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:10.23937/2474-3690/1510064
A New Approach to Validate the Use of Brachial Blood Pressure to Assess Non-Invasive Aortic Pressure in Human Beings
Franco Pessana, Eng, PhD, Ramiro Sánchez, MD, PhD, Gustavo Lev, MD, PhD, Micaela Mirada, MD, Oscar Mendiz, MD, PhD, Agustin Ramírez, MD, PhD and Edmundo Cabrera Fischer, MD, PhD
Article Type: Original Article | First Published: December 24, 2021
It has been demonstrated that the noninvasive evaluation of aortic blood pressure has a prognostic value but limited by the inaccuracy linked to technical errors and a differences in the pressure wave analysis. The aim of this study was to compare two methods used to validate the non-invasively central blood pressure waveforms obtained with an oscillometic device, with those recorded by intra-arterial measurements at the aortic level. In this study were included 20 subjects, 10 males (68 ± 12-y...
Open Access DOI:10.23937/2474-3690/1510062
The Prevalence and Risk Factors of Diabetes Mellitus among Civil Service Workers in Osogbo, Osun State, Nigeria
OLAYINKA Adeyosola Adijat, ALABI, Elizabeth Folakemi, ADEJUMO Adesola and ATOLAGBE James E
Article Type: Review Article | First Published: December 06, 2021
Diabetes mellitus is a silent killer and one of the leading causes of death globally. Its complications include damage to the brain, heart, kidney and the limbs. More than 50% of people living with the disease are oblivious to it especially in Nigeria where poor healthcare, unhealthy diet, sedentary lifestyle and poverty persist. Unfortunately, Civil Service workers in Osogbo, Osun States do not know their diabetic status. Hence, this study, seeks to determine the prevalence and risk factors of ...
Open Access DOI:10.23937/2474-3690/1510061
Knowledge, Attitude and Lifestyle Practices Pertaining to Hypertension among the People of Ahoe-Ho
Bernard Sefah, Addison Onyame, Christopher Ankrah, Patrick Tetteh Adjetey and Mavis Deladem Nutornutsi
Article Type: Original Article | First Published: June 28, 2021
Hypertension has been on high prevalence recently in developing countries of which Ghana is of no exception. Over the period, hypertension education has mostly been geared towards people who already have been diagnosed of the condition leaving most of the general population in the dark. This untargeted portion of the population tend to predispose themselves to the condition as they ignorantly involved themselves in high-risk activities. A cross-sectional descriptive research design was adopted t...
Open Access DOI:10.23937/2474-3690/1510060
Midodrine for Prevention of Intradialytic Hypotension in High Risk Patients at a Tertiary Referral Hospital: A Retrospective Study
Saja AL-Habardi, Maryam AL-Dhaefi, Mohammed AL-Essa, Maha AL-Ammari, Yousef AL-Rajhi and Rami Bustami
Article Type: Original Article | First Published: May 27, 2021
Intradialysis hypotension (IDH) is the most common complication during hemodialysis procedure. Midodrine, an oral α-1 adrenergic agonist, is commonly used to prevent IDH. However, limited data is available to demonstrate midodrine effectiveness in prevention of IDH in high-risk hemodialysis patients. To evaluate the effectiveness of using midodrine in patients receiving hemodialysis concerning the incidence of IDH. Also, we aimed to explore the appropriate dose for midodrine use to prevent IDH....
Open Access DOI:10.23937/2474-3690/1510057
Uncontrolled Hypertension and Associated Factors among Hypertensive Adults in Bale Zone Public Hospitals, Ethiopia
Feyissa Lemessa and Miressa Lamessa
Article Type: Original Research | First Published: March 31, 2021
Although blood pressure control has tremendous public health benefit, and has effective treatments, the global rate of uncontrolled blood pressure remains high. In sub-Saharan Africa including Ethiopia uncontrolled blood pressure resulted in a significant morbidity and mortality. Unfortunately, uncontrolled hypertension among adult hypertensive patients remains unclear and has been inadequately studied in Ethiopia, in the study area in particular. This study assessed uncontrolled hypertension an...
Open Access DOI:10.23937/2474-3690/1510055
Physician Perceived Barriers and Solutions to DASH Diet Recommendations for Hypertension Prevention and Management
Ha Eun Park, Sarah J Billups and Lisa M Schilling
Article Type: Research Article | First Published: January 29, 2021
The Dietary Approach to Stopping Hypertension (DASH) is considered first-line therapy for hypertension, yet clinical practice implementation remains suboptimal. We designed a survey to assess four domains: (1) Provider beliefs/knowledge of DASH benefits, (2) Patient characteristics influencing likelihood of recommendation, (3) Practice barriers to provision of DASH diet advice, and (4) Resources of perceived value. The survey was sent to University of Colorado School of medicine primary care pro...