Number Of Hypertensive Patients Research Articles

Analysis of the Implementation of the Hypertension Control Program Using Linear Regression Test

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.

Congenital Adrenal Hyperplasia in Children: The Relationship between Plasma Renin Activity and Hypertension.

Children with Congenital Adrenal Hyperplasia (CAH) have a higher chance of hypertension. The likelihood of hypertension is higher in CAH children who get fludrocortisone medication and have an over-suppression. Plasma renin activity (PRA) is a sensitive indicator when the fludrocortisone dose is insufficient. The objective of this study is to assess the relationship between plasma renin activity with hypertension in 21-hydroxylase-deficient (21-OHD) CAH children. This cross-sectional observational analytical study was conducted in 2019 at the Pediatric Endocrinology Outpatient Clinic in Dr. Cipto Mangunkusumo Hospital (RSCM), Jakarta, Indonesia. The subjects were 21-OHD CAH children, aged >6 months to 18 years who had already taken hydrocortisone with or without fludrocortisone for at least 6 months, and were divided into hypertension and non-hypertension groups. The subjects were selected by a consecutive sampling method. Data was analyzed using SPSS software (version 23.0) with unpaired t test analysis and multiple logistic regression test. Statistical significance was achieved if P<0.05. Forty 21-OHD CAH patients were included, and 20 subjects (50%) had hypertension. A higher incidence of hypertension was found in salt-wasting CAH than in simple virilizing types (59.3% vs 30.8%). There was a significant mean difference in PRA levels between hypertension and non-hypertension groups in salt-wasting patients (P=0.016). A significant difference between the last dose of hydrocortisone with the number of hypertension patients in salt-wasting patients (P=0.032) was found, and low PRA levels showed a 1.09 times higher risk of hypertension. Children with salt-wasting CAH with low PRA levels had a higher risk of getting hypertension.

Association Between High Blood Pressure And Cardiovascular Disease In Iraq: A Review

One of the most common ailments is hypertension, or high blood pressure. Many say this disease concerns them because it causes heart attack and stroke, which kill millions around the world each year. In recent years, the number of hypertension patients has been growing at an alarming rate. Humans with Hypertinsure about 1 billion The developing countries are particularly hard-hit What is more worrying than increasing numbers that have already skyrocketed--it's LMICC soaring These countries have also been especially hard hit by the burden of hypertension due to various socioeconomic aspects including income, wealth, employment status and place of residence. [1] Hypertension with its 41.5 incidence rate for every 1000 people is a big concern in Iraq. It is no different for children, obesity, poor dietary choices and lack of physical activity are all also associated with increasing risk of hypertension. Their experience makes clear how important it is to get hypertension under control and take measures prematurely.

The Effect of Nutritional Counseling with Booklet Media on Food Waste in Hypertension Patients at Praya Regional Hospital

Background: Food waste indicates the success of nutrition services in hospitals; food waste exceeding 20% indicates failure in food management. Nutrition counseling plays a vital role in providing knowledge, attitudes, and behaviors regarding diet so that it can reduce food waste. High Blood Pressure (hypertension) is an increase in blood pressure in the arteries. The number of hypertensive patients at Praya Regional Hospital in November 2022 will be around 630.Objective: This research aimed to determine the effect of nutritional counseling using booklet media on food waste in hypertensive patients at Praya Regional Hospital Research Methods: This research design is quasi-experimental, using a non-randomized control group pre-and post-test. Sampling was carried out using purposive sampling, with 22 samples, 11 for the treatment group and 11 for the control group. Data analysis used the Mann-Whitney U test. Counseling is carried out using a face-to-face lecture method using booklet media. The research was conducted for one month at Praya Regional Hospital. Research Result: The study's results showed a difference in patient food waste (staple food, vegetable side dishes, animal side dishes, and vegetables) before and after nutritional counseling. Still, the difference was not statistically significant (p-value = &gt;0.05). Changes in food waste do not significantly affect staple foods, animal side dishes, vegetable side dishes, and vegetables. Conclusion: Nutritional counseling using booklet media does not affect food waste in hypertensive patients at Praya Regional Hospital.

