36 research outputs found
Recommendations on hypertension treatment in adults [Recomendaciones para el tratamiento de la hipertensión en adultos]
No full textIt is estimated that 50% of cardiovascular disease is attributable to high blood pressure. There is an increasing appreciation that blood pressure control must be viewed as only one component of a holistic approach to the care of the patient with hypertension, for the reason that a high percentage of hypertensive patients have other cardiovascular risk factors. As a response to the challenge of controlling hypertension and hypertension-related cardiovascular disease, some guidelines have been published for different international organizations. During the first half of 2003, the National High Blood Pressure Education Program, coordinated by the National Heart, Lung, and Blood Institute, released the Joint National Committee seventh report and almost simultaneously the European Society of Hypertension and European Society of Cardiology issued their 2003 Guidelines for the Management of Hypertension. Toward the end of the year the World Health Organization/International Society of Hypertension updated previous editions. The goal of this review is to reiterate the key components of the three guidelines for an optimal treatment in hypertension
Recommendations on hypertension treatment in adults [Recomendaciones para el tratamiento de la hipertensión en adultos]
No full textIt is estimated that 50% of cardiovascular disease is attributable to high blood pressure. There is an increasing appreciation that blood pressure control must be viewed as only one component of a holistic approach to the care of the patient with hypertension, for the reason that a high percentage of hypertensive patients have other cardiovascular risk factors. As a response to the challenge of controlling hypertension and hypertension-related cardiovascular disease, some guidelines have been published for different international organizations. During the first half of 2003, the National High Blood Pressure Education Program, coordinated by the National Heart, Lung, and Blood Institute, released the Joint National Committee seventh report and almost simultaneously the European Society of Hypertension and European Society of Cardiology issued their 2003 Guidelines for the Management of Hypertension. Toward the end of the year the World Health Organization/International Society of Hypertension updated previous editions. The goal of this review is to reiterate the key components of the three guidelines for an optimal treatment in hypertension
Ambulatory blood pressure readings. Its clinical usefulness [Medición ambulatoria de la tensión arterial. Su utilidad en la clínica]
No full textInherent inaccuracy of the auscultatory technique, mercury sphygmomanometers banned in some states and hospitals, and the development of electronic devices to measure blood pressure have all led to the creation of other measurement techniques for the diagnosis and follow-up of arterial hypertension. Blood pressure measurements with automatic devices allow the collection of multiple readings outside the office, that is, at home or at work. This method is known as ambulatory measurement, and it includes two techniques: self-measurement and 24-hour ambulatory readings. These two procedures provide more precise and accurate blood pressure readings and have shown better association with the presence and development of target organ damage, as well as prediction of cardiovascular mortality. For almost 10 years several international organisms have designed and published recommendations for their application in the clinical setting; main indications for ambulatory blood pressure monitoring are white coat hypertension and assessment of antihypertensive treatment. The most important features of both techniques are described in this paper, along with their usefulness in evaluating a patient with persistent high blood pressure readings, using the auscultatory method
Ambulatory blood pressure readings. Its clinical usefulness [Medición ambulatoria de la tensión arterial. Su utilidad en la clínica]
No full textInherent inaccuracy of the auscultatory technique, mercury sphygmomanometers banned in some states and hospitals, and the development of electronic devices to measure blood pressure have all led to the creation of other measurement techniques for the diagnosis and follow-up of arterial hypertension. Blood pressure measurements with automatic devices allow the collection of multiple readings outside the office, that is, at home or at work. This method is known as ambulatory measurement, and it includes two techniques: self-measurement and 24-hour ambulatory readings. These two procedures provide more precise and accurate blood pressure readings and have shown better association with the presence and development of target organ damage, as well as prediction of cardiovascular mortality. For almost 10 years several international organisms have designed and published recommendations for their application in the clinical setting; main indications for ambulatory blood pressure monitoring are white coat hypertension and assessment of antihypertensive treatment. The most important features of both techniques are described in this paper, along with their usefulness in evaluating a patient with persistent high blood pressure readings, using the auscultatory method
Several aspects of arterial pressure in urban workers [Algunos aspectos de la presión arterial en trabajadores urbanos.]
No full textWe studied the blood pressure in 1,635 workers in 12 companies of Guadalajara City. We observed direct relationship of age with systolic and diastolic values. The prevalence of high blood pressure for 1,000 workers was: for systolic hypertension 158.71; for sisto-diastolic hypertension 99.42 and for the diastolic hypertension 27.02. We found that for the systo-diastolic hypertensives their life expectancy was 11.5 years shorter and the economic impact was calculated in 2,954.10 million of pesos for each 100 workers
Several aspects of arterial pressure in urban workers [Algunos aspectos de la presión arterial en trabajadores urbanos.]
