Exercise echocardiography in postmenopausal hormone users with mild systemic hypertension
Amos PinesEnrique Z. FismanItzhak ShapiraYaacov DroryAvraham WeissNachman EcksteinY LevoMordechai AverbuchMichael MotroHeshi H. RotmenschDaniel Ayalon
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Aim: In order to discuss the ratio of Isolated Systolic Hypertension,Systolic Blood Pressure and Diastolic Blood Pressure and cardiocerebrovascular diseases.Methods: Divided 150 hypertension patients into three groups: 52 Diastolic Blood Pressure patients;15 Isolated Systolic Hypertension patients;54 patients of Systolic Blood Pressure and Diastolic Blood Pressure and cardio-cerebrovascular diseases and had clinical analysis on them.Results: the prognosis of Isolated Systolic Hypertension is good but there's great possibility for the patients who had Isolated Systolic Blood Pressure and Systolic Blood Pressure intercurrent Diastolic Blood Pressure to have cardio-cerebrovascular.Conclusion: To those patients who had Isolated Systolic Blood Pressure and Systolic Blood Pressure intercurrent Diastolic Blood Pressure,we should pay enough attention to them and treated them zealously.
Prehypertension
Isolated systolic hypertension
Systolic hypertension
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Tumors derived from a hormonal target organ are assumed to be stimulated by the same hormone that stimulates the normal target tissue. In spite of attempts to acquire direct indications of a correlation between hormones and cancer, none have been definitive because studies of total and free hormone levels have given contradictory results. For this reason, attention has shifted to the study of plasma binding and transport of hormones, that is, of the proteins responsible for modulation of the hormone effect and thus of hormone bioavailability. The data reviewed indicate that in-depth study of the transport and binding system of sex steroids would give new information about the endocrine characteristics of cancer patients.
Steroid hormone
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Forty-four insurance company employees were measured on blood pressure, moods, symptoms, and predictions of their blood pressures, twice daily for 10 days. Twenty subjects had elevated blood pressure and 24 did not. The measures were correlated within-subjects to determine if blood pressure predictions were associated with moods, symptoms, or blood pressure readings, and if moods and symptoms were related to blood pressure. Predictions of pressure were expected to be correlated with symptoms and moods, but not with blood pressure. No strong relationship was expected when blood pressure was compared to symptoms or to moods. The data showed that self-predictions of blood pressure were most strongly associated with reported symptoms, next with reported moods, and least with actual blood pressure. A comparison of subjects who were accurate in predicting their blood pressure with those who were not showed no differences in blood pressure levels, systolic blood pressure variation, self-esteem, or private body-consciousness. Subjects' beliefs that they could monitor blood pressure were little influenced by contrary information. The results suggest it would be an error to encourage subjects to believe they can successfully treat blood pressure elevations by monitoring symptoms related to blood pressure change.
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Goal and the intension of the recent course were to show the connectivity between the blood pressure and ladyfinger likeness. Blood pressure or BP is the pressure exerted on the walls of the blood vessels when the blood circulates. Blood pressure is measured by the device called sphygmomanometer. The normal range of the blood pressure is 80mmHg to 120mmHg. The first is the diastolic blood pressure and the later is systolic blood pressure. Ladyfinger is the green vegetable which helps in controlling the blood pressure. During the sampling, we made a Performa about the connectivity of blood pressure and ladyfinger likeness. Gross of 188 colleagues were involved in this Performa study to which we questioned about their blood pressure. These colleagues are the undergraduate students of Bahauddin Zakariya University. It was concluded that the males who like ladyfinger have higher blood pressure and the females who dislike ladyfinger also have the high blood pressure.
Sphygmomanometer
Prehypertension
Intension
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Objective To study the characteristics of hemodynamic in middle-aged patients with essential hypertension or pre-hypertension.Methods 462 subjects were divided into three groups: the hypertension group,the pre-hypertension group and the normal group.A noninvasive hemodynamic monitoring system(LIFEGARD II) was used for detecting hemodynamic indices: SV,SVR,TFC and LCWI.Hemodynamic indices of three groups were compared with each other,and hemodynamic characteristics were further analyzed in the hypertension group.Results There were significant differences in SBP,DBP,PP,MAP,SVR,SV and LCWI(P0.05) between the hypertension group and the normal group,and in SBP,PP,MAP and SVR(P0.05) between the pre-hypertension group and the normal group.An abnormal SVR level existed in 58.8% of hypertension patients.Conclusions Various degrees of hemodynamic abnormality exist in hypertension/pre-hypertension patients.Noninvasive hemodynamic examination may provide help for individualized therapy of hypertension.