Time Series Analysis of the Impact of Meteorological Conditions and Air Quality on the Number of Medical Visits for Hypertension in Haikou City, China

Meteorological conditions and air quality are important environmental factors in the occurrence and development of cardiovascular diseases (CVDs) such as hypertension. The aim of this study was to take Haikou City, located on the tropical edge, as the research area and to analyze the exposure–response relationship and lag effect between its meteorological conditions, air quality, and the number of hypertensive patients. Using the data from the hypertension outpatient department of Hainan Provincial People’s Hospital from 2016 to 2018, together with meteorological data and air quality data, a distributed lag nonlinear model based on the nested generalized addition model of meteorological element base variables was established. The results showed that the impact of temperature on the risk of hypertension was mainly due to the cold effect, which was associated with high risk, with a lag of 1–10 days. When the temperature dropped to 10 °C, the cumulative effect on the risk of hypertension of relative risk (RR) reached its highest value on the day the low temperature occurred (RR was 2.30 and the 95% confidence interval was 1.723~3.061), passing the test with a significance level of 0.05. This result indicated that efforts should be made to strengthen the prevention of hypertension under low-temperature conditions and the prediction and early warning of disease risks. The impact of the air-quality effect (the environmental Air Quality Index was selected as an indicator) on the risk of hypertension was mainly characterized by a low air-quality effect, with a lag effect of 0–8 days. When the risk reached approximately 124, the RR was highest (RR was 1.63 and the 95% confidence interval was 1.104~2.408), passing the test with a significance level of 0.05. The research results can provide technical support for conducting medical meteorological forecasting, early warning, and services for hypertension. A joint work and research mechanism among multiple departments such as meteorology and medical health should be established to improve the level of medical and health care, optimize the allocation of social resources, and develop targeted prevention and control strategies to reduce the health and economic burden of hypertension.

Blood Pressure in Relation to Age and Gender

Hypertension is a disease defined as persistently elevated arterial blood pressure (BP) with systolic blood pressure of less than 120 mm Hg and diastolic blood pressure of less than 80 mm Hg. Age is one the most common predictor and non-modifiable risk factor of hypertension. Hypertension is more common among older adults than adults of 40-59 years of age. Gender is another common non-modifiable risk factor of hypertension. On average, hypertension is more common among men than in women. A Prospective observational study was carried out where all the patients of either sex attending general medicine department with established hypertension above 35 years of age were included. A Chi-square test was used to find a significant association between age &amp; gender with hypertension. A p value of or lower than 0.05 was considered to be statistically significant. Majority of the patients 65% were males and 35% were females and common age group was ≥60 years. CNS disorders were found in majority of the patients. Diuretics were the most prescribed class of drugs. There was a steady rise in the number of hypertensive patients with increase in age. Hypertension was more prevalent among males than in females. Factors like age and gender were found to be statistically significant associated with hypertension. Clinical pharmacist at an early stage need to monitor the BP and related risk factors and achieve the therapeutic goals, thereby enhancing the quality life span of the patient.&#x0D; Keywords: Hypertension, Gender, Age distribution, Clinical Pharmacist, Statistical, Blood Pressure

RELATIONSHIP OF ATTITUDE, KNOWLEDGE AND FAMILY SUPPORT FACTORS TO CHI-SQUARE TEST-BASED HYPERTENSION CONTROL EFFORTS

Hypertension is one of the big challenges in Indonesia. Hypertension is a type of dangerous disease. The urgency of this research is the number of hypertension patients at the Ngoresan Community Health Center, Surakarta which is increasing every year. The objective problem in this research is the increase in the number of hypertension patients every year so that research is needed on the relationship between knowledge, attitudes and family support to efforts to control hypertension. The importance of this research is as an effort to control hypertension which continues to increase every year by means of interviews and distribution of brochures and key chain. The aim of this research is to analyze the factors of knowledge, attitudes and family support towards efforts to control hypertension in patients at the Ngoresan Community Health Center, Surakarta. The stages of this research are cross sectional approach. The sample consisted of 86 respondents. The sampling technique uses the accidental sampling method. The statistical test used is Chi-Square with (α=0.05). The results of this research are that there is a relationship between knowledge and efforts to control hypertension with a p-value = 0.003 (&lt;α=0.05), there is a relationship between attitudes and efforts to control hypertension with a p-value = 0.011 (&lt;α=0.05 ) and there is a relationship between family support and efforts to control hypertension with a p-value = 0.034 (&lt;α=0.05).

