Practice In Hypertensive Patients Research Articles

Association between left ventricular hypertrophy and the peak times of the R and P waves in hypertensive patients

Purpose: This study aimed to investigate the relationship between left ventricular hypertrophy (LVH), assessed by echocardiographic left ventricular mass index (LVMI), and electrocardiographically evaluated R wave peak time (RWPT) and P wave peak time (PWPT) in hypertensive patients. Materials and Methods: A cross-sectional study was conducted involving 100 hypertensive patients, excluding those with specific medical conditions. Clinical and demographic data were collected, and electrocardiographic and echocardiographic examinations were performed. RWPT and PWPT were assessed along with other parameters. Results: LVH was present in 33 out of 100 patients. Patients with LVH exhibited significantly higher RWPT (45.6 ± 4.9 vs. 35.0 ± 5.5) and PWPT (55.5 ± 15.8 vs. 49.1 ± 12.5) compared to those without LVH. Additionally, LVH patients showed increased left atrium anteroposterior diameter, and prolonged deceleration time. QRS fragmentation was more common in the LVH group. Conclusion: The study highlights the association between electrocardiographic parameters (RWPT and PWPT) and LVH in hypertensive patients. These findings underscore the potential utility of electrocardiogram as a non-invasive tool for LVH assessment in clinical practice in hypertensive patients, aiding in risk stratification and therapeutic decision-making.

Knowledge and practice of hypertensive patients toward prevention and early detection of chronic kidney disease and associated factors in Riyadh, Saudi Arabia

Objective: This study aimed to determine the knowledge, attitude, and practices of hypertensive patients toward chronic kidney disease (CKD). Methods: A cross-sectional study was conducted from September to November 2021 in Riyadh, Saudi Arabia, using a semi-structured questionnaire that had been previously prepared and tested. Results: In this study, data from 417 hypertensive patients were collected. Among them, 52.5% were males and 23.5% were aged between 50 and 60 years, while in general, 56.1% were older than 40 years old. In general, it was found that 53.5% of hypertensive patients had an inadequate level of knowledge regarding CKD. The main practices of the participants to reduce the risk of kidney disease included not smoking (77.5%), seeking medical help if they noticed signs of kidney disease (67.1%), following medication regimen (57.8%), and regular exercise such as walking and jogging (41.2%). Conclusion: It was found that less than half of the hypertensive patients had adequate knowledge considering CKD. There is an urgent need to increase the awareness of the patients toward CKD risk factors. Moreover, it was found that patients had a good attitude and practice considering the risk factors.

Knowledge, Attitudes, and Practices of Hypertensive Patients Towards Stroke Prevention Among Rural Population in Saudi Arabia: A Cross-Sectional Study.

Stroke is a significant health problem and is considered one of the leading causes of mortality and permanent disability worldwide. Hypertension is a primary risk factor for stroke. Thus, hypertensive patients' knowledge, attitudes, and practices (KAP) are essential in preventing stroke. To examine hypertensive patients' KAP towards stroke prevention among rural population in Saudi Arabia. The study utilized a cross-sectional design. The data were collected using a convenience sampling technique from hypertensive patients in the northwestern rural areas of Riyadh Province. A self-administered questionnaire was adapted from the Stroke Recognition Questionnaire (SRQ) and utilized to assess KAP towards stroke prevention among rural hypertensive patients. The STrengthening of the Reporting of OBservational studies in Epidemiology (STROBE) checklist was used to report the study. A total of 196 hypertensive patients participated in the study. The total mean scores categorization into three quartiles showed that most respondents had poor levels of KAP towards stroke prevention. Weak positive correlations were found between KAP of patients. There were statistically significant differences between respondents' attitudes and practices with their age, education, marital status, and occupational status. This study denoted poor levels of KAP towards stroke prevention among hypertensive patients living in rural areas. This study showed the importance of further considering rural population by which improving their health and quality of life. Extending health educational programs and behavior-changing strategies to rural areas is essential to increase hypertensive patients and general public awareness about their stroke prevention and other health-related concerns.

Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring

ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA ALOTAIBI A, ALOTAIBI A, ALSOMALI A, et al. Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring. Family Medicine & Primary Care Review. 2023;25(1):7-13. doi:10.5114/fmpcr.2023.125485. APA ALOTAIBI, A., ALOTAIBI, A., ALSOMALI, A., ALBISHER, S., ALQUHAYZ, M., & GOWEDA, R. et al. (2023). Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring. Family Medicine & Primary Care Review, 25(1), 7-13. https://doi.org/10.5114/fmpcr.2023.125485 Chicago ALOTAIBI, AMJAD, AISHA ALOTAIBI, ABDULAZIZ ALSOMALI, SARA ALBISHER, MOHAMMED ALQUHAYZ, REDA GOWEDA, and RANIA NAGUIB. 2023. "Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring". Family Medicine & Primary Care Review 25 (1): 7-13. doi:10.5114/fmpcr.2023.125485. Harvard ALOTAIBI, A., ALOTAIBI, A., ALSOMALI, A., ALBISHER, S., ALQUHAYZ, M., GOWEDA, R., and NAGUIB, R. (2023). Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring. Family Medicine & Primary Care Review, 25(1), pp.7-13. https://doi.org/10.5114/fmpcr.2023.125485 MLA ALOTAIBI, AMJAD et al. "Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring." Family Medicine & Primary Care Review, vol. 25, no. 1, 2023, pp. 7-13. doi:10.5114/fmpcr.2023.125485. Vancouver ALOTAIBI A, ALOTAIBI A, ALSOMALI A, ALBISHER S, ALQUHAYZ M, GOWEDA R et al. Evaluation of knowledge and practices of hypertensive patients regarding home blood pressure monitoring. Family Medicine & Primary Care Review. 2023;25(1):7-13. doi:10.5114/fmpcr.2023.125485.

Ultra-Small Superparamagnetic Iron-Oxide Nanoparticles Exert Different Effects on Erythrocytes in Normotensive and Hypertensive Rats.

We determined erythrocyte physiological and biochemical properties after the single and repeated administration of ultra-small superparamagnetic iron-oxide nanoparticles (USPIONs) in normotensive Wistar–Kyoto (WKY) and spontaneously hypertensive (SHR) rats. Polyethylene glycol-coated USPIONs (transmission electron microscope detected a mean size of ~30 nm and hydrodynamic size ~51 nm) were intravenously administered to rats either in one infusion at nominal dose 1 mg Fe/kg or in two infusions (administered with a difference of 24 h) at nominal dose 2 mg Fe/kg. Results showed that USPIONs did not deteriorate erythrocyte deformability, nitric oxide production, and osmotic resistance in both experimental settings. Both the single and repeated USPION administration elevated erythrocyte deformability in WKY. However, this effect was not present in SHR; deformability in USPION-treated SHR was significantly lower than in USPION-treated WKY. Nitric oxide production by erythrocytes was increased after a single USPION treatment in WKY, so it can be associated with improvement in erythrocyte deformability. Using biomagnetometry, we revealed significantly lower amounts of USPION-originated iron in erythrocytes in SHR compared with WKY. We found a much faster elimination of USPIONs from erythrocytes in hypertensive rats compared with the normotensive ones, which might be relevant for clinical practice in hypertensive patients undergoing clinical examination with the use of iron-oxide nanoparticles.

Cardiovascular Risk and Hypertensive patients’ Knowledge, Attitudes and Practices on Modifiable Risk Factors in Kinshasa, the Democratic Republic of the Congo

