المؤلفون: Kennedy, Cormac^{Aff1, Aff2, IDs11845021028702_cor1}, Ali, Osama, Farnan, Richard, Stinson, John^{Aff2, Aff3}, Gabr, Ahmed, Hall, Mary, O’Connor, Patricia^{Aff1, Aff2}, Hennessy, Martina^{Aff1, Aff2}, Barry, Michael^{Aff1, Aff2}

المصدر: Irish Journal of Medical Science (1971 -). 191(6):2549-2557

المؤلفون: Caroline Nabukalu

المصدر: Student's Journal of Health Research Africa, Vol 4, Iss 9 (2023)

مصطلحات موضوعية: Prevalence of Hypertension, Adults, Aged 30-79 Years, Hypertension Clinic, Regional Referral Hospital, General works, R5-130.5, Infectious and parasitic diseases, RC109-216, Surgery, RD1-811, Public aspects of medicine, RA1-1270

الوصف: Background: Hypertension also known as High or Raised blood pressure is a condition in which the blood vessels have persistently elevated blood pressure. This study, therefore aimed at assessing factors associated with the prevalence of hypertension among adults aged 30-79 years attending the hypertension clinic at Hoima Regional Referral Hospital. Methodology: A cross-sectional study design was employed involving both qualitative and quantitative methods of data collection. Kish and Leslie’s method was used in determining the sample size of 75 respondents who were obtained by simple random sampling technique. Results: The majority 27(30%) of the respondents with hypertension were aged 60-69 years followed by 20(26.7%) aged 50-59 years, 50(86.7%) were females, 35(46.7%) attained at most primary level of education while 20(26.7%) had no formal education and 48(64%) were living in rural areas. Furthermore, the majority 70(93%) of the respondents did not smoke a cigarette or have a history of cigarette smoking, more than half 40(61.5%) regularly ate vegetables more than 3 times a week, 52(69.3%) did not take alcohol, 72(96%) agreed to stress increasing one’s chances of developing hypertension and 28(37.4%) were classified as being overweight while 27(36%) were obese. There was no significant difference between participants having a relative with hypertension and those who did not. 50(66.7%) identified stress as a risk factor for hypertension while the rest of the risk factors were known to a few of the participants. Knowledge regarding the signs and symptoms of hypertension was good and health workers 45(60%) were identified as the major source from which the respondents had ever first got to hear about hypertension. Conclusion: The overall level of knowledge about hypertension among the respondents was average. Recommendations: The government in conjunction with the administration and health workers at HRRH should organize regular and comprehensive health education programs and campaigns regarding hypertension.

وصف الملف: electronic resource

Relation: https://sjhresearchafrica.org/index.php/public-html/article/view/375; https://doaj.org/toc/2709-9997

URL الوصول: https://doaj.org/article/2e4764df9dec49f9a651938a221b1a59

المؤلفون: Balaraman Rajan, Anu Banerjee, Saligrama Agnihothri, Leon Cui, Ramanujapuram Ramanujan

المصدر: Journal of Hypertension. 39:2265-2271

مصطلحات موضوعية: medicine.medical_specialty, Hypertension clinic, Physiology, business.industry, Vital signs, Diastole, Blood Pressure, Mobile Applications, Telemedicine, Confidence interval, Cohort Studies, Blood pressure, Internal medicine, Hypertension, Internal Medicine, medicine, Humans, Observational study, Cardiology and Cardiovascular Medicine, business, mHealth, Cohort study

