Archive for the 'Editorial'

Lunes 10 / noviembre / 2014

Self-Monitoring of Blood Pressure for Improving Adherence to Antihypertensive Medicines and Blood Pressure Control: A Randomized Controlled Trial

Filed under: Editorial — Mario Hernández Cueto — noviembre 10th, 2014 — 14:02

Los trabajos y opiniones que aquí se exponen son orientadores de lo que se publica en Cuba y en el mundo sobre aspectos relevantes de la hipertensión arterial.

Editorial

Self-Monitoring of Blood Pressure for Improving Adherence to Antihypertensive Medicines and Blood Pressure Control: A Randomized Controlled Trial

EditorialPor: Masumeh Hosseininasab, Zahra Jahangard-Rafsanjani, Abbas Mohagheghi, Amir Sarayani, Arash Rashidian, Mohammadreza Javadi, Alireza Ahmadvand, Molouk Hadjibabaie,  y Kheirollah Gholam.    American Journal of Hypertension  Volume 27, Issue 11 Pp. 1339-1345.

Self-monitoring is reported to have limited efficacy for hypertension management in high-income countries. In this study, we aimed to evaluate the effect of self-monitoring on blood pressure (BP) control in an Iranian population. A randomized controlled trial was conducted on 196 mild to moderate hypertensive patients in an outpatient cardiovascular clinic. Patients in the intervention group received a wrist self-monitoring device and were educated to measure and document their BP daily during the study period.  Our study could not confirm that self-monitoring can improve BP control in patients with frequent medical visits.

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Jueves 4 / septiembre / 2014

Novel treatment approaches in hypertensive type 2 diabetic patients

Filed under: Editorial — Mario Hernández Cueto — septiembre 4th, 2014 — 10:47

Los trabajos y opiniones que aquí se exponen son orientadores de lo que se publica en Cuba y en el mundo sobre aspectos relevantes de la hipertensión arterial.

Editorial

Novel treatment approaches in hypertensive type 2 diabetic patients
Editorial

Por: Yaniel Castro Torres and Richard E Katholi.

Type 2 diabetes mellitus (T2DM) and hypertension (HTN) represent two common conditions worldwide. They increase the risk for the development of cardiovascular diseases with adverse clinical outcomes including disabilities and mortality. The International Diabetes Federation reports that diabetes kills one person every six seconds and afflicts 382 million people worldwide. The federation estimates that the number of people affected by the disease is expected to climb to 592 million by 2035.
DM is a group of metabolic diseases characterized by impairment in glucose, lipid and protein metabolism, resulting from alterations in insulin secretion, insulin action or both. While four types of DM have been classified, T2DM is the most prevalent and accounts for 90% to 95% of all diagnosed cases.

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Lunes 4 / agosto / 2014

Reference frame for home pulse pressure based on cardiovascular risk in 6470 subjects from 5 populations

Filed under: Editorial — Mario Hernández Cueto — agosto 4th, 2014 — 7:56

Los trabajos y opiniones que aquí se exponen son orientadores de lo que se publica en Cuba y en el mundo sobre aspectos relevantes de la hipertensión arterial.

Reference frame for home pulse pressure based on cardiovascular risk in 6470 subjects from 5 populations

EditorialPor: Lucas S Aparicio, Lutgarde Thijs, Kei Asayama, Jessica Barochiner, José Boggia, Yu-Mei Gu, Paula E Cuffaro1, Yan-Ping Liu, Teemu J Niiranen, Takayoshi Ohkubo, Jouni K Johansson, Masahiro Kikuya, Atsushi Hozawa8, Ichiro Tsuji, Yutaka Imai, Edgardo Sandoya, George S Stergiou, Gabriel D Waisman1 y  Jan A Staessen. Of the International Database on HOme blood pressure in relation to Cardiovascular Outcome (IDHOCO) Investigators.  Hypertension Research (2014) 37, 672–678.
The absence of an outcome-driven reference frame for self-measured pulse pressure (PP) limits its clinical applicability. In an attempt to derive an operational threshold for self-measured PP, we analyzed 6470 participants (mean age 59.3 years; 56.9% women; 22.5% on antihypertensive treatment) from 5 general population cohorts included in the International Database on HOme blood pressure in relation to Cardiovascular Outcome. During 8.3 years of follow-up (median), 294 cardiovascular deaths, 393 strokes and 336 cardiac events occurred. In 3285 younger subjects (<60 years), home PP only predicted all-cause and cardiovascular mortality (Pless than or equal to0.036), whereas in 3185 older subjects (greater than or equal to60 years) PP predicted total and cardiovascular mortality (Pless than or equal to0.0067) and all cardiovascular and coronary events (Pless than or equal to0.044).

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Lunes 16 / junio / 2014

Relation of raw and cooked vegetable consumption to blood pressure: the INTERMAP study

Filed under: Editorial — Mario Hernández Cueto — junio 16th, 2014 — 8:50

Relation of raw and cooked vegetable consumption to blood pressure: the INTERMAP study

EditorialPor: J M Geleijnse.  Journal of Human Hypertension (2014) 28, 343–344.

Elevated blood pressure (BP) is the leading cause of premature death and disability worldwide. Individuals are usually characterized as ‘normotensive’ or ‘hypertensive’ based on the cut-off level of 140/90mmHg; however, there is no such thing as a threshold for the effect of BP on disease risk. Already from systolic BP levels of 115?mm?Hg upward, there is a gradual increase in the risk for cardiovascular diseases (CVD) and mortality. Overall, in middle-aged populations, a 2-mm?Hg higher systolic BP is associated with a 6–8% higher risk of stroke and 4–5% higher risk of coronary heart disease.

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