Good practice on modifiable cardiovascular risk factors is based on good knowledge and a positive attitude. The study aims to assess cardiovascular risk and knowledge, attitudes and practices of hypertensive patients in Kinshasa on modifiable cardiovascular risk factors as well as their associated determinants. We conducted a cross-sectional study with 345 hypertensive patients followed at Monkole Hospital and at Saint-Joseph Hospital in the city of Kinshasa in the Democratic Republic of the Congo from September 2017 to February 2018. The participants were submitted to the WHO-Steps survey. Cardiovascular risk was assessed by the number of deleterious risk factors present in patients. Descriptive and inferential analyzes were performed. The statistical significance threshold was set at p<0.05. The average age of the participants was 62.1±11.2 years with a gender ratio of 1.1 in favor of women. In total, 61%, 56% and 60% of our respondents had, respectively, a low level of knowledge, a bad attitude and an insufficient practice on modifiable cardiovascular risk factors. Good knowledge was statistically significantly linked to education, the medical profession as a source of information, and employment. Only age ≥ 60 years was significantly associated with the right attitude in our patients while good practice was linked to the level of education. The majority of participants (80.3%) had a high cardiovascular risk. Poor knowledge (p: 0.032) and insufficient overall practice (p<0.001) were significantly associated with high cardiovascular risk. The present study showed that hypertension was associated with a high Cardiovascular risk underpinned by a low level of knowledge, a bad attitude and insufficient practice on modifiable cardiovascular risk factors. Therefore, education programs and strategies to positively influence attitudes and practices are essential to reduce the impact of cardiovascular disease and its risk factors in our environment.

Knowledge, Attitudes, Practices and Blood Pressure Control of Hypertensive Patients at a South African Primary Health Care Centre

Hypertension is a serious global and South African public health problem. The high prevalence of uncontrolled hypertension is related to a patient’s lack of knowledge and healthy practices. The study aimed to assess the knowledge, attitudes and practices of hypertensive patients and their blood pressure control at a rural community health centre. This was a prospective cross-sectional study conducted on diagnosed cases of hypertension at the centre. Binary logistic regression analysis was conducted to determine the factors for the control of hypertension. Two hundred and ninety-seven known hypertensive patients were recruited, the majority of which were female. Eighty-eight percent were older than 45 years, and almost all had a monthly income of less than R3000 (USD 190). More than half controlled their blood pressure. It was found that 46% had poor knowledge, 64% had good attitudes and 60% were practising positively regarding the control of hypertension. Hypertensive patients attending the centre had poor knowledge but good attitudes and practices towards hypertension. The study revealed an urgent need for improved health promotion and educational efforts to increase the knowledge of hypertension in rural communities and to address poverty as a major obstacle to healthy lifestyle choices.

Comparison of Ambulatory Tonometric and Oscillometric Blood Pressure Monitoring in Hypertensive Patients.

AimCorrect measurement of blood pressure (BP) is important for optimal diagnosis and treatment of patients with hypertension. The aim of this study was to compare a wrist-worn device using tonometric measurements of BP to a conventional device using oscillometric measurements of 24 h BP, diagnosing of hypertension, and non-dipping.MethodsOne-hundred patients in the Renal Outpatient Clinic had 24 h ambulatory BP monitoring performed with a tonometric device, BPro, and an oscillometric device, A&D, simultaneously.ResultsTwenty-four-hour and daytime systolic BP was significantly lower using tonometric monitoring compared to oscillometric (7 and 6 mmHg, respectively, p< 0.001). In the population of patients diagnosed with hypertension, the tonometric device diagnosed 90% of patients with uncontrolled hypertension correctly (positive predictive value), whereas 49% of patients classified as normotensive were uncontrolled hypertensive (negative predictive value). The mean difference between relative nocturnal BP decrease between tonometric and oscillometric was 2±8% (p< 0.01), and 33% of patients classified as dippers were non-dippers (negative predictive value).ConclusionUsing the BPro device for tonometric monitoring of BP and classification of hypertension and non-dipping in patients diagnosed with hypertension leads to misclassification of patients. Therefore, the BPro device is not suitable for clinical practice in hypertensive patients from a Renal Outpatient Clinic.

