The benefits of angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) beyond blood pressure reduction have been proven through many large studies (HOPE, LIFE) in high risk CVD patie... The benefits of angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) beyond blood pressure reduction have been proven through many large studies (HOPE, LIFE) in high risk CVD patients;1 post hoc studies have shown reductions in new onset type 2 diabetes mellitus (DM). ……展开更多
<strong>Introduction-Objective:</strong> <span style="white-space:normal;"><span style="font-family:;" "="">The clinical management of hypertension is well co...<strong>Introduction-Objective:</strong> <span style="white-space:normal;"><span style="font-family:;" "="">The clinical management of hypertension is well codified. It is based on drug and non-drug therapies, including regular physical activity. The aim was to evaluate the knowledge of physicians on the importance of regular physical activity (RPA) in the care of hypertensive patients at the Institute of Cardiology of Abidjan (ICA). <b>Material and Methods: </b>That was a prospective and descriptive study carried out from July 20, 2019 to September 7, 2019 at the Outpatient Department of the ICA. Our study population consisted of 32 physicians from the Outpatient Department of the ICA. To achieve our goal, we developed a questionnaire for the physicians, which included seventeen items related to the socio-occupational characteristics, to the level of knowledge of hypertension, to the attitudes and the practices in the management of hypertension, and to the factors limiting the accessibility to the practice of a physical activity. <b>Results:</b> The majority of the health professionals in our study were men (62.50%). Among 32 physicians, 56.25% were cardiologists and 75% had a seniority in position of 1 to 4 years. 81.25% of the physicians responded that the hypertensive patients could not only benefit from non-drug means. The suggestion of a complementary physical activity (jogging and brisk walking) to the hypertension treatment was found 137.5 times. Jogging and brisk walking were the main types of physical activity which were suggested to patients. All the physicians responded 3 times per week when they were asked about the frequency of activities proposed for the clinical management of patients with hypertension. Regarding the medical prescription on the type, frequency, and duration of RPA to patients, there was some discrepancy, although the majority of healthcare professionals recommended brisk walking and jogging. Their responses for a 60-minute physical activity were prevalent in 37.5% of cases. Regular physical activity ranked third in the management of the hypertensive patients. Nevertheless, all respondents proposed drug treatment associated with hygienic-dietary measures. 93.75% of health workers initially considered the physical condition of patients before they prepared them for the physical activity. The respondents regularly regarded the physical condition of the patient to evaluate the practice or not of an RPA at a frequency of 24 times in 57.89% of the cases. 93.75% of them confirmed that there was a positive relationship between the practice of the RPA and the improvement of the patient’s clinical state. <b>Conclusion: </b>The knowledge of physical activity and its benefits on the organism remains a problem for its application even though the health professionals know its positive impact on the prevention and the treatment of hypertension.</span></span>展开更多
Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health edu...Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health education of outpatients with hypertension. Methods: a total of 198 hypertension patients in a third class A hospital in Inner Mongolia Autonomous Region were investigated by convenience sampling method. The self-made questionnaire and medication compliance questionnaire (MMAS-8) prepared by Morisky et al were used to analyze the medication compliance scores of patients, and the medication compliance scores of patients of different categories were compared. Results: there were 17 patients with high compliance (8.58%), 25 patients with medium compliance (12.63%), and 156 patients with low compliance (78.79%). The results showed that marital status, educational level, age, range of family annual income, course of hypertension, presence or absence of complications, and knowledge of medication had influence on medication compliance of patients with hypertension, among which educational level and knowledge of medication could affect medication compliance of patients together. Conclusion: the level of medication compliance of outpatient hypertension patients is low, and the compliance is affected by many factors. Publicity of knowledge related to hypertension is helpful to improve the compliance of patients.展开更多
Objective: to conduct meticulous medical treatment for hypertension patients. Methods: treatment was conducted by randomization. The treatment group adopted the daily lifestyle. Diastolic, systolic, SF-36 life quality...Objective: to conduct meticulous medical treatment for hypertension patients. Methods: treatment was conducted by randomization. The treatment group adopted the daily lifestyle. Diastolic, systolic, SF-36 life quality scores and nurse satisfaction were higher than the control group. Results: diastolic (mmHg) and systolic (mmHg) were 73.52 ± 7.71 and 122.35 ± 8.82, while diastolic (mmHg) and systolic (mmHg) were 84.26 ± 7.38 and 137.40 ± 8.59, respectively. There were significant differences (P <0.05);the SF-36 of life score was 78.84 ± 3.89 in the high blood life score, and 62.67 ± 5.80 in the control group. The difference between the two groups was statistically significant (P <0.05). Hypertension patient satisfaction (%) was 107 (66.88), (31.25), (1.88), 157 (98.13);the control group was very satisfied, satisfied, dissatisfied, total satisfaction (%) was 85 (53.13), 39 (24.38), 36 (22.50), 124 (77.50) (P <0.05). Conclusion: the treatment of hypertensive patients was better than traditional nursing measures. After adopting medical and meticulous nursing measures, the patients diastolic BP and systolic BP both decreased significantly, and the SF-36 quality of life score was significantly improved, and the patient was more confident in the clinical fine management of blood pressure management. Therefore, the medical meticulous nursing is applied in large clinical work.展开更多
Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hyperte...Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.展开更多
Objective To investigate the changes of home blood pressure from weekdays to weekends and its influencingfactors.Methods This study was a national multicenter prospective registry study.Data came from the registry stu...Objective To investigate the changes of home blood pressure from weekdays to weekends and its influencingfactors.Methods This study was a national multicenter prospective registry study.Data came from the registry study on the"Action of controlling home blood pressure to target in ten thousand patients".展开更多