الوصف: Objective The aim of this study was to test whether a physician-supervised web-based app, integrated with an electronic medical record, helps in improving blood pressure (BP) management in clinical practice. Materials and methods An observational study of 1633 patients seen at a hypertension clinic managed by an endocrinologist with two cohorts (726 adopted the app and 907 had not). The app allowed patients and doctors to monitor BP, blood sugar and other vital signs. Patients decided whether to opt in to using the app and how often to upload their readings. The provider could offer feedback and communicate with patients through the app. We evaluated the change in office-based BP measurement before and after app adoption (at least 12 months apart). We performed a difference-in-difference analysis along with matching based on patient-individual characteristics. Results The difference-in-difference estimates were 6.23 mmHg systolic [95% confidence interval (95% CI) 0.87-11.59] for patients with SBP 150 mmHg or above, 4.01 mmHg systolic (95% CI 1.11-6.91) for patients with SBP 140 mmHg or above, 4.37 mmHg diastolic (95% CI 1.06-7.68) for patients with DBP 90 mmHg or above, 1.89 mmHg systolic (95% CI 0.58-3.2) and 0.87 mmHg diastolic (95% CI 0.17-1.57) overall for an average patient. Higher frequency of app usage was also associated with a greater reduction in BP. Conclusion Use of an mHealth app in a clinical practice, was associated with a significant reduction in BP for average patients as well as high-severity patients. Physician-supervised mHealth apps in a clinical practice could be instrumental in managing patient BP.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0728cbb44ab831bc7dbe3706667db163
https://doi.org/10.1097/hjh.0000000000002909

المؤلفون: Guillaume Bonnier, Virginie Durgnat, Jean-François Knebel, Gregory Hofmann, Arlene Ghajarzadeh-Wurzner, Jean Degott, Mathieu Lemay, Burnier Michel, Urvan Christen, Patrick Schoettker, Martin Proença, Alia Lemkaddem, Grégoire Wuerzner

المصدر: Blood Pressure Monitoring
Blood pressure monitoring, vol. 26, no. 6, pp. 441-448

مصطلحات موضوعية: medicine.medical_specialty, Acceptance rate, Population, cuffless, Assessment and Diagnosis, smartphone, Medical instrumentation, Internal Medicine, medicine, Humans, education, Advanced and Specialized Nursing, Protocol (science), validation, education.field_of_study, Hypertension clinic, business.industry, blood pressure, Blood Pressure Determination, General Medicine, Reference Standards, University hospital, international standards, Mobile Applications, Blood Pressure Monitors, Blood pressure, optical signal, Hypertension, Physical therapy, Cardiology and Cardiovascular Medicine, business, Blood Pressure, Hypertension/diagnosis, Smartphone, Devices and Technology, application

الوصف: Objective The aim of this study was to assess the accuracy of the OptiBP mobile application based on an optical signal recorded by placing the patient's fingertip on a smartphone's camera to estimate blood pressure (BP). Measurements were carried out in a general population according to existing standards of the Association for the Advancement of Medical Instrumentation (AAMI), the European Society of Hypertension (ESH) and the International Organization for Standardization (ISO). Methods Participants were recruited during a scheduled appointment at the hypertension clinic of Lausanne University Hospital in Switzerland. Age, gender and BP distribution were collected to fulfill AAMI/ESH/ISO universal standards. Both auscultatory BP references and OptiBP were measured and compared using the opposite arm simultaneous method as described in the 81060-2:2018 ISO norm. Results A total of 353 paired recordings from 91 subjects were analyzed. For validation criterion 1, the mean ± SD between OptiBP and reference BP recordings was respectively 0.5 ± 7.7 mmHg and 0.4 ± 4.6 mmHg for SBP and DBP. For validation criterion 2, the SD of the averaged BP differences between OptiBP and reference BP per subject was 6.3 mmHg and 3.5 mmHg for SBP and DBP. OptiBP acceptance rate was 85%. Conclusion The smartphone embedded OptiBP cuffless mobile application fulfills the validation requirements of AAMI/ESH/ISO universal standards in a general population for the measurement of SBP and DBP.

