Blood Pressure Complications Research Articles

FEASIBILITY, ACCEPTANCE AND SAFETY OF A HOME BASED TELEMONITORING STRATEGY IN WOMEN WITH POSTPARTUM HYPERTENSION. INTERIM ANALYSIS OF THE SWISS REGISTER FOR WOMEN WITH PPHT

Objective: Postpartum hypertension (PPHT) is elevated blood pressure that persists or develops after pregnancy. PPHT affects 10% of all pregnancies and is the most common cause for re-hospitalization. PPHT stems from hypertensive disorders of pregnancy (HDP) which include preexisting and gestational hypertension, preeclampsia (PE), and eclampsia. Although the National Institute for Health and Care Excellence suggests tight controls there is no global consensus. The aim of the current analysis was to determine the feasibility, acceptance, and safety of a home-based telemonitoring strategy in women with PPHT. Design and method: Enrollment began in June 2020 at the University Hospital Basel Maternity Ward and Hypertension Clinic. Those with preexisting hypertension, HDP, and de novo PPHT were enrolled. A nested substudy allowed the participants to choose either a home-based telemonitoring approach or standard of care. The telemonitoring strategy was defined as a smartphone application provided by the study team or a programmed spreadsheet to report blood pressure followed by telephone consultations. Standard of care was hospital-based visits after discharge. All participants were assessed three months postpartum with a standardized hospital visit including a 24-hour blood pressure measurement, blood, biomarker and urine analysis. Results: 112 participants were prospectively enrolled from Jun 2020. Mean age was 33.5 ± 5.1 years, 8.9% had preexisting hypertension, 26.8% gestational hypertension, 55.4% preeclampsia (PE) 0.9% eclampsia, 6.9% HELLP and 17.9% had de novo PPHT. Family history of cardiovascular disease was seen in 50%, 8.9% had a family history of PE, and 20.5% were high risk for PE. The most common type of delivery was C-Section (74%), mean hospital stay was 6 days (±2.88) and IUGR was seen in 75.9% of the newborn babies. 98% of participants choose a home-based strategy. At 3 months, 97.8% reported a feeling of safety with home-based telemonitoring and would use the same approach in the future. There were zero re-hospitalizations due to high blood pressure. Conclusions: This analysis demonstrated that a home-based telemonitoring plan is feasible, well-accepted, and safe in terms of re-hospitalizations or blood pressure complications. This is relevant for the direct postpartum period and even more pertinent during a pandemic.

Prevalence and associated factors of uncontrolled blood pressure among hypertensive patients in the rural communities in the central areas in Thailand: A cross-sectional study.

IntroductionHypertension is a common cardiovascular disease at present. Uncontrolled blood pressure leads to further complications including heart attack, stroke and chronic kidney disease. In Thailand, most of the information related to this issue is collected by hospitals or hospital-based organizations rather than at the community level. The objectives of this study were to determine the prevalence of uncontrolled hypertension and to assess the relationship between patient characteristics (socio-behavioral and clinical) and uncontrolled blood pressure among hypertensive patients in the rural communities in the central areas in Thailand.Materials and methodsThis was a cross-sectional study conducted in Na-Yao and Phra-Pleong rural communities of Thailand in 2018 using the total design method. In all, 406 individuals aged ≥18 years were interviewed using structured questionnaires related to demographic information, higher risk behavior, comorbidities and arthrometric measurement. Blood pressure was assessed for all participants. Uncontrolled hypertension was defined as BP ≥140/90 mmHg.ResultsThe prevalence of uncontrolled hypertension was 54.4% (males: 59.8%; females: 52.4%). Uncontrolled blood pressure was associated with neck circumference more than 35.75 cm for males and 32.75 cm. for females (adjusted odds ratio; 1.66, 95% confidence interval; 1.03–2.68), sedentary behavior more than 5 hours a day (adjusted odds ratio; 2.03, 95% confidence interval; 1.28–3.23) and missed doctor appointments (adjusted odds ratio; 3.29, 95% confidence interval; 1.09–9.94).ConclusionApproximately one half of hypertensive patients in these rural communities had uncontrolled blood pressure. The Ministry of Public Health and health care providers should provide further strategies to prevent uncontrolled blood pressure’s complications.

Management and treatment patterns of diabetes patients having blood pressure complications living in Dhaka city, Bangladesh

A study way carried out in Dhaka city to find out the management and treatment patterns of diabetic patients those having blood pressure complications. It was a cross sectional study of 150 patients by using self administered survey questionnaire and founded data was analyzed and described. In this study, it is found that almost all of the patients (92%) were from Dhaka and just were a few those were outsider but came as referred patients. The male and female percentages were accordingly 64.67% and 35.33% and among those diabetes patients 47.33% had hypertension and 10.66% had hypotension and most of them (74%) check their diabetes monthly. Among those patients 79.33% patients were prescribed only drugs while 17% patients were prescribed to change their routine only and 4% were prescribed both (drug and routine). Most of the diabetes patients having blood pressure complicacy were prescribed only drugs which is very significant and those are going to do further research in this aspect will be benefited by getting this information.Asian J. Med. Biol. Res. September 2016, 2(3): 458-463

A Comparative Study between Dialysis and Kidney Transplantation regarding the Causes and Survival Period of the Patients in Western Area , Libya

As the number of renal failure patients in Libya reached to 3,700 patients (kindly provided by Libyan Ministry of Health), this study aimed to help Libyan people suffering from renal failure to making a wisdom decision about choice of renal transplantation or treatment with dialysis. This study found the main causes of renal failure among people in western area of Lib- ya, due to ages and survival time between patient undergoing dialysis and kidney transplantation. Out of 140 patients' files that were collected from different hospital and specialized centers in western Libya, 98(70%) patients were treated with dialysis while the rest 42 patients (30%) underwent kidney transplantation. The result also revealed that the mean survival time for those who planted the kidneys was (7.1 years) significantly longer than those treated with dialysis (3.7 years). The mean ages of patients underwent transplantation was (53.4 years) younger than those who were treated with dialysis (44.6). Diabetes and blood pressure complications were the most common diseases associated among both groups while multiple microbial inflammation of kidney was higher among kidney. transplanted group. Also, gastrointestinal bacteria and protozoa played a marked role.

A COMPARATIVE STUDY BETWEEN DIALYSIS AND KIDNEY TRANSPLANTATION REGARDING THE CAUSES AND SURVIVAL PERIOD OF THE PATIENTS IN WESTERN AREA, LIBYA

As the number of renal failure patients in Libya reached to 3,700 patients (kindly provided by Libyan Ministry of Health), this study aimed to help Libyan people suffering from renal failure to making a wisdom decision about choice of renal transplantation or treatment with dialysis. This study found the main causes of renal failure among people in western area of Lib- ya, due to ages and survival time between patient undergoing dialysis and kidney transplantation. Out of 140 patients' files that were collected from different hospital and specialized centers in western Libya, 98(70%) patients were treated with dialysis while the rest 42 patients (30%) underwent kidney transplantation. The result also revealed that the mean survival time for those who planted the kidneys was (7.1 years) significantly longer than those treated with dialysis (3.7 years). The mean ages of patients underwent transplantation was (53.4 years) younger than those who were treated with dialysis (44.6). Diabetes and blood pressure complications were the most common diseases associated among both groups while multiple microbial inflammation of kidney was higher among kidney. transplanted group. Also, gastrointestinal bacteria and protozoa played a marked role.