Isoptin SR was used in 65 essential hypertensive patients.240mg Isoptin SR(German Knoll Pharmaceutical company) Per day was used in group A(35 cases)for 6 weeks,and in guoup B(30 cases)for 24 weeks,BP in group a and B...Isoptin SR was used in 65 essential hypertensive patients.240mg Isoptin SR(German Knoll Pharmaceutical company) Per day was used in group A(35 cases)for 6 weeks,and in guoup B(30 cases)for 24 weeks,BP in group a and B decreased obviously in the first and second week after treament.展开更多
Objective To investigate the impacts of blood pressure control on coronary flow reserve(CFR)in hypertensive patients.Methods A total of 236 patients without significant coronary stenosis(defined as<50%luminal narro...Objective To investigate the impacts of blood pressure control on coronary flow reserve(CFR)in hypertensive patients.Methods A total of 236 patients without significant coronary stenosis(defined as<50%luminal narrowing confirmed by coronary angiography or coronary artery CT scan)between January 2011 and July 2015were retrospectively enrolled in this study.CFR展开更多
Objective: this article mainly aimed at the elderly hypertensive cerebral hemorrhage postoperative pulmonary infection of the application of cluster nursing measures for a systematic study and analysis. Methods: retro...Objective: this article mainly aimed at the elderly hypertensive cerebral hemorrhage postoperative pulmonary infection of the application of cluster nursing measures for a systematic study and analysis. Methods: retrospective analysis was used to select 200 elderly patients with hypertensive cerebral hemorrhage treated in our hospital from 2017 to 2018. According to different nursing methods, they were randomly divided into two groups: control group and experimental group, with 100 subjects in each group. During the study, we need to compare, collect and record the nursing effect data of the two groups of elderly patients with pulmonary infection after hypertensive cerebral hemorrhage. Results: observation group of elderly patients with hypertensive cerebral hemorrhage postoperative pulmonary infection of the actual nursing effect to be better, and significantly better than the control group of patients. Conclusion: in the actual nursing process of elderly patients with pulmonary infection after hypertensive cerebral hemorrhage, the effect of cluster nursing measures is significantly better than the effect of traditional nursing measures, can improve the satisfaction of patients, and improve the patient indicators.展开更多
Objective: The association hypertension and diabetes is important. The two pathologies may influence each other. The aim was to study the correlation between glycemic control and blood pressure control and to determin...Objective: The association hypertension and diabetes is important. The two pathologies may influence each other. The aim was to study the correlation between glycemic control and blood pressure control and to determine the factors associated with blood pressure control. Methodology: This was a descriptive cross-sectional study with an analytical focus over 7 months. Patients were recruited as outpatients and all underwent ambulatory blood pressure measure, glycated hemoglobin and creatinine measurements, and assessment of compliance with treatment. Results: During this period 116 patients were collected. The predominance was female 69%. The mean age of the patients was 62 ± 7 years with a peak between 60 and 70 years. The average age of hypertension was 12 years and that of diabetes 6 1/2 years. The most frequently associated cardiovascular risk factor was a sedentary lifestyle (71.5%) after age. 57.8% of patients were not controlled at the office, with a predominance of systolic hypertension (58.2%). 61.6% of patients were controlled by ambulatory blood pressure measure, a rate of 47.8% of white coat hypertension. Glycemic control was observed in 42.2% of cases and 87% of patients had good renal function (glomerular filter rate ≥ 60 ml/mn). Therapeutic compliance was good in 53.4% of cases and dual therapy was the most used therapeutic modality 44.8% (52 patients) followed by triple therapy. The factors associated with poor blood pressure control were glycemic imbalance, non-compliance and monotherapy. Dual therapy had a protective effect. Conclusion: The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. Ambulatory blood pressure measure is the best method to assess blood pressure control. Optimization of blood pressure control should also include optimization of glycemic control.展开更多
This study investigated the effect of catheter-based renal sympathetic denervation （RD） on left ventricular hypertrophy （LVH） and systolic and diastolic function in patients with resistant hypertension. LVH and di...This study investigated the effect of catheter-based renal sympathetic denervation （RD） on left ventricular hypertrophy （LVH） and systolic and diastolic function in patients with resistant hypertension. LVH and diastolic dysfunction are associated with elevated sympathetic activity and increased morbidity and mortality. The effect of RD on LVH and LV function is unclear展开更多
BACKGROUND： Inflammatory reaction and the increased level of its accompanying active protein play an important role in the occurrence and development of cerebral infarction. C-reactive protein, fibrinogen and white b...BACKGROUND： Inflammatory reaction and the increased level of its accompanying active protein play an important role in the occurrence and development of cerebral infarction. C-reactive protein, fibrinogen and white blood cell, as the monitoring index of inflammatory reaction, are very important in the occurrence and development of acute cerebral infarction. OBJECTIVE： To make a comparison between patients with primary hypertension accompanied with acute cerebral infarction and with simple primary hypertension by observing the changes in plasma C-reactive protein and fibrinogen levels as well as white blood cell and differential counts and analyzing their significances. DESIGN ： Controlled observation SETTING ： Ward Building for VIP, Shenzhen Hospital, Peking University. PARTICIPANTS： Totally 133 patients with primary hypertension were selected from Ward Building for VIP, Shenzhen Hospital, Peking University during September 2003 to September 2005, The diagnostic criteria were based on the hypertension diagnosis criteria formulated by the 7^th World Health Organization-International Society of Hypertension Guidelines （WHO-ISH） in 1998. The informed consents were obtained from all the participants. The involved patients were assigned into two groups： primary hypertension group, in which, there were 65 patients with primary hypertension （ degree 2）, including 42 males and 23 females, with mean age of （61 ±14）years and mean blood pressure of （162.7±6.8）/（94.2±8.4） mm Hg （1 mm Hg =0.133 kPa）, and primary hypertension combined with cerebral infarction group, in which, there were 68 patients with primary hypertension combined with cerebral infarction （ meeting the diagnostic criteria formulated in the 4^th National Cerebrovascular Diseases Meeting in 1995 and diagnosed by skull CT or MRI to exclude the patients with lacunar infarction）, including 42 males and 26 females, with mean age of （56±15） years and mean blood pressure of （176.4±9.2）/（96.3±9.7） mm Hg. METHODS： Plasm C-reactive protein and fibrinogen levels, and white blood cell and differential counts of patients in the two groups were examined 24 hours after stroke. The above indexes were re-examined in the primary hypertension combined with cerebral infarction group 72 hours after stroke. White blood cell and differential counts were performed with laser method （East Asia FE-95001 RAM-1, Japan）. The level of C-reactive protein was measured with turbidimetry （BNII Automatic Systems For Analysis, USA）. The level of fibrinogen was measured with algorithm method when prothrombin time was normal and with Clauss method when prothrombin time was abnormal （ACL Automatic Coagulation Analyzer, USA）. MAIN OUTCOME MEASURES： The plasm C-reactive protein and flbrinogen levels, and white blood cell and differential counts 24 hours after stroke in two groups and 72 hours after stroke in primary hypertension combined with cerebral infarction group. RESULTS： All the 133 involved patients participated in the result analysis. The plasm C-reactive protein and fibrinogen levels, and white blood cell and neutrophil counts in patients with primary hypertension were all within the normal range. The plasm C-reactive protein and fibrinogen levels, and white blood cell and neu- trophil counts in patients with primary hypertension combined with cerebral infarction were significantly higher than those in patients with primary hypertension 24 hours after stroke and 72 hours after stroke respectively[24 hours after stroke：（32.12±11.76） mg/L vs. （5.02±3.21 ） mg/L;（4.64±0.75） g/L vs. （3.12±0.49） g/L; （9.32±81）×10^9 L^- 1 vs. （5.78±1.32）×10^9L^- 1 （7.85±2.38）×10^9 L^- 1 vs.（3.49±1.28）×10^9 L^-1,t =7.094, 5.759,4.106,5.491, respectively,all P〈 0.01; 72 hours after stroke： （47.62±18.43） mg/L vs. （32.12±11.76） mg/L; （5.08±0.82） g/L vs. （4.64±0.75） g/L, t =2.864,2.220, respectively, both P 〈 0.05]. CONCLUSION： The increase in fibrinogen level and white blood cell count are the important index in monitoring primary hypertension combined with acute cerebral infarction. The increase in plasm C-reactive protein and fibrinogen levels 72 hours after stroke indicates that plasma C-reactive protein and fibrinogen are very important in the development of disease.展开更多
Objective: to analyze the application effect of health education in the clinical care of elderly hypertension patients. Methods: a total of 70 elderly hypertensive patients were selected from January 2019 to January 2...Objective: to analyze the application effect of health education in the clinical care of elderly hypertension patients. Methods: a total of 70 elderly hypertensive patients were selected from January 2019 to January 2020, and the digital tables were randomly divided into 2 groups and 35 patients per group. Patients in the control group were given routine care, and the observation group implemented quality health education care. The two groups were compared with the length of hospitalization, knowledge about hypertension diseases, compliance with antihypertensive drugs, blood pressure monitoring level, BI index of daily life activities, SF-36 score of concise health scale, and satisfaction. Results: hospital stay was shorter than control group, satisfaction was higher than control group, P <0.05. In the observation group, knowledge cognition of hypertension disease, antihypertensive medication compliance, BI index, and concise health scale SF-36 score were significantly higher than the control group, blood pressure monitoring level was lower than the control group, and P <0.05. Conclusion: the role of quality care in hypertension health education in the elderly is exact, which can improve patients 'health knowledge and compliance with antihypertensive drugs, and improve patients' daily life activities, improve blood pressure and quality of life, which is worth promotion and application.展开更多
Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hyperten...Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hypertension were selected as the research object, and these patients who were treated in our hospital from December 2020 to March 2021 were randomly divided into two groups. The observation group (n=50) received rehabilitation care, and the control group (n=50) received routine care. The changes of quality of life and psychological status of the two groups of patients before and after care were compared. Results: compared with pre-care and post-care systolic and diastolic blood pressure levels of the two groups of patients were significantly reduced, but the decrease in the observation group was more significant (P < 0.05). The scores of physiological function, psychological function, mental health and social function of the patients in the observation group were higher than those in the control group (P < 0.05). Results: 92.45% in the observation group was higher than 71.70% in the control group, and the difference in nursing satisfaction between the two groups was significant (p < 0.05). Conclusion: the application of rehabilitation nursing model in the nursing process of elderly patients with hypertension can improve their quality of life and effectively control blood pressure, so it is worthy of clinical application.展开更多
Background Previous studies have shown that an echocardiographic right/left ventricular end-diastolic diameter ratio(RV/LV ratio)≥0.9 is an independent predictor of poor prognosis in patients with acute pulmonary emb...Background Previous studies have shown that an echocardiographic right/left ventricular end-diastolic diameter ratio(RV/LV ratio)≥0.9 is an independent predictor of poor prognosis in patients with acute pulmonary embolism.The prognostic value of the RV/LV ratio in patients with idiopathic pulmonary arterial hypertension(IPAH)is still unknown.Methods We retrospectively enrolled 95 consecutive patients with newly diagnosed IPAH and 16 of them were reevaluated by echocardiography at 3-12 months following targeted therapy.Follow-up data were obtained by telephone interviews and review of the patients’records.Results The RV/LV ratio was in parallel with the severity of World Health Orgnization(WHO)functional class and mean right atrial pressure.The RV/LV ratio was positively correlated with total pulmonary resistance(P P P 2 saturation(P P=0.001),weight and absence of targeted therapy were independent predictors of death.No significant changes in the RV/LV ratio before and after targeted therapy were observed.A baseline RV/LV ratio≥0.84 or a further increase in the RV/LV ratio during targeted therapy indicated a poor prognosis.Conclusions The RV/LV ratio helps to assess the severity of IPAH and serves as an independent predictor of prognosis in patients with IPAH.展开更多
