.79, 95% CI (3.54, 17.13), P = 0.000), high waist circumference (AOR = 3.18, 95% CI (1.19, 8.47), P = 0.021), High Hip (AOR = 5.1, 95% CI (1.2, 21.25), P = 0.025), and “O” blood group (AOR = 2.46, 95% CI (1.0, 5.62), P = 0.026) were significantly associated with uncontrolled blood pressure. Conclusion: More than half of the hypertensive patients’ BP was not controlled. Significant associations were found between BP and salt intake, physical inactivity, BMI, WC, HC and blood group. HC and WC indices should be used routinely as a monitoring method of uncontrolled blood pressure in addition to BMI.
背景:无论在发达国家还是发展中国家，不受控制的BP都是一个主要的健康问题。生活方式、行为或遗传因素是血压失控的一些危险因素。关于高血压的危险因素已经做了很多研究。然而，埃塞俄比亚亚的斯亚贝巴保健中心高血压患者的血压、人体测量指标和血型之间的关系尚无相关研究。因此，本研究的目的是评估高血压患者血压、人体测量指标和血型之间的关系。材料和方法:在埃塞俄比亚亚的斯亚贝巴的卫生中心对235名高血压患者进行了一项基于设施的定量横断面研究。采用结构化问卷调查、人体测量和实验室分析来收集数据。采用SPSS 25软件对数据进行分析。采用二元和多元logistic回归分析。结果:142例(60.4%)高血压患者血压未得到控制。O型血是最常见的血型，占100人(42.6%)，其次是A型66人(28%)，B型58人(24.7%)，AB型占4.7%。缺乏身体活动(AOR = 2.47, 95% CI (1.10, 5.52), P = 0.027),盐的摄入量(优势比= 2.22,95% CI (1.03, 4.8), P = 0.043), BMI(优势比= 7.79,95% CI (3.54, 17.13), P = 0.000),高腰围(优势比= 3.18,95% CI (1.19, 8.47), P = 0.021),高臀部(优势比= 5.1,95% CI (1.2, 21.25), P = 0.025),和“O”血型(优势比= 2.46,95% CI (1.0, 5.62), P = 0.026)和控制血压显著相关。结论:半数以上高血压患者血压未得到控制。血压与盐摄入量、缺乏运动、BMI、WC、HC和血型之间存在显著相关性。除BMI外，HC和WC指标应作为血压不控制的常规监测方法。
{"title":"Association of Blood Pressure, Anthropometric Indices and Blood Group among Hypertensive Patients at Health centers in Addis Ababa Ethiopia","authors":"Oumer Fetiya, Tolossa Tesfaye, Aragaw Abebaye","doi":"10.23937/2474-3690/1510072","DOIUrl":"https://doi.org/10.23937/2474-3690/1510072","url":null,"abstract":"Background: Uncontrolled BP is a major health problem both in developed and developing countries. Life style, behavioral or genetic factors are some of the risk factors for uncontrolled BP. There are many researches have done on the risk factors for hypertension. However, there is no research done on the association between blood pressure, anthropometric indices and blood group among hypertensive patients in health centers in Addis Ababa, Ethiopia. The aim of this study was therefore, to assess the association between blood pressure, anthropometric indices and blood group among hypertensive patients. Materials and methods: A facility-based quantitative cross-sectional study was carried out among 235 hypertensive patients in health centers in Addis Ababa, Ethiopia. Structured questionnaires, anthropometric measurements and laboratory analysis were used to collect the data. The data were analyzed by using SPSS version 25 software. The binary and multiple logistic regression analysis were used. Result: In more than half, 142 (60.4%) of the hypertensive patients, the blood pressure was not controlled. “O” blood type was found to be the most common blood group accounting for 100 (42.6%), followed by “A” 66(28%), “B” 58(24.7%) and “AB” (4.7%). Physical inactivity (AOR = 2.47, 95% CI (1.10, 5.52), P = 0.027), salt intake (AOR = 2.22, 95% CI (1.03, 4.8), P = 0.043), BMI (AOR = 7.79, 95% CI (3.54, 17.13), P = 0.000), high waist circumference (AOR = 3.18, 95% CI (1.19, 8.47), P = 0.021), High Hip (AOR = 5.1, 95% CI (1.2, 21.25), P = 0.025), and “O” blood group (AOR = 2.46, 95% CI (1.0, 5.62), P = 0.026) were significantly associated with uncontrolled blood pressure. Conclusion: More than half of the hypertensive patients’ BP was not controlled. Significant associations were found between BP and salt intake, physical inactivity, BMI, WC, HC and blood group. HC and WC indices should be used routinely as a monitoring method of uncontrolled blood pressure in addition to BMI.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44704710","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}
Pub Date : 2022-06-30DOI: 10.23937/2474-3690/1510069
Zeng Yvette, C. Les, Sbar Evelyn, Lewis Beverly, Young Rodney B, MacLaughlin Eric
Purpose: To evaluate the initial implementation effectiveness of an ambulatory blood pressure monitoring (ABPM) protocol based on provider perception through survey and assesses its fidelity, adoption, and impact in an academic outpatient clinic. Methods: A prospective study was conducted. A protocol was created to implement an ABPM device for use in patients who qualified in the clinic. Providers and staff were educated on the workflow steps and the importance of utilizing ABPM to detect and manage hypertension (HTN). Surveys were distributed before implementation of the protocol and two months after the initial implementation date. The primary outcome was a change in the composite provider survey score. Results: Thirty-two pre-surveys and 13 post-surveys were collected. The majority of pre-survey and post-survey responses were completed by post-graduate year three resident physicians (28% vs. 36% respectively). Eightyfive percent and 92% of providers had zero to five years of experience for pre-survey and post-survey responses, respectively. Following the ABPM protocol implementation, the composite provider score increased from a pre-survey score of 25 to a post-survey score of 32 (p = 0.0024). Conclusion: Education is a critical component in creating a new service, and the support of all clinic providers and the staff was vital in a successful implementation. With proper dissemination and education, provider perception of ABPM was positive, and the tool’s interest grew.
