scholarly journals Impact of updated pediatric hypertension guidelines on progression from elevated blood pressure to hypertension in a community‐based primary care population

2019 ◽  
Vol 21 (5) ◽  
pp. 560-565 ◽  
Author(s):  
Elyse O. Kharbanda ◽  
Steve E. Asche ◽  
Steven P. Dehmer ◽  
Alan R. Sinaiko ◽  
Heidi L. Ekstrom ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Pediatric Hypertension ◽  
Community Based ◽  
Primary Care Population ◽  
Hypertension Guidelines

scholarly journals Thoracic Aortic Calcification and Pre-Clinical Hypertension by New 2017 ACC/AHA Hypertension Guidelines

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1027
Author(s):  
Ya-Ting Jan ◽  
Pei-Shan Tsai ◽  
Chris T. Longenecker ◽  
Dao-Chen Lin ◽  
Chun-Ho Yun ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Surrogate Marker ◽  
Heart Association ◽  
Aortic Calcification ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Contributing Factors ◽  
Hypertension Guidelines ◽  
Pressure Threshold ◽  
Thoracic Aortic Calcification

The recently revised 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension (HTN) guidelines employ a lower blood pressure threshold to define HTN, aiming for earlier prevention of HTN-related cardiovascular diseases (CVD). Thoracic aortic calcification (TAC), a new surrogate marker of aging and aortic medial layer degeneration, and different stages of HTN, according to the 2017 ACC/AHA HTN guidelines, remain unknown. We classified 3022 consecutive asymptomatic individuals enrolled into four HTN categories using the revised 2017 ACC/AHA guidelines: normal blood pressure (NBP), elevated blood pressure (EBP), and stage 1 (S1) and stage 2 (S2) HTN. The coronary artery calcification score and TAC metrics (total Agaston TAC score, total plaque volume (mm3), and mean density (Hounsfield units, HU)) were measured using multi-detector computed tomography. Compared to NBP, a graded and significant increase in the TAC metrics was observed starting from EBP and S1 and S2 HTN, using the new 2017 ACC/AHA guidelines (NBP as reference; all trends: p < 0.001). These differences remained consistent after being fully adjusted. Older age (>50 years), S1 and S2 HTN, prevalent diabetes, and chronic kidney disease (<60 mL/min/1.73 m2) are all independently contributing factors to higher TAC risk using multivariate stepwise logistic regressions (all p ≤ 0.001). The optimal cutoff values of systolic blood pressure, diastolic blood pressure, and pulse pressure were 121, 74, and 45 mmHg, respectively, for the presence of TAC after excluding subjects with known CVD and ongoing HTN medication treatment. Our data showed that the presence of TAC starts at a stage of elevated blood pressure not categorized as HTN from the updated 2017 ACC/AHA hypertension guidelines.

scholarly journals Action or Inaction? Decision Making in Patients With Diabetes and Elevated Blood Pressure in Primary Care

Diabetes Care ◽  
2006 ◽  
Vol 29 (12) ◽  
pp. 2580-2585 ◽  
Author(s):  
P. C. Hicks ◽  
J. M. Westfall ◽  
R. F. Van Vorst ◽  
C. Bublitz Emsermann ◽  
L. M. Dickinson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Decision Making ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Patients With Diabetes

scholarly journals Cluster Randomized Trial Reducing Missed Elevated Blood Pressure in Pediatric Primary Care

2019 ◽  
Vol 4 (5) ◽  
pp. e187 ◽  
Author(s):  
Michael L. Rinke ◽  
Hardeep Singh ◽  
Tammy M. Brady ◽  
Moonseong Heo ◽  
Steven W. Kairys ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Elevated Blood Pressure ◽  
Pediatric Primary Care ◽  
Elevated Blood ◽  
Cluster Randomized

Abstract 168: Routine Blood Pressure Screening in an Asymptomatic Pediatric Population

Hypertension ◽  
2013 ◽  
Vol 62 (suppl_1) ◽  
Author(s):  
David A Knorek ◽  
Qi Shi ◽  
Linda Thomas-Hemak ◽  
Carlos Acuna ◽  
Richard May
Keyword(s):  
Blood Pressure ◽  
Pediatric Population ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Pediatric Hypertension ◽  
Asymptomatic Children ◽  
Blood Pressure Screening ◽  
Well Child Visit ◽  
Child Visit

Background Hypertension is on the rise in the pediatric population. Untreated hypertension is the basis for CV disease. The intent of this study is to encourage routine pediatric blood pressure screening. Methods A nine question phone survey of regional NE PA pediatricians, family physicians, and internists regarding the routing exam of asymptomatic children. Results 20 out of 31 (64.5%) respondents participated in this survey. 8 of the 11 (72.7%) contacts that did not participate were unable to be reached for reasons including incorrect contact information or failure to provide a callback, and the remaining 3 contacts rejected participation directly. The average age for annual blood pressure screening was 2.6 years old. All 20 participants (100%) follow blood pressure readings in asymptomatic children, and a majority of these respondents (85%) answered “yearly” follow-up for blood pressure in asymptomatic children. When asked whether parents accompany the well-child visit, 90% answered yes. Well-baby checks are stopped at a 50/50 split between 18 months and 24 months. When asked about how elevated blood pressure in a well-visit is followed in asymptomatic children, the responses varied. Responses included bringing back the patient within 48 hours for follow-up to 1-month follow-up, in addition to further testing for thyroid and kidney concerns. All 20 of the participants answered that BMI is monitored during the well-child visit, and 2.5 years of age was the average response to what age BMI monitoring begins. Conclusion Our data reflects the need to generate a greater understanding of how clinicians are screening asymptomatic pediatric populations, and then following up once an elevated blood pressure is recorded. It could be hypothesized as pediatric hypertension rates continue to rise there will be greater incidences of cardiovascular and neurovascular-related sequelae in adult populations as well.

scholarly journals Elevated blood pressure in primary care varies in relation to circadian and seasonal changes

2008 ◽  
Vol 22 (11) ◽  
pp. 755-760 ◽  
Author(s):  
C Thomas ◽  
G C Wood ◽  
R D Langer ◽  
W F Stewart
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
Seasonal Changes ◽  
Elevated Blood Pressure ◽  
Elevated Blood
Sign in / Sign up

Export Citation Format

Share Document