Objective: to study the effect of valsartan combined with amlodipine in the treatment of three high diseases. Methods: a total of 100 patients in our hospital from 2019 to date were randomly divided into two groups. T...Objective: to study the effect of valsartan combined with amlodipine in the treatment of three high diseases. Methods: a total of 100 patients in our hospital from 2019 to date were randomly divided into two groups. The patients in the first group were treated with valsartan, and the patients in the second group were treated with amlodipine while valsartan. After the treatment was completed, the physical conditions of the two groups were compared, including whether there was any adverse reaction. Results: the physical condition of patients in the second group after treatment was lower than that in the first group (P < 0.05). No obvious adverse reactions were observed in the two groups during the treatment, and the treatment effects were relatively good. P > 0.05. Conclusion: valsartan combined with amlodipine in the treatment of hypertension can obtain better effect, which is very good for improving patients' physical condition, improving patients' life quality and ensuring the safety in the treatment process.展开更多
Objective: to explore and compare the effects of different health education methods on blood pressure control level of patients with essential hypertension in physical examination center. Methods: 80 patients with ess...Objective: to explore and compare the effects of different health education methods on blood pressure control level of patients with essential hypertension in physical examination center. Methods: 80 patients with essential hypertension were divided into groups by touching the ball in the physical examination center. 40 patients in the control group received basic health education and 40 patients in the observation group received systematic health education. The results were observed and recorded. Results: the blood pressure index of the observation group was lower, and the score of quality of life and nursing satisfaction were higher (P < 0.05). Conclusion: systematic health education plays a very important role in stabilizing and controlling blood pressure. The quality of life of patients is generally improved. They are very satisfied with the nursing model, which is worthy of popularization and use.展开更多
Objective: to explore the influence of responsibility nursing on the rehabilitation and self-management level of patients with coronary heart disease and hypertension. Methods: 69 patients with coronary heart disease ...Objective: to explore the influence of responsibility nursing on the rehabilitation and self-management level of patients with coronary heart disease and hypertension. Methods: 69 patients with coronary heart disease complicated with hypertension from November 2019 to August 2021 were randomly divided into observation group (n = 35) and control group (n = 34). The control group was given routine nursing, while the observation group was given responsibility nursing. The self-management level and recovery of the two groups after intervention were compared. Results: after the intervention, the scores of self-efficacy ability, daily living ability, mental state, enthusiasm for life and treatment compliance in the observation group were higher than those in the control group (P < 0.05). After the intervention, the scores of angina pectoris attack, stable angina pectoris, disease cognition level, activity restriction score and nursing satisfaction in the observation group were higher than those in the control group (P < 0.05). Conclusion: applying the responsibility nursing measures to patients with coronary heart disease can effectively improve the quality of nursing, enhance the enthusiasm of medical staff, promote the recovery of the disease, relieve the symptoms of angina pectoris and strengthen the level of disease cognition.展开更多
BACKGROUND The World Health Organization reported that 28637952 people worldwide had been infected with severe acute respiratory syndrome coronavirus 2,the causative agent of coronavirus disease 2019(COVID-19),by Sept...BACKGROUND The World Health Organization reported that 28637952 people worldwide had been infected with severe acute respiratory syndrome coronavirus 2,the causative agent of coronavirus disease 2019(COVID-19),by September 13.AIM The aim was to investigate whether long-term use of renin-angiotensin-aldosterone system(RAAS)inhibitors for the treatment of hypertension aggravates the performance of COVID-19 patients with hypertension.METHODS This was a retrospective analysis of lung computed tomography(CT)data and laboratory values of COVID-19 patients with hypertension who were admitted to Huoshenshan Hospital,Wuhan,Hubei Province,between February 18 and March 31,2020.Patients were divided into two groups.Group A included 19 people who were long-term users of RAAS inhibitors for hypertension;and group B included 28 people who were randomly selected from the database and matched with group A by age,sex,basic diseases,and long-term use of other antihypertensive drugs.All patients underwent a series of CT and laboratory tests.We compared the most severe CT images of the two groups and the laboratory examination results within 2 d of the corresponding CT images.RESULTS The time until the most severe CT images from the onset of COVID-19 was 30.37±14.25 d group A and 26.50±11.97 d in group B.The difference between the two groups was not significant(t=1.01,P=0.32).There were no significant differences in blood laboratory values,C-reactive protein,markers of cardiac injury,liver function,or kidney function between the two groups.There was no significant difference in the appearance of the CT images between the two groups.The semiquantitative scores of each involved lobe were 11.84±5.88 in group A and 10.36±6.04 group B.The difference was not significantly different(t=0.84,P=0.41).CONCLUSION Chest CT is an important imaging tool to monitor the characteristics of COVID-19 and the degree of lung injury.Chronic use of RAAS inhibitors is not related to the severity of COVID-19,and it does not worsen the clinical process.展开更多
