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Home blood pressure –guided antihypertensive therapy in chronic kidney disease: more data are needed
In the era of newly introduced hypertension guidelines recommending lower blood pressure (BP) targets for drug-treated hypertensives, the necessity for optimized management of hypertension becomes even more urgent. The concept of home BP –guided antihypertensive therapy is for long suggested as a simple and feasible approach to improve BP control rates and optimize the management of hypertension. Home BP–guided antihypertensive therapy is particularly applicable to hypertensives with chronic kidney disease (CKD) for several reas ons including the following: (1) difficult-to-control BP and high BP variability in the CKD...
Source: Journal of the American Society of Hypertension - February 10, 2018 Category: Cardiology Authors: Panagiotis I. Georgianos, Eleni Champidou, Vassilios Liakopoulos, Elias V. Balaskas, Pantelis E. Zebekakis Tags: Commentary Source Type: research

Prevalence, awareness, treatment and control of hypertension among Chinese working population: results of a workplace-based study
We investigated the prevalence, awareness, treatment, and control of hypertension and the related risk factors among Chinese working population. From 2012 to 2013, a total of 37,856 employees aged 18 to 60 years from 61 workplaces were sampled. Standard questionnaire surveys and physical examinations were undertaken. Multilevel logistic regression models were performed to identify the risk factors. Overall, the age-standardized prevalence of hypertension was 23.3% [95% confidence interval (CI): 22.9%-23.7%]. (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 10, 2018 Category: Cardiology Authors: Yang Shen, Xin Wang, Zengwu Wang, Linfeng Zhang, Zuo Chen, Manlu Zhu, Chun Chang, Runlin Gao, China Hypertension Survey Group: The Standardized Management of Hypertensive Employees Project Tags: Research Article Source Type: research

Home BP-guided antihypertensive therapy in chronic kidney disease: more data are needed
In the era of newly-introduced hypertension guidelines recommending lower blood pressure (BP) targets for drug-treated hypertensives, the necessity for optimized management of hypertension becomes even more urgent. The concept of home BP-guided antihypertensive therapy is for long suggested as a simple and feasible approach to improve BP control rates and optimize the management of hypertension. Home BP-guided antihypertensive therapy is particularly applicable to hypertensives with chronic kidney disease (CKD) for several reasons including the following: (i) difficult-to-control BP and high BP variability in the CKD setti...
Source: Journal of the American Society of Hypertension - February 10, 2018 Category: Cardiology Authors: Panagiotis I. Georgianos, Eleni Champidou, Vassilios Liakopoulos, Elias V. Balaskas, Pantelis E. Zebekakis Tags: Editorial Source Type: research

Comparison of laboratory and ambulatory measures of central blood pressure and pulse wave reflection: hitting the target or missing the mark?
Prior studies demonstrating clinical significance of non-invasive estimates of central blood pressure (BP) and pulse wave reflection have relied primarily on discrete resting measures. The aim of this study was to compare central BP and pulse wave reflection measures sampled during a single resting laboratory visit against those obtained under ambulatory conditions. The secondary aim was to investigate the reproducibility of ambulatory central blood pressure and pulse wave reflection measurements. (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 10, 2018 Category: Cardiology Authors: Matthew J. Burns, Jeremy D. Seed, Anthony V. Incognito, Connor J. Doherty, Karambir Notay, Philip J. Millar Tags: Research Article Source Type: research

Elevated preoperative blood pressures in adult surgical patients are highly predictive of elevated home blood pressures
Blood pressure (BP) measurement during the presurgical assessment has been suggested as a way to improve longitudinal detection and treatment of hypertension. The relationship between BP measured during this assessment and home blood pressure (HBP), a better indicator of hypertension, is unknown. The purpose of the present study was to determine the positive predictive value of presurgical BP for predicting elevated HBP. We prospectively enrolled 200 patients at a presurgical evaluation clinic with clinic blood pressures (CBPs) ≥130/85 mm Hg, as measured using a previously validated automated upper-arm device (Welch All...
Source: Journal of the American Society of Hypertension - February 6, 2018 Category: Cardiology Authors: Robert B. Schonberger, Adambeke Nwozuzu, Jill Zafar, Eric Chen, Simon Kigwana, Miriam M. Monteiro, Jean Charchaflieh, Sophisa Sophanphattana, Feng Dai, Matthew M. Burg Tags: Research Article Source Type: research

From the Editor
New analyses of results from the SPRINT trial1 continue to pour in. In a recent analysis, Markovitz et al2 explored the incremental effects of the serial addition of a new class of antihypertensive medication on blood pressure lowering. The novelty of their approach was the use of instrumental variable analysis, which used a patient's randomization status (standard therapy to systolic blood pressur e (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 6, 2018 Category: Cardiology Authors: Daniel Levy Tags: Editor's Page Source Type: research