Scraping therapy is effective in improving hemodynamic status in hypertensive patients

Background: The number of hypertensive patients is increasing and is one of the highest causes of death. Non-pharmacotherapeutic treatment of hypertension can use complementary therapies, one of which is scraping therapy. Objective: Aim of the study was to determine the effect of scraping therapy on pulse and blood pressure in hypertensive patients. Methods: This method was a quasi-experimental study with pretest and posttest control group design. The sample consisted of control and intervention groups, each of which was 40 people taken by consecutive sampling. Results: The control group experienced an increase in pulse, systolic and diastolic (1.05 beats/minute and 1.00 mmHg, 1.775 mmHg), the intervention group experienced a decrease in pulse, systolic and diastolic (1,525 beats/minute; 7.70 mmHg; and 5, 05 mm Hg). The control group bivariate test on pulse, systolic, and diastolic variables showed p=0.113; p=0.748; and p=0.267. Bivariate test of intervention group on pulse, systolic, and diastolic variables showed p=0.0035; p&lt;0.001; and p&lt;0.001. Different test of pulse, systolic, and diastolic variables showed p=0.001; p&lt;0.001; and p&lt;0.001. Conclusion: Scraping therapy is effective in reducing pulse and blood pressure of hypertensive patients so that it can be used as an inexpensive alternative therapy option.

Health effects of shrinking hyper-saline lakes: spatiotemporal modeling of the Lake Urmia drought on the local population, case study of the Shabestar County

Climate change and its respective environmental impacts, such as dying lakes, is widely acknowledged. Studies on the impact of shrinking hyper-saline lakes suggest severe negative consequences for the health of the affected population. The primary aim was to investigate the relationship between changes in the water level of the hyper-saline Lake Urmia, along with the associated salt release, and the prevalence of hypertension and the general state of health of the local population in Shabestar County north of the lake. Moreover, we sought to map the vulnerability of the local population to the health risks associated with salt-dust scatter using multiple environmental and demographic characteristics. We applied a spatiotemporal analysis of the environmental parameters of Lake Urmia and the health of the local population. We analyzed health survey data from local health care centers and a national STEPS study in Shabestar County, Iran. We used a time-series of remote sensing images to monitor the trend of occurrence and extent of salt-dust storms between 2012 and 2020. To evaluate the impacts of lake drought on the health of the residences, we investigated the spatiotemporal correlation of the lake drought and the state of health of local residents. We applied a GIScience multiple decision analysis to identify areas affected by salt-dust particles and related these to the health status of the residents. According to our results, the lake drought has significantly contributed to the increasing cases of hypertension in local patients. The number of hypertensive patients has increased from 2.09% in 2012 to 19.5% in 2019 before decreasing slightly to 16.05% in 2020. Detailed results showed that adults, and particularly females, were affected most by the effects of the salt-dust scatter in the residential areas close to the lake. The results of this study provide critical insights into the environmental impacts of the Lake Urmia drought on the human health of the residents. Based on the results we suggest that detailed socioeconomic studies might be required for a comprehensive analysis of the human health issues in this area. Nonetheless, the proposed methods can be applied to monitor the environmental impacts of climate change on human health.

MRNA Metabolism and Hypertension.