Objective: in clinical medicine, hypertension belongs to endocrine metabolic disease. At present, the pace of people's life has accelerated, the living standard has been improved, the number of population increase...Objective: in clinical medicine, hypertension belongs to endocrine metabolic disease. At present, the pace of people's life has accelerated, the living standard has been improved, the number of population increases, the number of hypertension patients also gradually increased. With the increase of adverse factors, the probability of hypertension in the elderly increases greatly. In recent years, the number of people suffering from high blood pressure is gradually increasing. Nowadays, diabetes has become a threat to human life. This study is an effective way for clinical treatment of hypertension. Methods: to summarize and analyze the clinical data of 100 elderly patients with hypertension. After special treatment and careful nursing, the patients received rehabilitation operation period throughout the whole disease cycle, and finally discharged from hospital. Conclusion: the patient's family members strictly control the patient's blood pressure, improve the living environment, closely observe the changes of the condition, quickly discover the problems, and actively treat the complications, which is conducive to the patient's postoperative recovery.展开更多
文摘 The benefits of angiotensin converting enzyme inhibitor (ACEI) and angiotensin receptor blocker (ARB) beyond blood pressure reduction have been proven through many large studies (HOPE, LIFE) in high risk CVD patients;1 post hoc studies have shown reductions in new onset type 2 diabetes mellitus (DM). ……
文摘<strong>Introduction-Objective:</strong> <span style="white-space:normal;"><span style="font-family:;" "="">The clinical management of hypertension is well codified. It is based on drug and non-drug therapies, including regular physical activity. The aim was to evaluate the knowledge of physicians on the importance of regular physical activity (RPA) in the care of hypertensive patients at the Institute of Cardiology of Abidjan (ICA). <b>Material and Methods: </b>That was a prospective and descriptive study carried out from July 20, 2019 to September 7, 2019 at the Outpatient Department of the ICA. Our study population consisted of 32 physicians from the Outpatient Department of the ICA. To achieve our goal, we developed a questionnaire for the physicians, which included seventeen items related to the socio-occupational characteristics, to the level of knowledge of hypertension, to the attitudes and the practices in the management of hypertension, and to the factors limiting the accessibility to the practice of a physical activity. <b>Results:</b> The majority of the health professionals in our study were men (62.50%). Among 32 physicians, 56.25% were cardiologists and 75% had a seniority in position of 1 to 4 years. 81.25% of the physicians responded that the hypertensive patients could not only benefit from non-drug means. The suggestion of a complementary physical activity (jogging and brisk walking) to the hypertension treatment was found 137.5 times. Jogging and brisk walking were the main types of physical activity which were suggested to patients. All the physicians responded 3 times per week when they were asked about the frequency of activities proposed for the clinical management of patients with hypertension. Regarding the medical prescription on the type, frequency, and duration of RPA to patients, there was some discrepancy, although the majority of healthcare professionals recommended brisk walking and jogging. Their responses for a 60-minute physical activity were prevalent in 37.5% of cases. Regular physical activity ranked third in the management of the hypertensive patients. Nevertheless, all respondents proposed drug treatment associated with hygienic-dietary measures. 93.75% of health workers initially considered the physical condition of patients before they prepared them for the physical activity. The respondents regularly regarded the physical condition of the patient to evaluate the practice or not of an RPA at a frequency of 24 times in 57.89% of the cases. 93.75% of them confirmed that there was a positive relationship between the practice of the RPA and the improvement of the patient’s clinical state. <b>Conclusion: </b>The knowledge of physical activity and its benefits on the organism remains a problem for its application even though the health professionals know its positive impact on the prevention and the treatment of hypertension.</span></span>
文摘Objective: to investigate the medication compliance of outpatients with hypertension, analyze its influencing factors, and explore its relationship with medication compliance, so as to provide the basis for health education of outpatients with hypertension. Methods: a total of 198 hypertension patients in a third class A hospital in Inner Mongolia Autonomous Region were investigated by convenience sampling method. The self-made questionnaire and medication compliance questionnaire (MMAS-8) prepared by Morisky et al were used to analyze the medication compliance scores of patients, and the medication compliance scores of patients of different categories were compared. Results: there were 17 patients with high compliance (8.58%), 25 patients with medium compliance (12.63%), and 156 patients with low compliance (78.79%). The results showed that marital status, educational level, age, range of family annual income, course of hypertension, presence or absence of complications, and knowledge of medication had influence on medication compliance of patients with hypertension, among which educational level and knowledge of medication could affect medication compliance of patients together. Conclusion: the level of medication compliance of outpatient hypertension patients is low, and the compliance is affected by many factors. Publicity of knowledge related to hypertension is helpful to improve the compliance of patients.
文摘Objective: to conduct meticulous medical treatment for hypertension patients. Methods: treatment was conducted by randomization. The treatment group adopted the daily lifestyle. Diastolic, systolic, SF-36 life quality scores and nurse satisfaction were higher than the control group. Results: diastolic (mmHg) and systolic (mmHg) were 73.52 ± 7.71 and 122.35 ± 8.82, while diastolic (mmHg) and systolic (mmHg) were 84.26 ± 7.38 and 137.40 ± 8.59, respectively. There were significant differences (P <0.05);the SF-36 of life score was 78.84 ± 3.89 in the high blood life score, and 62.67 ± 5.80 in the control group. The difference between the two groups was statistically significant (P <0.05). Hypertension patient satisfaction (%) was 107 (66.88), (31.25), (1.88), 157 (98.13);the control group was very satisfied, satisfied, dissatisfied, total satisfaction (%) was 85 (53.13), 39 (24.38), 36 (22.50), 124 (77.50) (P <0.05). Conclusion: the treatment of hypertensive patients was better than traditional nursing measures. After adopting medical and meticulous nursing measures, the patients diastolic BP and systolic BP both decreased significantly, and the SF-36 quality of life score was significantly improved, and the patient was more confident in the clinical fine management of blood pressure management. Therefore, the medical meticulous nursing is applied in large clinical work.
