(1) The majority
of hypertensive patients are treated with blood pressure - lowering medications, but is a prescription the best course of action?
The retina
of a hypertensive patient develops tortuous looking retinal blood vessels.
Not exact matches
Murray Esler
of the Baker IDI Institute in Melbourne, Australia, a member
of the team that has been trialling the procedure, says these nerves «are really switched on» in
hypertensive patients.
A total
of 55,320
hypertensive patients underwent noncardiac surgery in Denmark between 2005 and 2011; baseline clinical characteristics were similar between the 14,644
patients treated with β - blockers and the 40,676
patients treated with other antihypertensive drugs.
«Although evidence - based and qualified guidelines have been recently released from Europe and North America, the unique features
of Asian
hypertensive patients raise concerns on the real clinical applicability
of these guidelines to Asian populations,» write the authors.
For example, failure to intensify therapy in
hypertensive patients with blood pressure greater than 140/90 has been reported to be as high as 86.9 %
of visits.
The three - year study was conducted in 1,078
hypertensive patients,
of whom 85 % also had coronary heart disease and 15 % also had valve disease.
In
patients with essential hypertension, elevated ratios may also be a sign
of primary aldosteronism (PA), for which recent reports suggest incidence may be as high as 10 - 15 % in
hypertensive patients.
Such
patients are often mis - placed on anti-
hypertensive medications, which do not prevent progression
of the
hypertensive vascular complications induced by hyperaldosteronemia (i.e., heart attack, stroke, kidney failure).
Prevalence
of primary aldosteronism: should we screen for primary aldosteronism before treating
hypertensive patients with medication?.
Nishikawa T, Saito J, Omura M. Prevalence
of primary aldosteronism: should we screen for primary aldosteronism before treating
hypertensive patients with medication?.
Another study showed that Korean subjects who were told to eat their usual Korean traditional diet — rich in kimchi — had lower glycated hemoglobin (HbA ₁ c), and more evidence
of lower glucose.4 Jung, S. J., et al. «Beneficial effects
of Korean traditional diets in
hypertensive and type 2 diabetic
patients.»
There have been postmarketing reports
of patients who experienced significantly elevated blood pressure (including rare cases
of hypertensive crisis) after ingestion
of unknown amounts
of tyramine - rich foods while taking recommended doses
of AZILECT.
A study a number years ago showed that labeling
patients as
hypertensive compared to a control group with the same blood pressures lowered their quality
of life and increased the days
of work missed.
Subjects with renal insufficiency, even subclinical, kidney transplant
patients and people with metabolic syndrome or other obesity - related conditions, will be more susceptible to the
hypertensive effect
of amino acids, especially
of the sulphated variety.104 The well - documented correlation between obesity and reduced nephron quantity on raised blood pressure puts subjects with T2D or metabolic syndrome at risk, even if in diabetics with kidney damage the effects are not always consistent with the hypothesis.12, 105,106 In fact, although some authors have reported a positive influence
of a reduction in protein intake from 1.2 to 0.9 g / kg, over the short term, on albuminuria in T2D, 107 the same authors have subsequently stated instead that dietary protein restriction is neither necessary nor useful over the long term.108
A study published in the September 2007 issue
of «Yale Journal
of Biology and Medicine,» reported that sesame oil consumption on a regular basis lowered blood pressure, decreased the oxidative degradation
of fats and increased antioxidant levels in
hypertensive patients.
Sustained hypertension is associated with damage to the eyes, ears, brain, and kidneys.6, 7 A
hypertensive emergency occurs when the
patient has a marked elevation
of blood pressure and is at risk for development
of end - organ damage or vascular incidents, such as cerebral hemorrhage causing neurologic signs or intraocular hemorrhage causing blindness.7
Development
of the Japanese Medication Adherence Scale and Verification
of Its Reliability and Validity in
Hypertensive Patients
This is similar with the studies with
hypertensive patients in France and Turkey [20][32] and on osteoporosis
patients in USA [26] and the original validation study
of Morisky et al. [21].
It is suggested that forgiveness training may be an effective clinical intervention for some
hypertensive patients with elevated levels
of anger.