Articles Tagged With: Hypertension
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Blood Pressure Control: Exercise vs. Meds
A random-effects network meta-analysis demonstrated comparable reductions in systolic blood pressure among normotensive and hypertensive participants using either antihypertensive medication or exercise interventions.
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Community-Based Lifestyle Intervention in the Black Church: The FAITH Trial
A therapeutic lifestyle change intervention delivered in churches led to a significantly greater reduction in systolic blood pressure in hypertensive blacks than health education alone.
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Therapeutic Strategies for Hypertension
This article on hypertension will cover treatments (pharmacological and nonpharmacological), initial therapy, relationship to various disease conditions (diabetes, ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular disease, ischemic stroke, stroke prevention, atrial fibrillation, valvular heart disease, aortic regurgitation, sexual dysfunction), resistant hypertension, hypertensive crises and emergencies, preoperative management, and adherence strategies.
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Update on the Management of Hypertension in the Emergency Department
This article will provide emergency physicians with a roadmap to help navigate the evaluation and management of hypertension in the emergency department.
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A Contemporary Review of Hypertension
Hypertension is a common and serious condition that contributes to an estimated 40% of deaths from coronary heart disease and stroke, and is the second leading cause of end-stage renal disease. Because of the importance and frequency of hypertension in primary care practices, we are devoting two issues to the subject. This issue focuses on the definition of blood pressure and current guidelines, risk factors, relationship to cardiovascular disease, blood pressure measurement, patient evaluation, and secondary causes. The next issue will cover treatments (pharmacological and non-pharmacological), initial therapy, relationship to various disease conditions (diabetes, ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular disease, ischemic stroke, stroke prevention, atrial fibrillation, valvular heart disease, aortic regurgitation, sexual dysfunction), resistant hypertension, hypertensive crises and emergencies, preoperative management, and adherence strategies.
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Management of Chronic Hypertension in Pregnancy
Chronic hypertension complicates about 5% of pregnancies and has been associated with higher rates of intrauterine growth restriction (IUGR), stillbirth, and, most importantly, superimposed preeclampsia. Although the condition is far from being solved, there have been some major inroads made into its understanding through contemporary investigation.
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Increased Focus on Preventing Preeclampsia
Cases of preeclampsia in the United States have increased since 1980 from 2.4% of all pregnancies to 3.8% in 2010. This increase is cause for concern: Preeclampsia accounts for more than $2.18 billion of the healthcare expenditure in the first 12 months after birth.
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Abdominal Compartment Syndrome in the Emergency Department
Intra-abdominal hypertension and abdominal compartment syndrome are common occurrences in both ICU and surgical patients. It is important for emergency physicians to have a general working knowledge of abdominal compartment syndrome so they can identify risk factors and decrease morbidity and mortality for the duration of the patient’s hospitalization.
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RESCUEicp: A Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension
Decompressive craniectomy for the treatment of refractory intracranial hypertension in patients with severe traumatic brain injury reduced mortality but increased rates of vegetative states, lower severe disability, and upper severe disability compared to continued medical management.
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Improving Blood Pressure Through Enhanced Sleep
The use of a benzodiazepine hypnotic among hypertensive patients was associated with improvements in both sleep scores and blood pressure.