Hypertension is the most frequent cardiovascular risk factor all over the world. It remains a leading contributor to the risk of cardiovascular events and death. In the year 2015, about 1.5 billion of adult people worldwide had hypertension (as defined by office systolic blood pressure ≥ 140 mmHg or office diastolic blood pressure ≥ 90 mmHg). Moreover, the number of hypertensive patients with age ranging from 30 to 79 years doubled in the last 30 years (from 317 million men and 331 million women in the year 1990 to 652 million men and 626 million women in 2019) despite stable age-standardized prevalence worldwide. Despite such impressive growth, the proportion of controlled hypertension is very low. A better understanding of the pathogenesis of hypertension may contribute to the development of innovative therapeutic strategies. In this context, alterations of the messenger RNA metabolism have been recently evaluated as contributors to the pathogenesis of hypertension, and pharmacological modulation of RNA metabolism is under investigation as potential and novel therapeutic armamentarium in hypertension.

PS-P14-5: THE LINK BETWEEN SALT KNOWLEDGE, SALT REDUCTION AWARENESS AND SALT REDUCTION BEHAVIOR

Objective: The effects of salt on health are well known. However, salt intake is still high in Japan and the number of hypertensive patients is increasing. Therefore, we investigated the association between knowledge, awareness, and behavior towards salt among university students. Design and Methods: 72 university students (11 males and 61 females) from the Department of Nutrition (group N) and 70 university students (10 males and 60 females) from other departments than nutrition (group O) was included in the study. Knowledge and awareness of salt and their behavior were investigated using questionnaires and a salt checklist. Results: In terms of knowledge of salt, the target amount of salt intake (g/day) was answered as 7.2 ± 0.6 in group N and 15.0 ± 13.9 in group O, with no significant difference. When the target amount of 7–8 g/day of the Japanese Dietary Reference Intakes was used as the correct answer range, the percentage of correct answers was 86% in group N and 10% in group O (p &lt; 0.001). The correct answer rate for seasonings with high salt content was 86% in group N and 27% in group O (p &lt; 0.0001). There was no significant difference in the percentage of correct answers for low-salt condiments. The percentage of correct answers for diseases associated with salt intake was significantly higher in group N. The proportion with low-salt awareness was significantly higher in group N (p &lt; 0.0001). The total score on the salt checklist was 10.7 ± 3.0 in group N and 13.4 ± 4.7 in group O (p &lt; 0.0005). Conclusion: The students from the Department of Nutrition had a higher level of salt reduction awareness, more knowledge about salt and a lower total score on the salt checklist. Medical and food knowledge may be useful in linking salt reduction knowledge with awareness and behavior.

The Effectiveness of Family-Based Dash Education on Older People's Blood Pressure at the Public Health Center of Kutalimbaru

Hypertension cases continue to increase worldwide and are the biggest cause of death. In Medan, North Sumatra, the number of hypertensive patients is 7,174 people, and the cause of death is the 4th cause of death. The study aimed to formulate the effectiveness of family-based Dash education on elderly blood pressure at the Kutalimbaru Health Center. This research is a Quasi-Experimental design with one group pretest and posttest design. The population is hypertensive clients at the Kutalimbaru Health Center with a sample of 31 respondents, taken through a purposive sampling technique with the criteria of elderly hypertensive 2-4 years, blood pressure &gt; 140/90 mmHg, age 55 years to 65 years, living with family, receiving medication the same antihypertensive and willing to be a respondent. The instrument used was a sphygmomanometer, a 24-hour Recall observation sheet, and a booklet—analysis with a Wilcoxon sign rank test. Research shows the average systolic blood pressure before 155.16 mmHg after 147.74 mmHg. The average diastolic blood pressure before 85.81 mmHg after 82.26 mmHg. The results of statistical tests showed an effect of family-based education on the blood pressure of older people at the Kutalimbaru Health Center (p = 0.000). The conclusion of family-based education is effective in reducing blood pressure in older people. Suggestions for families are expected to control eating patterns routinely and for older people to have their blood pressure checked regularly at the public health center.

Clinical Characteristics and Risk Factors among Patients with Positive COVID-19 Test Admitted to ICU.

