Blood Pressure Status In Patients Research Articles

Blood pressure status in patients with metabolic syndrome

Relevance. Metabolic syndrome (MetS) is existence of many abnormalities, such as abdominal obesity, hypertension, dyslipidemia, and glucose intolerance. The occurrence of MetS in hypertensive people is linked to poorly managed hypertension. One of the parameters for the diagnosis of the syndrome is the presence of increased blood pressure; nevertheless, research shows that MetS patients are likely to experience hypertension often. Materials and Methods. 300 metabolic subjects were selected from the medicine OPD as study participants based on the joint interim statement’s 2009 definition of the metabolic syndrome. They were divided into three groups (normotensive, pre-hypertensive, and hypertensive) based on blood pressure readings that met the American Heart Association’s (AHA) Asian blood pressure criteria. The following parameters were recorded for data collection: anthropometric (Weight, Height, Body Mass Index Waist Hip Ratio), Blood pressure, biochemical (Fasting blood glucose, Lipid profile parameters). Results and Discussion. According to the resting blood pressure readings, out of 300 metabolic syndrome participants, 37 were normotensive [male (40.54 %); female (59.45 %)], 115 were pre-hypertensive [male (58.26 %); female (41.74 %), and 148 were hypertensive [male (52.7 %); female (47.3 %)]. In several parameters, there was no such significant difference between male and female participants across all groups. However, the levels of blood total cholesterol, triglycerides, and low-density lipoprotein were considerably greater in hypertensive and pre-hypertensive metabolic participants than in normotensive subjects, while the levels of high-density lipoprotein were lower. Conclusion. Study findings suggest, hypertension and pre-hypertension were more prevalent in the group with metabolic syndrome. Additionally, hypertensives have a higher chance of manifesting dyslipidemia.

Effects of mindful breath awareness and muscle relaxation and transcranial electrical stimulation techniques on improving blood pressure status in patients with type 2 diabetes

ObjectiveThe present study aimed to determine the effects of mindful breath awareness & muscle relaxation (MBMR) and transcranial electrical stimulation (tCES) techniques on improving the systolic and diastolic blood pressure status in patients with type 2 diabetes. MethodsThe research method was randomized controlled trial (RCT) using split-plot ANOVA (SPANOVA). Thirty patients were selected through purposive sampling from Bonab County Diabetes Association (Iran) and were randomly divided into three 10-member groups, namely MBMR, tCES, and MBMR+tCES groups. Participants received their group interventions in 10 individual sessions. All patients were evaluated for systolic and diastolic blood pressure at two stages, before and immediately after each session. SPANOVA and Bonferroni pairwise comparison tests were used for data analysis. ResultsThe results indicated that the MBMR and tCES techniques, alone and in combination, had significant and equal effects on reducing diastolic blood pressure, but the MBMR treatment was more effective in the systolic blood pressure than the tCES. ConclusionsThe MBMR and tCES techniques were effective and safe in treating hypertension in patients with type 2 diabetes.

Evaluation of the efficacy of platelet-rich plasma on healing of clean diabetic foot ulcers: A randomized clinical trial in Tehran, Iran

Background and aimsDiabetic foot ulcers (DFUs) are among challenging hurdles both for the patient and the physician. There is a recent trend toward finding novel and clinically efficient modalities to treat this potentially hazardous complication of diabetes mellitus in a timely manner. Herein, we aim to appraise the efficacy of platelet-rich plasma (PRP) in healing of clean DFUs. Methods90 patients with clean DFUs consisting of 56 (62.2%) males and 34 (37.8%) females with mean age (±standard deviation) of 56.52 (±7.14) years were enrolled in this study between June 2017 and December 2018. They were randomly allocated into control group (47 patients who received conventional dressing along with silver sulfadiazine ointment twice daily), and case group (43 patients who received PRP gel twice weekly for 3 weeks). All the patients were followed up for 6 months. ResultsOur study showed that PRP significantly increased the healing rate of DFUs regardless of the age (p-value: 0.0), gender (p-value: 0.0), or smoking (p-value: 0.0) and blood pressure (p-value: 0.0) status of patients, but it did not have a significant impact on the need for amputation (p-value: 0.11), level of amputation (p-value: 0.16), or the need for further treatments such as graft or angioplasty (p-value: 0.52). ConclusionRegardless of the age, gender, or smoking and blood pressure status of patients, PRP can be efficiently used in diabetic patients to accelerate the healing rate of foot ulcers.

Correlation between Left Ventricular Hypertrophy in Electrocardiogram and Hypertension in Physical Examination Population

To explore the correlation between left ventricular hypertrophy in electrocardiogram and hypertension in the population underwent physical examination. A total of 96 patients who underwent physical examination in our hospital from February 2019 to February 2020 were selected as the research subjects. 48 patients with normal electrocardiogram were selected as the control group and 48 patients with left ventricular hypertrophy showed by electrocardiogram were selected as the observation group. 24 h systolic blood pressure, 24 h diastolic blood pressure, nocturnal systolic blood pressure, nocturnal diastolic blood pressure, the standard deviation of 24 h systolic blood pressure, the standard deviation of nocturnal systolic blood pressure and the standard deviation of nocturnal diastolic blood pressure were compared between the two groups. Compared with the control group, there were 20 patients with hypertension in the observation group and the detection rate was 41.67 %. There were 3 patients with hypertension in the control group and the detection rate was 6.25 %. The detection rate of hypertension in the observation group was significantly higher than that in the control group (p<0.05). Compared with the control group, 24 h systolic blood pressure, 24 h diastolic blood pressure, nocturnal systolic blood pressure, nocturnal diastolic blood pressure, the standard deviation of 24 h systolic blood pressure, the standard deviation of nocturnal systolic blood pressure and the standard deviation of nocturnal diastolic blood pressure in observation group were significantly increased (p<0.05). The incidence of myocardial infarction and sudden death in observation group was significantly higher than that in control group (p<0.05). The left ventricular hypertrophy shown by electrocardiogram is of great value to the detection rate of hypertension in physical examination. It can evaluate the blood pressure status of patients and has good clinical application value.

