Open Access DOI:10.23937/2474-3690/1510076
Mineralocorticoid Receptor Antagonists for Recurrent Hypertensive Emergency due to Bilateral Renal Artery Stenosis
Michael Hayes, MB, BDentSc, MRCPI and Donal J Sexton, MB, MRCPI, PhD
Article Type: Systematic Review and Case Report | First Published: 2023/09/09
Bilateral renal artery stenosis (RAS) causing recurrent hypertensive emergency and pulmonary oedema is difficult to manage. Use of angiotensin converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARB) is usually contraindicated. We present a systematic review of literature and a case vignette which highlights the useful properties of mineralocorticoid receptor antagonists (MRAs) in this scenario....
Open Access DOI:10.23937/2474-3690/1510075
Beyond Pills: Exploring Effective Ways to Tackle Hypertension through Non-Pharmacological Means
Kamahl Harrisingh, MD, MPH, Paul Gursky, MD*, Khaled Himed, MD and Ahmed Shoreibah, MD, FACP
Article Type: Review Article | First Published: 2023/05/10
Hypertension (HTN) is a systemic disease characterized by the force of pressure within the arterial vessels. HTN is a modifiable risk factor for multiple health outcomes, including cardiovascular disease and stroke, which have substantial impact on an individual's quality of life and the healthcare system as a whole. Accumulating evidence suggests lifestyle interventions can play an important role in the reduction of blood pressure...
Open Access DOI:10.23937/2474-3690/1510074
Smoking May Not Have a Long Term Effect on Body Weight
Mehmet Rami Helvaci, MD, Yasemin Kayabasi, MD, Atilla Yalcin, Orhan Ekrem Muftuoglu, Abdulrazak Abyad, MD and Lesley Pocock
Article Type: Research Article | First Published: March 04, 2023
We tried to understand whether or not there is a long term effect of smoking on the body weight. Consecutive daily smokers at least with a history of one pack-year and age and sex-matched non-smokers were studied. The study included 247 smokers (173 males) and 167 non-smokers (112 males). The mean age of smokers was 46.2 years, and 70.0% of them were males. Plasma triglycerides (163.1 versus 151.3 mg/dL, p < 0.05), low density lipoproteins (LDL) (123.8 versus 117.5 mg/dL, p < 0.05), erythrocyte ...
Open Access DOI:10.23937/2474-3690/1510073
Electronic Diary Monitoring for Hypertension Post Stroke
Minna Levine, OT, PhD, OTR, Ferdinando Buonanno, MD, Ronald Calvanio, PhD, Richard Goldstein, PhD, Jared Jacobson, MPH and MingMing Ning, MD, MMSc
Article Type: Original Article | First Published: February 02, 2023
Elderly stroke outpatients, without aphasia, hemiplegia, or spatial neglect in their post-acute phase, are typically monitored on a quarterly, or fewer, physician- visit schedule. Thus, the patient’s status goes unreported between visits unless a remarkable untoward event occurs. We devised an electronic diary (e-diary) to serve as an adjunct to physician visit-to-visit management of BP in elderly stroke patients. In phase 1 implementation, the e-diary was used by eight adults up to three ti...