وصف الملف: application/pdf

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::12ac682435cb936a9dd3407a353b65c7
http://europepmc.org/articles/PMC8568326

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المؤلفون: Mekuriaw Wuhib Shumye, Million Abera, Fikadu Balcha, Belachew Tegegne, Gugsa Nemera, Moges Workneh, Sewunet Ademe

المصدر: Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy

مصطلحات موضوعية: medicine.medical_specialty, hypertension, Waist, 030209 endocrinology & metabolism, Daily smoking, 030204 cardiovascular system & hematology, Logistic regression, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Diabetes mellitus, Internal Medicine, medicine, Increased diastolic blood pressure, magnitude, Family history, Targets and Therapy [Diabetes, Metabolic Syndrome and Obesity], Original Research, Pharmacology, Hypertension clinic, business.industry, medicine.disease, Increased risk, diabetes mellitus, Ethiopia, business

الوصف: Mekuriaw Wuhib Shumye,1 Belachew Tegegne,1 Sewunet Ademe,1 Moges Workneh,1 Million Abera,2 Gugsa Nemera,2 Fikadu Balcha2 1School of Nursing and Midwifery, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia; 2School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, EthiopiaCorrespondence: Mekuriaw Wuhib Shumye Tel +251 92 126 8193Email eyasuwuhib@gmail.comBackground: Hypertension and diabetes mellitus are the most common comorbid non-communicable chronic diseases that threaten human beings worldwide. Hypertension is associated with an increased risk of diabetes mellitus and vis-a-vis. However, there is limited information on the magnitude of diabetes mellitus in hypertensive patients in sub-Saharan countries. Hence, this study assessed the magnitude of diabetes mellitus and its associated factors among adult hypertensive patients attending a hypertension clinic in Northeast Ethiopia.Methods: Institution-based cross-sectional study conducted on 407 participants from April to June 2019. The participants were included in the study using systematic random sampling. Data were collected using the WHO STEPwise method. We run descriptive statistics to determine the magnitude of diabetes mellitus in hypertensive patients and logistic regression to identify factors associated with diabetes, and statistically significant associations were declared at a P-value of less than 0.05.Results: The magnitude of diabetes mellitus among hypertensive patients was 29.1%, of whom 24% were newly diagnosed. Respondents with a family history of diabetes mellitus (AOR: 4.6, CI: 2.2, 9.48), increased waist-to-height ratio (AOR: 21.5, CI: 5.62,43.67), increased waist circumference (AOR: 3.2, CI: 1.58, 6.53) and primary school educational status (AOR: 3.2, CI: 1.41, 7.25) were more likely to have diabetes. Similarly, respondents with longer hypertension duration (AOR: 4.09, CI: 1.22, 13.64), past daily smoking history (AOR: 10.46, CI: 1.59,6.8), increased diastolic blood pressure (AOR: 4.15, CI: 1.51, 11.37), and increased waist circumference (AOR: 7.5, CI: 4.47,14.95) were more likely to be diagnosed newly for diabetes.Conclusion: Our study indicated around one-third of hypertensive patients had diabetes. Family history of diabetes mellitus, primary educational status and increased waist-to-height ratio and waist circumference were significant predictors of diabetes among hypertensive patients. The finding suggests the need for regular diabetic screening among hypertensive patients.Keywords: magnitude, hypertension, diabetes mellitus, Ethiopia

وصف الملف: text/html

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8efc6e9ca69c86b584b3f3404a6caf76
https://doi.org/10.2147/dmso.s283158

المؤلفون: Sara Alhelabi, Mayar Abanumay, Afnan Alfawwaz, Muayed Al-Zaibag, Ruba Alahaideb, Azra Mahmud, Amgad Alonazy, Haifa Alshammary

المصدر: J Clin Hypertens (Greenwich)

مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Ambulatory blood pressure, Endocrinology, Diabetes and Metabolism, Population, Saudi Arabia, Blood Pressure, White coat hypertension, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Short Reports, Internal medicine, Prevalence, Internal Medicine, Humans, Medicine, 030212 general & internal medicine, education, Aged, education.field_of_study, Hypertension clinic, business.industry, Mean age, Blood Pressure Monitoring, Ambulatory, Middle Aged, medicine.disease, Masked Hypertension, Phenotype, Blood pressure, Hypertension, Female, Cardiology and Cardiovascular Medicine, business, Drugs, Chinese Herbal