Background Studies that show common characteristics among ICU-admitted patients due to COVID-19 are available on the net, but such studies in Saudi Arabia are limited. Methods A descriptive cross-sectional study establishing common comorbidities and risk factors among critically ill patients who tested positive for COVID-19 at the National Guard Hospital from March 2, 2020, to March 20, 2021. The data were obtained from the BEST Care System of King Abdulaziz Medical City, computed, and analyzed using SPSS. Results Three hundred eighty-five COVID-19 patients admitted to the intensive care unit (ICU) were included in this study. The mean age was 60.85 ± 20.46, 60.85% were males, and 39.2% were females. There was statistically significant positive relationship between severity of the symptoms and age (P = 0.002). The mean duration of hospital stay in the sample was 21.85 ± 28.47. More than one-third (37.4%) of cases admitted to the hospital died while about two-thirds of the cases were discharged after complete recovery. Two hundred ninety (75.3%) of the patients who were admitted to the National Guard Health Affairs (Riyadh, Saudi Arabia) had respiratory disease. Two hundred twelve patients (55.1%) had diabetes mellitus, while the number of hypertensive patients was 203 (52.7%). There was a significant positive relation among patients with gastrointestinal tract infection (GIT) risk factors and the severity of the symptoms of COVID-19 (P = 0.000). In addition, there was a strong significant relation between hypertension patients and the severity of the COVID-19 symptoms (P = 0.017). Conclusion COVID-19 patients who have GIT and hypertension have been found to be at an increased risk of COVID-19 symptom severity. Old age was also found to have an increased risk for COVID-19 symptom severity.

Progress of TCM Syndrome Differentiation and Treatment of Hypertension with Sleep Disorders

It has been discovered that the number of hypertensive patients with various types of sleep disorders is on the rise, which significantly increases the morbidity and mortality of cardiovascular diseases. Modern medicine has not reached a consensus on the mechanism and treatment of these diseases but relies on drugs to improve sleep disorders and blood pressure. We regard TCM syndrome differentiation as the breakthrough point, along with comprehensive modern and traditional medical methods based on dialectical thinking as means of holistic and symptomatic treatment of Western medicine integrated with the eight principles of TCM diagnosis, Zang-Fu organs, six meridians, Qi, blood and fluid, as well as other dialectical methods, in order to provide a broader idea for TCM treatment and lay a foundation for further and better development of integrated TCM and Western medicine treatment.

Network characteristics of a referral system for patients with hypertension in Western Kenya: results from the Strengthening Referral Networks for Management of Hypertension Across the Health System (STRENGTHS) study

BackgroundHealth system approaches to improve hypertension control require an effective referral network. A national referral strategy exists in Kenya; however, a number of barriers to referral completion persist. This paper is a baseline assessment of a hypertension referral network for a cluster-randomized trial to improve hypertension control and reduce cardiovascular disease risk.MethodsWe used sociometric network analysis to understand the relationships between providers within a network of nine geographic clusters in western Kenya, including primary, secondary, and tertiary care facilities. We conducted a survey which asked providers to nominate individuals and facilities to which they refer patients with controlled and uncontrolled hypertension. Degree centrality measures were used to identify providers in prominent positions, while mixed-effect regression models were used to determine provider characteristics related to the likelihood of receiving referrals. We calculated core-periphery correlation scores (CP) for each cluster (ideal CP score = 1.0).ResultsWe surveyed 152 providers (physicians, nurses, medical officers, and clinical officers), range 10–36 per cluster. Median number of hypertensive patients seen per month was 40 (range 1–600). While 97% of providers reported referring patients up to a more specialized health facility, only 55% reported referring down to lower level facilities. Individuals were more likely to receive a referral if they had higher level of training, worked at a higher level facility, were male, or had more job experience. CP scores for provider networks range from 0.335 to 0.693, while the CP scores for the facility networks range from 0.707 to 0.949.ConclusionsThis analysis highlights several points of weakness in this referral network including cluster variability, poor provider linkages, and the lack of down referrals. Facility networks were stronger than provider networks. These shortcomings represent opportunities to focus interventions to improve referral networks for hypertension.Trial registrationTrial Registered on ClinicalTrials.gov NCT03543787, June 1, 2018.