文摘Objective:The study aimed to assess medication management compliance and mental health in elderly patients with hypertension.Method:The study evaluated medication compliance and mental health status of elderly hypertensive patients in China using simple random sampling.Data was collected using the Morisky Medication Compliance Questionnaire,Hospital Anxiety and Depression Scale,and a checklist.Ethical practices were strictly observed.Results:A study of 100 elderly hypertensive patients found poor drug management compliance,with female patients showing worse compliance.Female patients were more vulnerable to anxiety and depression.The study also found no significant association between gender,age,education level,marital status,living standards,and medication compliance.Barriers to medication management included food and daily necessities,lack of awareness about the importance of drug treatment,and basic family needs.The lowest-ranked barriers were lack of support from government health clinics,low income,and lack of family support.Conclusion:Based on the results,the study proposes an educational plan for elderly hypertensive patients and their families,to be evaluated and implemented by the hospital and township community service center.The plan aims to improve medication management and lifestyle modification compliance,encourage active participation,and provide access to medical and mental health clinics,support groups,and counseling services.
文摘Objective To investigate the changes of home blood pressure from weekdays to weekends and its influencingfactors.Methods This study was a national multicenter prospective registry study.Data came from the registry study on the"Action of controlling home blood pressure to target in ten thousand patients".
文摘Isoptin SR was used in 65 essential hypertensive patients.240mg Isoptin SR(German Knoll Pharmaceutical company) Per day was used in group A(35 cases)for 6 weeks,and in guoup B(30 cases)for 24 weeks,BP in group a and B decreased obviously in the first and second week after treament.
文摘Objective To investigate the impacts of blood pressure control on coronary flow reserve(CFR)in hypertensive patients.Methods A total of 236 patients without significant coronary stenosis(defined as<50%luminal narrowing confirmed by coronary angiography or coronary artery CT scan)between January 2011 and July 2015were retrospectively enrolled in this study.CFR
文摘Objective: this article mainly aimed at the elderly hypertensive cerebral hemorrhage postoperative pulmonary infection of the application of cluster nursing measures for a systematic study and analysis. Methods: retrospective analysis was used to select 200 elderly patients with hypertensive cerebral hemorrhage treated in our hospital from 2017 to 2018. According to different nursing methods, they were randomly divided into two groups: control group and experimental group, with 100 subjects in each group. During the study, we need to compare, collect and record the nursing effect data of the two groups of elderly patients with pulmonary infection after hypertensive cerebral hemorrhage. Results: observation group of elderly patients with hypertensive cerebral hemorrhage postoperative pulmonary infection of the actual nursing effect to be better, and significantly better than the control group of patients. Conclusion: in the actual nursing process of elderly patients with pulmonary infection after hypertensive cerebral hemorrhage, the effect of cluster nursing measures is significantly better than the effect of traditional nursing measures, can improve the satisfaction of patients, and improve the patient indicators.
文摘Objective: The association hypertension and diabetes is important. The two pathologies may influence each other. The aim was to study the correlation between glycemic control and blood pressure control and to determine the factors associated with blood pressure control. Methodology: This was a descriptive cross-sectional study with an analytical focus over 7 months. Patients were recruited as outpatients and all underwent ambulatory blood pressure measure, glycated hemoglobin and creatinine measurements, and assessment of compliance with treatment. Results: During this period 116 patients were collected. The predominance was female 69%. The mean age of the patients was 62 ± 7 years with a peak between 60 and 70 years. The average age of hypertension was 12 years and that of diabetes 6 1/2 years. The most frequently associated cardiovascular risk factor was a sedentary lifestyle (71.5%) after age. 57.8% of patients were not controlled at the office, with a predominance of systolic hypertension (58.2%). 61.6% of patients were controlled by ambulatory blood pressure measure, a rate of 47.8% of white coat hypertension. Glycemic control was observed in 42.2% of cases and 87% of patients had good renal function (glomerular filter rate ≥ 60 ml/mn). Therapeutic compliance was good in 53.4% of cases and dual therapy was the most used therapeutic modality 44.8% (52 patients) followed by triple therapy. The factors associated with poor blood pressure control were glycemic imbalance, non-compliance and monotherapy. Dual therapy had a protective effect. Conclusion: The association of hypertension and type 2 diabetes is frequent. The risk of occurrence increases with age. Ambulatory blood pressure measure is the best method to assess blood pressure control. Optimization of blood pressure control should also include optimization of glycemic control.