Hipertansif kişilerin hipertansiyon konusundaki tutum ve davranışları

Amaç: Hipertansiyon tüm dünyada sık görülen bir hastalıktır ve hipertansif hastalarda farkındalık oranı düşüktür. Bu nedenle hastaların sağlığını etkileyen uygun davranışları kontrol etmesi gerekmektedir. İdeal vücut ağırlığı, hareketli yaşam, tuz ve doymuş yağlardan fakir diyetle beslenme, sigara ve alkol kullanmama ve stresten uzak durma önerilmektedir. Bu araştırma hipertansiyon tanısı almış erişkin kişilerin hastalıklarının kontrolü ile ilgili tutum ve davranışları ile bunları etkileyen faktörleri belirlemek amacıyla yapılmıştır.&#x0D; Gereç ve Yöntem: Bu kesitsel araştırma Kayseri ili Kocasinan, Melikgazi, Talas ve Hacılar ilçelerine bağlı 4 ayrı Aile Sağlığı Merkezi‟nde yürütülmüştür. Daha önce hipertansiyon tanısı almış ve aile sağlığı merkezlerine herhangi bir nedenle başvuranlardan araştırmaya katılmayı kabul eden, 18 yaş ve üzeri 525 kişi araştırma kapsamına alınmıştır. Veri toplama aracı olarak, hastaların sosyodemografik özellikleri ve hipertansiyonla ilgili tutum ve davranışları ile ilgili 37 sorudan oluşan anket formu kullanılmıştır. Verilerin analizinde Pearson Ki-Kare testi kullanılmıştır.&#x0D; Bulgular: Araştırma grubunda, düzenli ilaç kullandığını belirtenlerin oranı %80,8, düzenli doktor kontrolü yaptıranların oranı %62,9 bulunmuştur. Katılımcıların %27,6‟sı sigara, %9,3‟ü alkol kullanmaktadır, %36,8‟i tansiyonları yükseldiğinde hekime başvurduğunu, % 63,2‟si tansiyonu düşürdüğüne inandığı yiyecek ve içecek aldığını belirtmişlerdir. Araştırmaya katılanların % 41,1‟i düzenli fiziksel aktivite yapmakta olup, %70,5‟i yemeklerinde tuz kısıtlaması yapmaktadır. BKI değerlerine göre, erkeklerin %7,0„si kadınların %16,1‟i obez olarak değerlendirilmiştir.&#x0D; Sonuç: Araştırma grubunda, hipertansiyon farkındalığı istenilen düzeyde değildir. Hastaların hipertansiyondan korunma önlemleri hakkında tutum ve davranışlarının yetersiz olduğu belirlenmiştir. Hipertansiyon hastalarının tedaviye uyumunu sağlamak için hipertansiyon konusunda bilgilendirilmesi, düzenli doktor kontrolü ve ilaç kullanımı konusunda yönlendirilmesi, evde kan basıncı ölçümünün öğretilmesi gerekir.

Knowledge, attitudes and practices of hypertensive patients towards prevention and early detection of chronic kidney disease: a cross sectional study from Palestine

BackgroundHypertension is the second most common cause of chronic kidney disease (CKD). Therefore, the aims of the study were to assess the knowledge, attitudes and practices (KAP) of hypertensive patients towards prevention and early detection of CKD, and to determine the clinical and socio-demographic factors, which affect the KAP regarding prevention of CKD.MethodsA cross-sectional study was held using the CKD screening Index to assess the KAP of 374 hypertensive patients who were selected from multiple primary healthcare centers in Nablus, Palestine. The CKD Screening Index is formed of three scales. First, the knowledge scale was a dichotomous scale of 30 items, while the attitude scale used 5-point Likert-type scale for 18 items and finally the practice scale was measured using 4-point Likert-type scale for 12 items. Multiple linear regression analysis was used to determine the association between clinical and socio-demographic factors and practices.ResultsIn total, 374 hypertensive patients participated in the study. The mean age of participants was 59.14 ± 10.4 years, (range 26–85). The median (interquartile range) of the knowledge, attitude, and practice scores of hypertensive patients towards prevention and early detection of CKD were 20 (16–23), 69 (65–72), and 39 (36–42), respectively. In multiple linear regression analysis, patients age < 65 years (p < 0.001) and patients with high education level (p = 0.009) were the only factors significantly associated with higher knowledge scores. Additionally, patients age < 65 years (p = 0.007), patients with high income (p = 0.005), and patients with high knowledge score (p < 0.001) were the only factors significantly associated with higher attitude scores. Furthermore, regression analysis showed that patients with higher total knowledge (p = 0.001) as well as higher total attitudes scores towards CKD prevention (p < 0.001), male gender (p = 0.048), and patients with normal body mass index (BMI) (p = 0.026) were statistically significantly associated with higher practice score towards CKD prevention.ConclusionsAmong hypertensive patients, higher scores for total knowledge and attitudes toward prevention, male sex, and normal BMI were associated with modestly higher scores for prevention practices. Finally the findings may encourage healthcare workers to give better counseling to improve knowledge.