Essential hypertension
Abnormality
Normal group
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In 96 patients with myocardial infarction the indices of central hemodynamics were studied by radiocardiography and the indices of regional circulation in the brain, lungs, liver, and distal parts of the extremity by rheoplethysmography. Peculiarities of regional and central hemodynamics depending on the clinical picture were revealed and the dynamics of the indices being studied were followed from the first to the 40th day of the disease. The authors discuss the mechanisms of the hemodynamic disorders and express their opinion on the expediency of the appropriate approaches to the treatment of patients depending on the hemodynamic changes revealed.
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Introduction The association between obesity and arterial hypertension has been established in a great number of studies. Our objective was to investigate whether circadian rhythm of blood pressure is disturbed among obese people. Material and methods In this cross-sectional, randomized study, Schiller BR-102 device was used for ambulatory blood pressure monitoring. One hundred and twenty outpatients were divided into three randomized groups: obese body mass index 30 kg/m2 (52 patients), overweight (28 patients), with body mass index 25,0-29,9 kg/m2 and normal weight (control group) (48 patients), with body mass index 18,5-24,9 kg/m2. In all patients we investigated the following blood pressure parameters: average blood pressure (total, day-time and night-time), maximal blood pressure and dipping or non-dipping blood pressure pattern during night (for systolic and diastolic blood pressure, respectively). Results In body mass index beyond 30 kg/m2 only systolic blood pressure parameters were significantly higher - average blood pressure - during daytime (P=0.034) and during night (P=0.014); maximal blood pressure (P=0.001). In body mass index beyond 30 kg/m2, absence of normal blood pressure during night was significantly more often registered (P=0.007). Discussion and Conclusion The non-dipping blood pressure pattern and increase of systolic blood pressure only reveal hyper activation of sympathetic nervous system as a leading pathophysiological mechanism causing arterial hypertension in obese patients.
Prehypertension
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It is essential to control hemodynamics in cardiac surgery. Patients are often monitored extensively in order to optimize hemodynamic performance. However, pre-operative values are normally unknown. Furthermore, hemodynamic goals may seem arbitrary and the lack of an evidence-based consensus may lead to both under- and over-treatment. The aim of this study was to evaluate the variables most commonly used for hemodynamic guidance in the post-operative period.Ten patients scheduled for elective cardiac surgery were followed with invasive hemodynamic monitoring the night before surgery. All data were recorded automatically and electronically.We found considerable inter-patient differences and intra-patient variation. The greatest intra-patient variation was found in the cardiac index (CI), ranging from 1.9 to 5.3 l/min/m(2). Four patients had periodic CI <2.4 l/min/m(2). Eight patients showed SpO2 values < or =92, four of them in more than 15% of the observations. Six patients had an SvO2 <70% in more than 40% of the observations and two an SvO2 < 64% in more than 20% of the observations.This study is unique because hemodynamic reference data in cardiac surgery patients have not been published previously. The intra-patient variations were unexpectedly high in most hemodynamic variables and demonstrate the difficulties of using hemodynamic parameters as a guidance for treatment and indicate that goal-oriented therapy using currently accepted values may result in over-treatment in some patients.
Cardiac index
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The purpose of this study was to examine the difference between hemodynamic pressures and parameters obtained pre- compared to post-thermodilution CO measurements. A repeated measures within subject design was conducted with a cardiac surgical cohort. Three measures of hemodynamic pressures and parameters were determined pre- and post-CO measurements (Set 1) and repeated in 30 minutes (Set 2). The sequence was duplicated in four hours (Sets 3 and 4). Hemodynamic pressures lower pre-CO were PAS at Sets 1 and 3, and SBP, DBP, and MAP at Set 3. Hemodynamic parameters lower pre-CO were PVRI at Set 1 and SVRI at Set 3. These pre-post CO differences did not vary by greater than 10%. As the CO injectate volume had minimal effect, hemodynamic pressures may be obtained pre- or post-CO to derive hemodynamic parameters.
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