文摘This study investigated the effect of catheter-based renal sympathetic denervation （RD） on left ventricular hypertrophy （LVH） and systolic and diastolic function in patients with resistant hypertension. LVH and diastolic dysfunction are associated with elevated sympathetic activity and increased morbidity and mortality. The effect of RD on LVH and LV function is unclear
文摘BACKGROUND： Inflammatory reaction and the increased level of its accompanying active protein play an important role in the occurrence and development of cerebral infarction. C-reactive protein, fibrinogen and white blood cell, as the monitoring index of inflammatory reaction, are very important in the occurrence and development of acute cerebral infarction. OBJECTIVE： To make a comparison between patients with primary hypertension accompanied with acute cerebral infarction and with simple primary hypertension by observing the changes in plasma C-reactive protein and fibrinogen levels as well as white blood cell and differential counts and analyzing their significances. DESIGN ： Controlled observation SETTING ： Ward Building for VIP, Shenzhen Hospital, Peking University. PARTICIPANTS： Totally 133 patients with primary hypertension were selected from Ward Building for VIP, Shenzhen Hospital, Peking University during September 2003 to September 2005, The diagnostic criteria were based on the hypertension diagnosis criteria formulated by the 7^th World Health Organization-International Society of Hypertension Guidelines （WHO-ISH） in 1998. The informed consents were obtained from all the participants. The involved patients were assigned into two groups： primary hypertension group, in which, there were 65 patients with primary hypertension （ degree 2）, including 42 males and 23 females, with mean age of （61 ±14）years and mean blood pressure of （162.7±6.8）/（94.2±8.4） mm Hg （1 mm Hg =0.133 kPa）, and primary hypertension combined with cerebral infarction group, in which, there were 68 patients with primary hypertension combined with cerebral infarction （ meeting the diagnostic criteria formulated in the 4^th National Cerebrovascular Diseases Meeting in 1995 and diagnosed by skull CT or MRI to exclude the patients with lacunar infarction）, including 42 males and 26 females, with mean age of （56±15） years and mean blood pressure of （176.4±9.2）/（96.3±9.7） mm Hg. METHODS： Plasm C-reactive protein and fibrinogen levels, and white blood cell and differential counts of patients in the two groups were examined 24 hours after stroke. The above indexes were re-examined in the primary hypertension combined with cerebral infarction group 72 hours after stroke. White blood cell and differential counts were performed with laser method （East Asia FE-95001 RAM-1, Japan）. The level of C-reactive protein was measured with turbidimetry （BNII Automatic Systems For Analysis, USA）. The level of fibrinogen was measured with algorithm method when prothrombin time was normal and with Clauss method when prothrombin time was abnormal （ACL Automatic Coagulation Analyzer, USA）. MAIN OUTCOME MEASURES： The plasm C-reactive protein and flbrinogen levels, and white blood cell and differential counts 24 hours after stroke in two groups and 72 hours after stroke in primary hypertension combined with cerebral infarction group. RESULTS： All the 133 involved patients participated in the result analysis. The plasm C-reactive protein and fibrinogen levels, and white blood cell and neutrophil counts in patients with primary hypertension were all within the normal range. The plasm C-reactive protein and fibrinogen levels, and white blood cell and neu- trophil counts in patients with primary hypertension combined with cerebral infarction were significantly higher than those in patients with primary hypertension 24 hours after stroke and 72 hours after stroke respectively[24 hours after stroke：（32.12±11.76） mg/L vs. （5.02±3.21 ） mg/L;（4.64±0.75） g/L vs. （3.12±0.49） g/L; （9.32±81）×10^9 L^- 1 vs. （5.78±1.32）×10^9L^- 1 （7.85±2.38）×10^9 L^- 1 vs.（3.49±1.28）×10^9 L^-1,t =7.094, 5.759,4.106,5.491, respectively,all P〈 0.01; 72 hours after stroke： （47.62±18.43） mg/L vs. （32.12±11.76） mg/L; （5.08±0.82） g/L vs. （4.64±0.75） g/L, t =2.864,2.220, respectively, both P 〈 0.05]. CONCLUSION： The increase in fibrinogen level and white blood cell count are the important index in monitoring primary hypertension combined with acute cerebral infarction. The increase in plasm C-reactive protein and fibrinogen levels 72 hours after stroke indicates that plasma C-reactive protein and fibrinogen are very important in the development of disease.
文摘Objective: to analyze the application effect of health education in the clinical care of elderly hypertension patients. Methods: a total of 70 elderly hypertensive patients were selected from January 2019 to January 2020, and the digital tables were randomly divided into 2 groups and 35 patients per group. Patients in the control group were given routine care, and the observation group implemented quality health education care. The two groups were compared with the length of hospitalization, knowledge about hypertension diseases, compliance with antihypertensive drugs, blood pressure monitoring level, BI index of daily life activities, SF-36 score of concise health scale, and satisfaction. Results: hospital stay was shorter than control group, satisfaction was higher than control group, P <0.05. In the observation group, knowledge cognition of hypertension disease, antihypertensive medication compliance, BI index, and concise health scale SF-36 score were significantly higher than the control group, blood pressure monitoring level was lower than the control group, and P <0.05. Conclusion: the role of quality care in hypertension health education in the elderly is exact, which can improve patients 'health knowledge and compliance with antihypertensive drugs, and improve patients' daily life activities, improve blood pressure and quality of life, which is worth promotion and application.
文摘Objective: to observe the effect of rehabilitation nursing model on the quality of life and blood pressure control of elderly patients with hypertension. Methods: In this experiment, 100 elderly patients with hypertension were selected as the research object, and these patients who were treated in our hospital from December 2020 to March 2021 were randomly divided into two groups. The observation group (n=50) received rehabilitation care, and the control group (n=50) received routine care. The changes of quality of life and psychological status of the two groups of patients before and after care were compared. Results: compared with pre-care and post-care systolic and diastolic blood pressure levels of the two groups of patients were significantly reduced, but the decrease in the observation group was more significant (P < 0.05). The scores of physiological function, psychological function, mental health and social function of the patients in the observation group were higher than those in the control group (P < 0.05). Results: 92.45% in the observation group was higher than 71.70% in the control group, and the difference in nursing satisfaction between the two groups was significant (p < 0.05). Conclusion: the application of rehabilitation nursing model in the nursing process of elderly patients with hypertension can improve their quality of life and effectively control blood pressure, so it is worthy of clinical application.