Elevated Preoperative Blood Pressures in Adult Surgical Patients are Highly Predictive of Elevated Home Blood Pressures
Blood pressure (BP) measurement during the pre-surgical assessment has been suggested as a way to improve longitudinal detection and treatment of hypertension. The relationship between blood pressure measured during this assessment and home blood pressure (HBP), a better indicator of hypertension, is unknown. The purpose of the present study was to determine the positive predictive value (PPV) of presurgical blood pressure for predicting elevated HBP. (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 6, 2018 Category: Cardiology Authors: Robert B. Schonberger, Adambeke Nwozuzu, Jill Zafar, Eric Chen, Simon Kigwana, Miriam M. Monteiro, Jean Charchaflieh, Sophisa Sophanphattana, Feng Dai, Matthew M. Burg Tags: Research Article Source Type: research

Editor's page
New analyses of results from the SPRINT trial1 continue to pour in. In a recent analysis, Markovitz et al2 explored the incremental effects of the serial addition of a new class of antihypertensive medication on blood pressure lowering. The novelty of their approach was the use of instrumental variable analysis, which used a patient's randomization status (standard therapy to systolic blood pressure (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 6, 2018 Category: Cardiology Authors: Daniel Levy Tags: Editor's Page Source Type: research

Is Trump's cardiovascular health “excellent” or are there “serious heart concerns”? and comments on the president's blood pressure
The President's health comes under greater national scrutiny than other U.S. citizens. After Mr. Trump's health exam on Friday, January 12th Dr. Ronny Jackson, White House Physician, said the President was “in excellent health” as reported by CNN White House Producer, Kevin Liptak.1 Liptak wrote, Trump had his first known medical exam since taking office, “the results of which will provide the most accurate gauge yet of how a year being commander in chief has worn on the presidential frame. Will they show he's gained weight since his last report.? Or will his cholesterol have changed from the normal readings in 2016 ...
Source: Journal of the American Society of Hypertension - February 4, 2018 Category: Cardiology Authors: Brent M. Egan Tags: Hypertension Highlight Source Type: research

Diets containing salmon fillet delay development of high blood pressure and hyperfusion damage in kidneys in obese Zucker fa/fa rats
Hypertension is the leading risk factor for cardiovascular and chronic renal diseases, affecting more than 1 billion people. Fish intake is inversely correlated with the prevalence of hypertension in several, but not all, studies, and intake of fish oil and fish proteins has shown promising potential to delay development of high blood pressure in rats. The effects of baked and raw salmon fillet intake on blood pressure and renal function were investigated in obese Zucker fa/fa rats, which spontaneously develop hypertension with proteinuria and renal failure. (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 3, 2018 Category: Cardiology Authors: Linn A. Vik øren, Aslaug Drotningsvik, Angela Mwakimonga, Sabine Leh, Gunnar Mellgren, Oddrun A. Gudbrandsen Tags: Research Article Source Type: research

Exercise and other nonpharmacological strategies to reduce blood pressure in older adults: a systematic review and meta-analysis
The incidence of hypertension increases with advancing age and represents a significant burden of disease. Lifestyle modification represents the first-line intervention in treatment algorithms; however, the majority of evidence for this comes from studies involving young participants using interventions that may not always be feasible in the elderly. This manuscript presents a systematic review of all randomized controlled trials involving participants with a mean age of 65 or over investigating nonpharmacological strategies to reduce blood pressure (BP). (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 3, 2018 Category: Cardiology Authors: Philip J.J. Herrod, Brett Doleman, James E.M. Blackwell, Francesca O ’Boyle, John P. Williams, Jonathan N. Lund, Bethan E. Phillips Tags: Review Article Source Type: research

Prevalence and correlates of hypertension-outcome of a free medical screening in Oke-Ogun area of Oyo state, Nigeria, West Africa
Literature abounds on prevalence of hypertension in Nigeria and urban areas of Oyo state but none in Oke-Ogun geopolitical zone, which constitutes 10 local governments of the 33 in Oyo state, despite the fact that they have high genetic and environmental predisposition to developing high blood pressure. The purpose of the study was to determine the prevalence of high blood pressure and associated risk factors among indigenes of Oke-ogun, Oyo state. A total of 10,000 respondents were recruited using proportionate sampling techniques. (Source: Journal of the American Society of Hypertension)
Source: Journal of the American Society of Hypertension - February 3, 2018 Category: Cardiology Authors: Rasaki O. Shittu, Louis O. Odeigah, Kasali O. Fakorede, Biliaminu A. Sikiru, Abdullateef G. Sule, Yusuf Musah, Folorunsho M. Adeyemi Tags: Review Article Source Type: research