الوصف: International Guidelines recommend ambulatory blood pressure monitoring (ABPM) for the management of hypertension. ABPM phenotypes predict outcomes independent of office blood pressure (BP). The authors explored the prevalence and clinical correlates of ABPM phenotypes and relationship with office BP in Saudi patients (n = 428, mean age 53.5 ± 14.6, 55% male) referred to a Specialist Hypertension clinic in Riyadh, Saudi Arabia. ABPM phenotypes included sustained normotension (27%), masked hypertension, MHT(32%), sustained hypertension, SHT(52%), and white coat hypertension(2.6%). MHT was more prevalent using asleep than 24‐hours (26.4% vs 12.9%, P

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b4a0051808925acfd1691a8b0fad57e6
https://doi.org/10.1111/jch.14059

المؤلفون: Ayah ElAroussy, Yasser Baghdady, Heba A El-Deeb, Kareem Mahmoud, Wafaa El-Aroussy

المصدر: The Egyptian Heart Journal, Vol 72, Iss 1, Pp 1-6 (2020)
The Egyptian Heart Journal

مصطلحات موضوعية: medicine.medical_specialty, lcsh:Diseases of the circulatory (Cardiovascular) system, Hypertension clinic, Ambulatory blood pressure, business.industry, Office blood pressure, Research, Office visits, Automated sequential blood pressure, Sphygmomanometer, Common method, 030204 cardiovascular system & hematology, White coat effect, 03 medical and health sciences, Masked Hypertension, 0302 clinical medicine, Blood pressure, lcsh:RC666-701, Internal medicine, Cardiology, Medicine, 030212 general & internal medicine, business

الوصف: Background Office blood pressure (OBP) measurement is the most common method of blood pressure measurement. However, it is associated with several pitfalls as white coat effect and masked hypertension. Ambulatory blood pressure monitoring (ABPM) is usually used for diagnosis of hypertension and elimination of white coat effect. This study aimed to assess the correlation and degree of agreement of the automated sequential blood pressure (ASqBP) with OBP and ABPM. Patients presented to hypertension clinic were included. Each patient had his blood pressure recorded by three methods: OBP using a digital sphygmomanometer device, unattended ASqBP using sequential BP devices with recording of the readings over 30 min, and ABPM that was performed within 48 h of office visit using portable BP devices with BP recording over 24 h. Results We recruited 64 patients (age 50.0 ± 15.0 years and female gender 53.1%). We found a strong positive correlation between ASqBP and OBP readings (r 0.81 for SBP and 0.83 for DBP, p < 0.001). We also found a strong positive correlation between ASqBP and ABPM readings (r 0.74, p < 0.001). The ASqBP readings were lower than OBP (137.0 ± 16.8/86.4 ± 13.8 vs. 142.7 ± 15.5/88.5 ± 12.3) and close to ABPM readings (average 24 h, 134.0 ± 15.4/88.5 ± 12.3, and daytime, 135.8 ± 15.7/82.1 ± 13.7). For SBP readings, there was moderate agreement between ASqBP and AMBP (both average and daytime). For DBP readings, there was fair agreement between ASqBP and AMBP (both average and daytime). Conclusion ASqBP measurement has good correlation with OBP and ABPM readings. Unattended automated office pressure has moderate degree of agreement with ABPM for the SBP& fair degree of agreement for the DBP. It can be used in the hypertension clinics to eliminate the problems of white coat effect and marked BP variability.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b5b6c66e399416951059543d1a6c116c
http://link.springer.com/article/10.1186/s43044-020-00087-9

المؤلفون: Amanda Carter, Ashley M Stallings, Asima Ali, Candace Dixon, Charles A. Herring