The relation between monocyte/HDL-cholesterol ratio and dipper/non-dipper blood pressure status in patients with newly diagnosed hypertension

Aim: In this study, It was ivestigated to see if there was a correlation between dipper and non-dipper hypertension conditions and the MHR in patients newly diagnosed with hypertension.Material and Methods: One hundred and thirty-nine newly diagnosed hypertension patients who admitted department of cardiology. Patients were divided into two groups; dipper group and non-dipper group and Monocyte/HDL-cholesterol Ratio, high sensitive-C reactive protein and dipper/non-dipper status were examined.Results: There were 61 patients (mean age 47±13 and 48% male) in the dipper group and 78 patients (mean age 52±12and 49% male) in the non-dipper group. Mean MHR was 0.01550±0.00447 in dipper group and 0.01810±0.00661 in non-dipper group. Mean MHR was significantly higher in non-dipper group (0.009). There was a significant and positive correlation between MHR and Hs-CRP (r=0.350; p0.001).Conclusion: When compared to the patients newly diagnosed with dipper hypertension, it has a high MHR level in the group of patients with non-dipper hypertension.

Gambaran Status Tekanan Darah Penderita Hipertensi di Desa Karanganyar Kecamatan Kalianget Kabupaten Sumenep

ABSTRACT&#x0D; Hypertension is a health problem in the world, especially in developing countries. Hypertension is often called a silent killer (silent killer) because it is included in a deadly disease without accompanied by symptoms first as a warning for victims. The problem of high hypertension, especially in the elderly with concomitant decline in organ function.&#x0D; This type of research is quantitative descriptive using non-analytic cross sectional design. The sampling technique used was total sampling with a sample size of 32 people. The instrument used in the form of a tensimeter and blood pressure observation sheet.&#x0D; The results showed that the majority of respondents aged 55-60 years were 10 people (31.25%), the majority of respondents were male as many as 18 people (56.25%). Blood pressure status in patients with hypertension in Karanganyar village is systolic blood pressure 140-159 mmHg, diastolic blood pressure 90-99 mmHg as many as 18 people (56.25%)&#x0D; It can be concluded that the majority of blood pressure status of hypertension sufferers in Gadung Hamlet, Karanganyar Village, Kalianget Subdistrict are in the category of Hypertension.&#x0D; &#x0D; Keywords: Blood Pressure, Hypertension

Effect of Arctium lappa linne (Burdock) root tea consumption on lipid profile and blood pressure in patients with knee osteoarthritis

BackgroundKnee Osteoarthritis (OA) is a common disabling joint disorder worldwide. This study was designed to evaluate the effect of burdock root tea consumption on lipid profile and blood pressure in patients with OA. MethodsIn this randomized, single-blind, placebo-controlled clinical trial 36 patients (10 males and 26 females) aged 50–70 years old suffering from bilateral knee Osteoarthritis were randomly divided into intervention and control groups. The routine treatment was considered for all patients during the study. The intervention group received 3 cups / day of Burdock root tea (2 g tea bags steeped in 150 ml of boiled water for 10 min) and control group received only 3 cups / day of boiled water (150 ml) 30 min after meals (breakfast, lunch, and dinner) for 6 weeks. Blood lipid profile and blood pressure were assessed at baseline and 6 weeks post intervention. ResultsTotal cholesterol (TC), LDL-C, TC/HDL-C, LDL-C/HDL-C ratios, systolic and diastolic blood pressure were significantly decreased post intervention. A significant increase in HDL-C level was observed in the intervention group. At the end of the study, there was a significant difference in LDL-C, HDL-C, TC/HDL-C, LDL-C/HDL-C ratios and diastolic blood pressure between the two groups. ConclusionsIt is suggested that consumption of burdock root tea may improve lipid profile and blood pressure status in patients with knee OA. Further studies may need to confirm these effects.

Long-term Changes in Blood Pressure in Extremely Obese Patients Who Have Undergone Bariatric Surgery

Systolic and diastolic pressure and the incidence of hypertension in very obese patients decline after bariatric surgery and do not rebound. Chart review. Surgical practice in a university medical center. Women and men, 18 years or older, with a body mass index (BMI) (calculated as weight in kilograms divided by the square of height in meters) of 40 or greater, having no previous surgical intervention for extreme obesity. Vertical-banded gastroplasty or Roux-en-Y gastric bypass. Systolic and diastolic blood pressure, BMI, and antihypertensive medications. Patients underwent Roux-en-Y gastric bypass (n = 285; mean initial BMI, 55.7) or vertical banded gastroplasty (n = 62; mean initial BMI, 48.5); half of each group was hypertensive at evaluation. The BMI dropped in both groups after surgery and stabilized at about 35 within 18 months. Systolic pressure changes were generally modest, although diastolic pressure declined significantly after surgery. In patients with untreated stage 1 hypertension, marked reductions in systolic and diastolic pressures occurred after surgery. Many patients taking antihypertensive medications before surgery discontinued them after surgery and remained normotensive. Blood pressure reductions that occur after bariatric surgery and substantial weight loss depend on the blood pressure status of patients before surgery: normotensive patients and hypertensive patients taking antihypertensive medications show small postsurgical pressure reductions, while patients with elevated blood pressure before surgery show notable postsurgical pressure drops. The overall incidence of hypertension after bariatric surgery declines substantially and remains low.