文摘Background Previous studies have shown that an echocardiographic right/left ventricular end-diastolic diameter ratio(RV/LV ratio)≥0.9 is an independent predictor of poor prognosis in patients with acute pulmonary embolism.The prognostic value of the RV/LV ratio in patients with idiopathic pulmonary arterial hypertension(IPAH)is still unknown.Methods We retrospectively enrolled 95 consecutive patients with newly diagnosed IPAH and 16 of them were reevaluated by echocardiography at 3-12 months following targeted therapy.Follow-up data were obtained by telephone interviews and review of the patients’records.Results The RV/LV ratio was in parallel with the severity of World Health Orgnization(WHO)functional class and mean right atrial pressure.The RV/LV ratio was positively correlated with total pulmonary resistance(P P P 2 saturation(P P=0.001),weight and absence of targeted therapy were independent predictors of death.No significant changes in the RV/LV ratio before and after targeted therapy were observed.A baseline RV/LV ratio≥0.84 or a further increase in the RV/LV ratio during targeted therapy indicated a poor prognosis.Conclusions The RV/LV ratio helps to assess the severity of IPAH and serves as an independent predictor of prognosis in patients with IPAH.
文摘Objective: to study the effect of valsartan combined with amlodipine in the treatment of three high diseases. Methods: a total of 100 patients in our hospital from 2019 to date were randomly divided into two groups. The patients in the first group were treated with valsartan, and the patients in the second group were treated with amlodipine while valsartan. After the treatment was completed, the physical conditions of the two groups were compared, including whether there was any adverse reaction. Results: the physical condition of patients in the second group after treatment was lower than that in the first group (P < 0.05). No obvious adverse reactions were observed in the two groups during the treatment, and the treatment effects were relatively good. P > 0.05. Conclusion: valsartan combined with amlodipine in the treatment of hypertension can obtain better effect, which is very good for improving patients' physical condition, improving patients' life quality and ensuring the safety in the treatment process.
文摘Objective: to explore and compare the effects of different health education methods on blood pressure control level of patients with essential hypertension in physical examination center. Methods: 80 patients with essential hypertension were divided into groups by touching the ball in the physical examination center. 40 patients in the control group received basic health education and 40 patients in the observation group received systematic health education. The results were observed and recorded. Results: the blood pressure index of the observation group was lower, and the score of quality of life and nursing satisfaction were higher (P < 0.05). Conclusion: systematic health education plays a very important role in stabilizing and controlling blood pressure. The quality of life of patients is generally improved. They are very satisfied with the nursing model, which is worthy of popularization and use.
文摘Objective: to explore the influence of responsibility nursing on the rehabilitation and self-management level of patients with coronary heart disease and hypertension. Methods: 69 patients with coronary heart disease complicated with hypertension from November 2019 to August 2021 were randomly divided into observation group (n = 35) and control group (n = 34). The control group was given routine nursing, while the observation group was given responsibility nursing. The self-management level and recovery of the two groups after intervention were compared. Results: after the intervention, the scores of self-efficacy ability, daily living ability, mental state, enthusiasm for life and treatment compliance in the observation group were higher than those in the control group (P < 0.05). After the intervention, the scores of angina pectoris attack, stable angina pectoris, disease cognition level, activity restriction score and nursing satisfaction in the observation group were higher than those in the control group (P < 0.05). Conclusion: applying the responsibility nursing measures to patients with coronary heart disease can effectively improve the quality of nursing, enhance the enthusiasm of medical staff, promote the recovery of the disease, relieve the symptoms of angina pectoris and strengthen the level of disease cognition.
文摘BACKGROUND The World Health Organization reported that 28637952 people worldwide had been infected with severe acute respiratory syndrome coronavirus 2,the causative agent of coronavirus disease 2019(COVID-19),by September 13.AIM The aim was to investigate whether long-term use of renin-angiotensin-aldosterone system(RAAS)inhibitors for the treatment of hypertension aggravates the performance of COVID-19 patients with hypertension.METHODS This was a retrospective analysis of lung computed tomography(CT)data and laboratory values of COVID-19 patients with hypertension who were admitted to Huoshenshan Hospital,Wuhan,Hubei Province,between February 18 and March 31,2020.Patients were divided into two groups.Group A included 19 people who were long-term users of RAAS inhibitors for hypertension;and group B included 28 people who were randomly selected from the database and matched with group A by age,sex,basic diseases,and long-term use of other antihypertensive drugs.All patients underwent a series of CT and laboratory tests.We compared the most severe CT images of the two groups and the laboratory examination results within 2 d of the corresponding CT images.RESULTS The time until the most severe CT images from the onset of COVID-19 was 30.37±14.25 d group A and 26.50±11.97 d in group B.The difference between the two groups was not significant(t=1.01,P=0.32).There were no significant differences in blood laboratory values,C-reactive protein,markers of cardiac injury,liver function,or kidney function between the two groups.There was no significant difference in the appearance of the CT images between the two groups.The semiquantitative scores of each involved lobe were 11.84±5.88 in group A and 10.36±6.04 group B.The difference was not significantly different(t=0.84,P=0.41).CONCLUSION Chest CT is an important imaging tool to monitor the characteristics of COVID-19 and the degree of lung injury.Chronic use of RAAS inhibitors is not related to the severity of COVID-19,and it does not worsen the clinical process.
文摘Objective: in clinical medicine, hypertension belongs to endocrine metabolic disease. At present, the pace of people's life has accelerated, the living standard has been improved, the number of population increases, the number of hypertension patients also gradually increased. With the increase of adverse factors, the probability of hypertension in the elderly increases greatly. In recent years, the number of people suffering from high blood pressure is gradually increasing. Nowadays, diabetes has become a threat to human life. This study is an effective way for clinical treatment of hypertension. Methods: to summarize and analyze the clinical data of 100 elderly patients with hypertension. After special treatment and careful nursing, the patients received rehabilitation operation period throughout the whole disease cycle, and finally discharged from hospital. Conclusion: the patient's family members strictly control the patient's blood pressure, improve the living environment, closely observe the changes of the condition, quickly discover the problems, and actively treat the complications, which is conducive to the patient's postoperative recovery.