Knowledge, Attitude and Practice Regarding Lifestyle Modification of Hypertensive Patients at Jimma University Specialized Hospital, Ethiopia

Abstract Introduction: Hypertension is an overwhelming global challenge. Appropriate lifestyle changes are the cornerstone for the prevention of hypertension. They are also important for its treatment; although they should never delay the initiation of drug therapy in patients at a high level of risk. The study was conducted to assess the knowledge, attitude and practices of hypertensive patients on life style modification to control hypertension at JUSH. Methods: A prospective cross sectional descriptive study design was used to determine the knowledge, attitudes and practices of hypertensive patients with respect to importance of lifestyle modification in the management of hypertension. 130 patients with hypertension were identified and interviewed using questionnaire. Results: Out of the 130 participants, majority (57.7%) were females. 80% of participants said they avoid salt in their diet and 15% 0f them drink alcohol. 59.2% know the ideal BP and 67.7% believe the fact that exercise reduces BP. Only 1.5% of them were smoking and large majority (94.6%) were having salt restriction. Majority (90.7%) of them reported that health care provider taught them about danger of too much salt. Conclusion: The results of this study indicates that although patients do receive advice on lifestyle modification, it was not enough and effective in changing patient behavior, knowledge and practice. Therefore, clinicians should give adequate time to provide relevant information on the value of life style modification in the control of their blood pressure

Assessment of KAP, Risk Factors and Associated Co-Morbidities in Hypertensive Patients.

Objective: (1) To assess the knowledge, attitude and practices of hypertensive patients. (2) To assess the risk factors and associated co-morbidities in them. Material and Methods: A cross-sectional study was conducted at Shivaji Nagar urban slum which is a field practice area of Department of Preventive and Social Medicine, of TN Medical College Mumbai. Hypertensive patients above 40 years of age were included in this study. The information was gathered by personal interview using semi-structured proforma. Results: Out of 340 subjects 176 (51. 76% ) were males. Majority of subjects 43.82% belonged to joint family and 64.11% subjects were from III, IV, V socioeconomic class. 39.7% patients were unemployed and unskilled. 131 (38.52%) patients had the family history of Hypertension. majority of the patients 117 (34.41%) had Smokeless tobacco addiction, followed by Cigarettes smoking 45 (13.23%). Alcohol consumption and smokeless tobacco chewing both in 43 (12.64%) patients. 90 (26.47%) patients had Diabetes Mellitus along with Hypertension followed by Anaemia 68 (20%) and Osteoarthritis / Osteoporosis 51 (15 %). 221 (65%) hypertensive patients had BMI equal to or more than 25 Kg/ m 2 . Poor knowledge, attitude and practices were in 83.42%, 69.11%, 73.24% patients respectively. Mean systolic BP, Diastolic BP, Body mass index and weight was 145.58 mm of Hg, 92 mm of Hg, 25.09 Kg/ m 2 and 67.8 Kg respectively. Conclusion: Most of the patients had associated co-

The effectiveness and tolerability of lercanidipine is independent of body mass or body fat indexes. the lerzamig study

P-182 Key Words: Lercanidipine, Essential Hypertension, Obesity