المصدر: Journal of Pharmacy Practice. 34:844-849

مصطلحات موضوعية: medicine.medical_specialty, Hypertension clinic, Primary Health Care, business.industry, Rural health, Pharmacist, Blood Pressure, Primary care, 030204 cardiovascular system & hematology, Pharmacists, Primary care clinic, Clinical pharmacy, 03 medical and health sciences, 0302 clinical medicine, Family medicine, Hypertension, Humans, Medicine, Pharmacology (medical), In patient, 030212 general & internal medicine, business, Retrospective Studies

الوصف: Objective: To describe clinical pharmacy services provided in a rural North Carolina primary care clinic and assess the impact of these services on systolic and diastolic blood pressures in patients with uncontrolled hypertension. Methods: This single-center, retrospective study evaluated change in systolic and diastolic blood pressures from baseline, percentage of patients with blood pressure reductions, percentage at The Eight Joint National Committee (JNC 8) goal blood pressure, percentage at care gap closure defined as obtaining a blood pressure Results: The mean change in systolic blood pressure was −20.1 mm Hg (14.716-25.418, P < .0001) and the mean change in diastolic blood pressure was −8.8 mm Hg (5.449-12.117, P < .0001). Eighty percent of patients experienced blood pressure reductions from baseline, 51% met their respective JNC 8 goal blood pressure, and 48% met care gap closure. The average time to reach care gap closure was 23 weeks. Conclusion: When embedded within a primary care clinic in a rural setting, a pharmacist-managed hypertension clinic significantly improved both systolic and diastolic blood pressures of patients with uncontrolled hypertension.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b47ae6e3b83fb427f6cefb6f8e599fe4
https://doi.org/10.1177/0897190020926841

المؤلفون: Mariana Lesquives Vieira, Gilson Soares Feitosa, Isabela Pilar Moraes Alves de Souza, Patrícia Alcântara Viana, Gustavo Freitas Feitosa, Jamerson Sampaio

المصدر: Revista Científica Hospital Santa Izabel. 3:3-8

مصطلحات موضوعية: education.field_of_study, medicine.medical_specialty, Hypertension clinic, business.industry, Population, Observation period, Physical activity, law.invention, Randomized controlled trial, law, Pedometer, Physical therapy, medicine, Clinical endpoint, education, business

الوصف: Regular physical activity contributes to better control of hypertension in addition to other dietary measures and medications. The practice of physical activity and long term adherence to it is not consistently observed in a hypertensive population. We evaluated the possible role of the use of a pedometer as a stimulus to enhance the physical activity in a selected hypertensive population.We performed a prospective, randomized trial in a difficult-to-control hypertensive population that had been followed in the hypertensive clinic of the Hospital Santa Izabel of Santa Casa de Misericórdia da Bahia. This study compared two groups: Pedometer Group, which uses a pocket digital pedometer (Omron HJ-321) in addition to the usual medical recommendation; and Control Group, which was submitted to the regular medical recommendation without a pedometer. The performance was analyzed by the number of steps during 12 weeks observation period with the primary endpoint at first week. Forty-two patients were studied. Patients had largely low-income and low-education characteristics. Their initial number of steps at week 1 were: 6,191.7 (667.3), and 5,249.1 (549.5) for the Control and Pedometer Groups (p=0.28), respectively. At the end of a 12-week observation, the results were: 6,097.6 (547.0), and 5,913.0 (730.6) (p=0.84) for the Control and Pedometer Groups, respectively. In a population of difficult-to-control hypertension, which already had a relatively high number of steps to perform its regular activities of day-life at the beginning of the study, the use of a pedometer does not seem to enhance the level of physical activity beyond what is accomplished by the structured information that is provided in the hypertension clinic.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::e8ee907610c8ccd1ac32a1a99d6c0b4a
https://doi.org/10.35753/rchsi.v3i1.34