No full textWe studied the blood pressure in 1,635 workers in 12 companies of Guadalajara City. We observed direct relationship of age with systolic and diastolic values. The prevalence of high blood pressure for 1,000 workers was: for systolic hypertension 158.71; for sisto-diastolic hypertension 99.42 and for the diastolic hypertension 27.02. We found that for the systo-diastolic hypertensives their life expectancy was 11.5 years shorter and the economic impact was calculated in 2,954.10 million of pesos for each 100 workers
Antihypertensive prescription in a primary care center [Prescripción de antihipertensivos en un centro de atención primaria]
No full textBackground: Choice of antihypertensive drugs for the patient with hypertension may have important economic consequences. Costs differences between some drugs can be high and sometimes do not reflect greater benefits. Diuretics and β-blockers have been the cheapest. Objective: To identify trends of antihypertensive prescriptions at primary care facility. Material and method: It was performed a survey on a group of hypertensive patients. Results: Two hundred twenty nine prescriptions were evaluated in 182 patients. Seventy six percent were with one drug and 24% received combined therapy. Angiotensin-converting enzime inhibitor (ACEI) was de most commonly prescribed drug (59%) followed by β-blockers (18.3%), diuretics (14%) and calcium channel blockers (8.3%). Conclusion: Combinations of antihypertensive agents were used very infrequently. ACEI were the most prescribed for blood pressure control
Antihypertensive prescription in a primary care center [PrescripciZapotitlánn de antihipertensivos en un centro de atención primaria]
No full textBackground: Choice of antihypertensive drugs for the patient with hypertension may have important economic consequences. Costs differences between some drugs can be high and sometimes do not reflect greater benefits. Diuretics and ?-blockers have been the cheapest. Objective: To identify trends of antihypertensive prescriptions at primary care facility. Material and method: It was performed a survey on a group of hypertensive patients. Results: Two hundred twenty nine prescriptions were evaluated in 182 patients. Seventy six percent were with one drug and 24% received combined therapy. Angiotensin-converting enzime inhibitor (ACEI) was de most commonly prescribed drug (59%) followed by ?-blockers (18.3%), diuretics (14%) and calcium channel blockers (8.3%). Conclusion: Combinations of antihypertensive agents were used very infrequently. ACEI were the most prescribed for blood pressure control
Changes in the costs of antihypertensive medications in a developing country: A study in Mexico comparing 1990 and 1996
No full textIn developing countries, the cost of antihypertensive medications is one of the principal limiting factors when trying to treat patients with high blood pressure. To determine the changes in cost (in US dollars) of these medications and in the percentage of the minimum wage needed to purchase them, two cost studies (1990 and 1996) done in Mexico were compared. The yearly cost of a treatment with hydrochlorothiazide was US 10.92. Both figures represent 1.1% of the minimum wage that was in effect at the time. Propranolol hydrochloride cost US 66.12 for the same in 1996. These figures represented, respectively, 4.2% and 6.7% of the minimum wage of 1990 and 1996. The annual cost for nifedipine was US 242.16 in 1996 (24.8% of the minimum wage). The yearly cost of enalapril was US 433.20 in 1996; these costs represented, respectively, 19.4% and 44.2% of the minimum wage. The comparison of these two cost studies (1990 and 1996) shows why Mexico's population is finding it more difficult to purchase antihypertensive medications. Higher costs and reduced purchasing power seem to be the two principal factors causing this. This is probably affecting the population's health, as it is more difficult to control high blood pressure without proper treatment
Effect of plant growth regulators on plant regeneration of Dioscorea remotiflora (Kunth) through nodal explants
No full textObjective: To measure the effect on blood pressure readings when a standard cuff is used on patients with arms of a large circumference, and to determine the frequency of arms of a large circumference. Subjects: Blood pressures were taken in 120 subjects with an arm circumference greater than 33 cm. Also, the arm circumference was determined in 244 patients from a family health unit, and in 216 patients from a hypertension clinic. Method: A mercury sphygmomanometer and two different cuff sizes were used in a random sequence; therefore, 60 patients' blood pressure were first measured with a large cuff, followed by a standard cuff; the opposite sequence was then applied for another 60 patients. With the obtained values and using a regression analysis, the difference in blood pressure overestimation was calculated. Arm circumference measurement percentages were used to determine the frequency of arms of a large circumference. Results: Both systolic and diastolic blood pressures were significantly greater when the standard cuff was used. For every 5 cm increase in arm circumference, starting at 35 cm, a 2-5 mmHg increase in systolic blood pressure, and a 1-3 mmHg increase in diastolic blood pressure was observed. The prevalence of arms with a large circumference in the family medicine unit and hypertension clinic was 42% and 41.8%, respectively. Conclusions: There is an overestimation of blood pressure when a standard cuff is used in obese subjects. The high prevalence of these individuals in our environment, both in the hypertensive and normotensive population, makes it necessary to have on hand different sizes of cuffs for taking blood pressure in order to avoid incorrect decisions. " 2003 Lippincott Williams & Wilkins.",,,,,,,,,"http://hdl.handle.net/20.500.12104/41008","http://www.scopus.com/inward/record.url?eid=2-s2.0-0042383309&partnerID=40&md5=68b079188b5715a5a7b40dacd92ea2c6",,,,,,"3",,"Blood Pressure Monitoring",,"10