EFEKTIVITAS TERAPI NAFAS DALAM TERHADAP PENURUNAN TEKANAN DARAH PADA PENDERITA HIPERTENSI

Deep breathing relaxation therapy can reduce blood pressure both systolic and diastolic pressure. Relaxation therapy diaphragm breathing techniques are very well done every day by people with high blood pressure to help relax blood vessel muscles so that the elasticity of the arteries that help lower blood pressure can be maintained. The purpose of this study is to investigate the effectiveness of breath therapy in reducing blood pressure in hypertensive patients at Royal Prima Hospital Medan. This is a quasi-expression research with cross sectional research design. The research populations were the average number of hypertensive patients at Royal Prima Hospital Medan in consisting of 73 people. The 22 samples were drawn using the accidental sampling technique. The results of the study on blood pressure variables before respiratory therapy showed that 15 people (68.2%) had normal blood pressure. Variable blood pressure after therapy breath in revealed that 15 people (68.2%) in normal condition were of 1 people (4.5%) and on weight was 6 people (27.3%). The results of the t test Test with a correlation of 0.001 or 0.1% with a significance value of 0.1% &lt;5%, means that there is effects of deep breath therapy on decreasing blood pressure in patients with hypertension. The respondents are expected to apply breath therapy in well and regularly every day so that there is a drop in blood pressure to the normal level in hypertensive patients.

Treatment of patients with arterial hypertension in clinical practice in 2010-2020 (according to the national register of hypertension)

To analyze therapy in patients with arterial hypertension (AH) in 20102020. Data of hypertensive patients observed in primary health care, entered into the base of hypertension registry for 20102020 years in the whole group (n=44 653) and in a separate subgroup of hypertensive patients in the absence of: ischemic heart disease, a history of myocardial infarction, chronic heart failure (n=20 569). About 80% of hypertensive patients are patients of high and very high risks (from 2010 to 2020, the proportion of very high cardiovascular risk (CVR) increased from 18.1 to 57.3%). The number of hypertensive patients with a history of myocardial infarction increased in 5 times, in 3 times with ischemic heart disease and with chronic heart failure. The number of prescribed drugs increased: mineralocorticoid receptor antagonist (in 5.8 times), loop diuretics (in 7.2) angiotensin receptor blockers (in 3 times), b-adrenoblockers, calcium channel blockers of the dihydropyridine series, thiazide-like diuretics in 2 times. Patients at high and very high risk are more likely reached target blood pressure values. Angiotensin-converting enzyme inhibitors were prescribed in more than 70% of patients with hypertension and the absence of coronary heart disease, chronic heart failure, history of myocardial infarction; the prescription of b-adrenoblockers, angiotension receptor blockers, thiazide-like and loop diuretics increased. The proportion of more severe and comorbid patients has increased in observed in primary health care patients with AH over a 10-year period (20102020). This was probably the main factor of increasing antihypertensive therapy and prescribing drugs with additional indications and improving the achievement of target blood pressure in patients with high and very high cardiovascular risk.

The Relationship Between HbA1c and Contrast-Induced Nephropathy in Patients with Non-ST Elevation Myocardial Infarction and Non- Established Diabetes Mellitus

Background: Diabetes Mellitus (DM) is an important cardiovascular risk factor and 50% of newly diagnosed diabetic patients have coronary artery disease. HbA1c levels in these patients have an effect on prognosis. Development of contrast agent-induced nephropathy (CIN) is common in patients who have undergone percutaneous coronary intervention (PCI) without ST elevation myocardial infarction (NSTEMI) and is associated with increased mortality and morbidity. In our study, the relationship between HbA1c and the development of CIN was investigated in NSTEMI patients who did not have a previous diagnosis of DM and receive treatment.&#x0D; Methods: In our study, 359 (189, 52.6% male) patients who were not diagnosed with DM and did not receive treatment were retrospectively analyzed for NSTEMI diagnosis. HbA1c and creatinine values before the procedure and post-procedure creatinine values were evaluated. CIN; It was defined as an increase of 25% or 0.5 mg / dl compared to the basal value in serum creatinine measured 48-72 hours after the procedure.&#x0D; Results: CIN was detected in 56 (15.6%) of all patients. Among the group with and without CIN; There was no difference between gender, amount of contrast material, pre-procedure eGFR, troponin and ejection fraction values. Only in the group with CIN, the patients were older and the number of hypertensive patients was significantly higher (Table 1). As a result of coronary angiography, medical follow-up was made for 46 (12.7%) patients, coronary stent in 271 (74.7%) and coronary bypass in 40 (11%) patients. In addition, in-hospital mortality was detected in 17 (4.7%) patients. HbA1c and fasting glucose levels were found significantly higher in the group developing CIN (6.1 ± 1.0 vs 5.5 ± 0.6, p

