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.

Effect of Chlorthalidone, Amlodipine, and Lisinopril on Visit-to-Visit Variability of Blood Pressure: Results From the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial.

Por:  Paul Muntner PhD, Emily B. Levitan PhD, Amy I. Lynch PhD, Lara M. Simpson PhD, Jeffrey Whittle MD, Barry R. Davis MD, PhD, John B. Kostis MD, Paul K. Whelton MD y Suzanne Oparil MD.  The Journal of Clinical Hypertension, volume 16, Issue 5, pages 323–330, May 2014.

Few randomized trials have compared visit-to-visit variability (VVV) of systolic blood pressure (SBP) across drug classes. The authors compared VVV of SBP among 24,004 participants randomized to chlorthalidone, amlodipine, or lisinopril in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). VVV of SBP was calculated across 5 to 7 visits occurring 6 to 28 months following randomization. The standard deviation (SD) of SBP was 10.6 (SD=5.0), 10.5 (SD=4.9), and 12.2 (SD=5.8) for participants randomized to chlorthalidone, amlodipine, and lisinopril, respectively

Estudios importantes sobre hipertension arterial de Cuba y el mundo

The Japanese Society of Hypertension Committee for Guidelines for the Management of Hypertension

Por: CHAIRPERSON: Kazuaki SHIMAMOTO (Sapporo Medical University)
WRITING COMMITTEE: Katsuyuki ANDO (University of Tokyo), Toshihiko ISHIMITSU (Dokkyo Medical University). Sadayoshi ITO (Tohoku University), Masaaki ITO (Mie University), Hiroshi ITOH (Keio University), Yutaka IMAI (Tohoku University), Tsutomu IMAIZUMI (Kurume University), Hiroshi IWAO (Osaka City University), Shinichiro UEDA (University of the Ryukyus), Makoto UCHIYAMA (Uonuma Kikan Hospital), Satoshi UMEMURA (Yokohama City University), Yusuke OHYA (University of the Ryukyus), Katsuhiko KOHARA (Ehime University), Hisashi KAI (Kurume University), Naoki KASHIHARA (Kawasaki Medical School), et al.  Hypertension Research (2014) 37, 254–255.

Introduction

The Japanese Society of Hypertension revised the Japanese Society of Hypertension Guidelines for the Management of Hypertension in 2009 (JSH 2009) and published the JSH 2014. Basically, the JSH 2014 was prepared according to strategies to prepare the JSH 2009 and the ‘Guidance for the Preparation of Treatment Guidelines in 2007’ established by the Medical Information Network Distribution Service. In the ‘Introduction’ section, methods to prepare the JSH 2014 are introduced.

Chapter 1. Epidemiology of hypertension.

Chapter 2. Measurement and clinical evaluation of blood pressure

Chapter 3. Principles of treatment

Chapter 4. Lifestyle modifications

Chapter 5. Treatment with antihypertensive drugs
Chapter 6. Hypertension associated with organ damage

Chapter 7. Hypertension complicated by other diseases
Chapter 8. Hypertension in the elderly

Chapter 9. Dementia

Chapter 10. Hypertension in women

Chapter 11. Hypertension in children

Chapter 12. Hypertension under special conditions

Chapter 13. Secondary hypertension
References
List of Abbreviations and Acronyms

Estudios importantes sobre hipertension arterial de Cuba y el mundo

Blood pressure elevation in hemodialysis patients after the Great East Japan Earthquake

Por: Yoshihiro Tani, Masaaki Nakayama, Kenichi Tanaka, Yoshimitsu Hayashi, Koichi Asahi, Tatsuhiko Kamata, Masahiko Ogihara, Keiji Sato, Masato Matsushima y Tsuyoshi Watanabe.  Hypertension Research (2014) 37, 139–144.

A major earthquake measuring 9.0 on the Richter scale struck northeastern Japan at 2:46 pm on 11 March 2011. Several reports have described transient increases in blood pressure after major earthquakes, but the impact of such increases on hemodialysis patients has not been reported. We retrospectively investigated changes in blood pressure and influencing factors in 205 patients (mean age 66.6±13.0 years; male 51.7%; median dialysis vintage 6.0 (2.0–11.0) years) on chronic dialysis at three dialysis centers in the affected area (Fukushima City) for 8 weeks after the earthquake.

Estudios importantes sobre hipertension arterial de Cuba y el mundo

Nueva Guía 2014 para el Manejo de la Hipertensión Arterial en Adultos (JAMA)

[http://blogdelhipertenso.blogspot.com]

La prestigiosa revista JAMA (The Journal of the American Medical Association) ha publicado la nueva Guía 2014 basada en la evidencia para el Manejo de la Hipertensión Arterial en Adultos. Es un informe de los miembros de la Joint National Committee (JNC 8). Este informe tiene un enfoque riguroso y basado en la evidencia para recomendar umbrales de tratamiento, objetivos y medicamentos en el tratamiento de la hipertensión arterial en adultos. Se ofrecen una serie de recomendaciones, que os he intentado traducir al español, basadas en la evidencia disponible, y que se resumen a continuación.