{"title":"Assessment of an Ambulatory Blood Pressure Monitoring Protocol in an Academic Outpatient Clinic","authors":"Zeng Yvette, C. Les, Sbar Evelyn, Lewis Beverly, Young Rodney B, MacLaughlin Eric","doi":"10.23937/2474-3690/1510069","DOIUrl":"https://doi.org/10.23937/2474-3690/1510069","url":null,"abstract":"Purpose: To evaluate the initial implementation effectiveness of an ambulatory blood pressure monitoring (ABPM) protocol based on provider perception through survey and assesses its fidelity, adoption, and impact in an academic outpatient clinic. Methods: A prospective study was conducted. A protocol was created to implement an ABPM device for use in patients who qualified in the clinic. Providers and staff were educated on the workflow steps and the importance of utilizing ABPM to detect and manage hypertension (HTN). Surveys were distributed before implementation of the protocol and two months after the initial implementation date. The primary outcome was a change in the composite provider survey score. Results: Thirty-two pre-surveys and 13 post-surveys were collected. The majority of pre-survey and post-survey responses were completed by post-graduate year three resident physicians (28% vs. 36% respectively). Eightyfive percent and 92% of providers had zero to five years of experience for pre-survey and post-survey responses, respectively. Following the ABPM protocol implementation, the composite provider score increased from a pre-survey score of 25 to a post-survey score of 32 (p = 0.0024). Conclusion: Education is a critical component in creating a new service, and the support of all clinic providers and the staff was vital in a successful implementation. With proper dissemination and education, provider perception of ABPM was positive, and the tool’s interest grew.","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022668","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}
Pub Date : 2022-03-31DOI: 10.23937/2474-3690/1510067
Ambrosini Maria Teresa
{"title":"Caffeine Elevates Blood Pressure","authors":"Ambrosini Maria Teresa","doi":"10.23937/2474-3690/1510067","DOIUrl":"https://doi.org/10.23937/2474-3690/1510067","url":null,"abstract":"","PeriodicalId":91747,"journal":{"name":"Journal of hypertension and management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42041301","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}
Pub Date : 2022-03-13DOI: 10.23937/2474-3690/1510066
Okwudili Obaseki Chigozie, Samuel Adodo M, Sunday Ede Stephen, Agbonlahor Elvis I
Background: Little is known about the potency of isometric exercise for blood pressure control among hypertensive stroke survivors (HSS). Meanwhile, the isometric exercise regimen stands to be a preferable intervention for at-risk subjects even at acute phases as it could be carried out at a resting position compared to aerobic and resistance exercise regimens. Objective: This study investigated the acute effect of isometric exercise training protocol on blood pressure of hypertensive stroke survivors in the University of Benin Teaching Hospital, Benin city. Methods: This study adopted the experimental research design. The sample size of 12-hypertensive stroke survivors from the neurology outpatient clinic of the University of Benin Teaching Hospital was randomly selected from amongst the hypertensive stroke survivors who met the inclusion criteria. The participants were further randomly allotted to the experimental and control groups. The instruments employed include several measuring and timing equipment. The trial proceeded for four weeks during which a combination of unilateral isometric handgrip and unilateral isometric quadriceps exercise training was administered on the experimental group in two sessions per week. Results: Findings revealed there was no significant difference in the effect of isometric exercise training on systolic blood pressure but there was a significant difference in diastolic blood pressure parameters taken from both the right and left sides of the brachial arteries. Conclusion: The acute responses of this study support the clinical significance of isometric exercise training as a time-efficient, valuable new therapeutic adjunct, and effective training modality to reduce blood pressure and thereby assist in regulating and preventing a recurrent stroke in hypertensive stroke survivors. To confirm this, an expanded study in terms of duration was suggested to investigate the adaptation of this study.
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