Суточный профиль артериального давления у детей с хроническим пиелонефритом и хронической болезнью почек I–III стадии

Актуальность. В ведении пациентов с хронической болезнью почек (ХБП) важное значение как для снижения традиционного сердечно-сосудистого риска, так и для сохранения остаточной функции почек в течение длительного времени имеет контроль артериального давления (АД). Цель работы: изучить особенности суточного профиля АД у детей с хроническим пиелонефритом (ХПН) с І–ІІІ стадией ХБП. Материалы и методы. Обследованы 94 ребенка в возрасте от 6 до 17 лет с хроническим пиелонефритом вне обострения и ХБП I–III стадии. Проводилось суточное мониторирование артериального давления (СМАД) с последующей математической обработкой результатов. Результаты. При сравнительном анализе показателей АД, полученных при разовом измерении и при проведении СМАД, выявлено их расхождение в 25,5 % случаев. По данным СМАД, у детей с ХПН в целом повышенное АД регистрировалось у 22,3 % больных, АГ — у 34,0 %. Установлено, что со снижением функции почек (легкая или умеренная степень ХБП) постепенно увеличивалось относительное количество больных со стабильной и лабильной артериальной гипертензией (АГ). Анализ степени ночного снижения АД у пациентов с ХПН показал постепенное уменьшение относительного количества пациентов с оптимальным уровнем снижения как систолического АД (от 61,7 % при ХБП I стадии до 47,1 % при ХБП III стадии), так и диастолического АД (53,2 и 11,8 % соответственно; р = 0,0049). Среди больных с ХБП III стадии регистрировались пациенты night peakers, которые имели устойчивое повышение систолического (11,8 %) и диастолического АД (29,4 %) ночью. Выводы. Во время прогрессирования ХБП среди детей с ХПН увеличивается количество пациентов с повышенным АД и АГ. Характерными признаками АГ у этой категории пациентов являются существенный вклад диастолической составляющей и устойчивое повышение ночного АД.

Karakteristik Pasien Hipertensi Pada Puskesmas Pertiwi Makassar

Hypertension is an increase in blood flow pressure that occurs in the human body which is one of the most common diseases found, according to the NHLBI (National Heart, Lung, and Blood Institute), 1 in 3 patients suffering from hypertension have risk factors for myocardial infarction, stroke, acute kidney failure and also death. The purpose of this study was to determine the description of the characteristics of hypertension patients in Pertiwi Makassar Health Center. This research was conducted on all patients diagnosed with hypertension at the Pertiwi Puskesmas in September 2019. The study was conducted with a descriptive study using an observational approach to see a description of the characteristics of hypertensive patients at the Pertiwi Puskesmas. These characteristics include age, sex and body mass index. From 134 people it can be seen that the number of male patients with hypertension is 55 people (41.04%) and the number of female patients with hypertension is 79 people (58.95%). The number of patients aged &lt;40 years, amounting to 5 people (3.73%), the number of patients aged 40-45 years which amounted to 4 people (2.98%), the number of patients aged 46-50 years which amounted to 11 people (8.20 %), and the number of patients&gt; 50 years old totaling 114 people (85.07%). The number of hypertensive patients who are underweight is 2 people (1.49%), the number of normal hypertension patients is 41 people (30.59%), the number of hypertensive patients who are overweight is 42 people (31.34%), the number of hypertensive patients who are Obese I is 48 people (35.82%) and the number of hypertensive patients who are Obesity II is 2 people (1.49%). Based on the results of the study it was found that women are more at risk of developing hypertension than men, aged&gt; 50 years more than other ages and hypertensive patients are far more classified as obese I nutritional status.