scholarly journals Prospective Study on the Prevalence of Secondary Hypertension among Hypertensive Patients Visiting a General Outpatient Clinic in Japan

2004 ◽  
Vol 27 (3) ◽  
pp. 193-202 ◽  
Author(s):  
Masao OMURA ◽  
Jun SAITO ◽  
Kunio YAMAGUCHI ◽  
Yukio KAKUTA ◽  
Tetsuo NISHIKAWA
Keyword(s):  
Prospective Study ◽  
Outpatient Clinic ◽  
Secondary Hypertension ◽  
Hypertensive Patients

H 021 QUALITY OF LIFE OF HYPERTENSIVE PATIENTS TREATED AT AN OUTPATIENT CLINIC

2007 ◽  
Vol 8 (3) ◽  
pp. 10 ◽  
Author(s):  
Margaret A Cavalcante ◽  
M Teresa NB Manzoli ◽  
Luna F Braulio ◽  
Yona A Francisco ◽  
Luigi Brollo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Outpatient Clinic ◽  
Hypertensive Patients

scholarly journals Teleorientação a hipertensos resistentes durante a pandemia por COVID-19: uma ação inovadora na enfermagem

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Dayse Mary Da Silva Correia ◽  
Ana Carolina Eiris Pimentel ◽  
Luanna Barci Dutra da Costa ◽  
Alessandra De Oliveira Guimarães ◽  
João Victor Jaegger De França ◽  
...  
Keyword(s):  
Nursing Students ◽  
Social Isolation ◽  
Outpatient Clinic ◽  
Social Distance ◽  
Health Condition ◽  
Active Listening ◽  
Hypertensive Patients ◽  
Flu Vaccination ◽  
Clinical Complications ◽  
Innovative Action

Objetivo: relatar sobre a utilização da teleorientação pela enfermagem como estratégia direcionada a hipertensos em isolamento social sob atendimento de um ambulatório especializado. Metodologia: trata-se de um relato de experiência acerca da teleorientação junto a 110 hipertensos, no período de 02 a 07 de abril de 2020 por enfermeiras e graduandos de enfermagem, sendo utilizado uma planilha e um “texto guia”, visando uma escuta ativa, composto de perguntas sobre monitoramento da condição de saúde e autocuidado na pandemia da COVID-19. Resultados: dos 110 hipertensos, 53 (48,2%) foram contatados, enquanto 57(51,8%) não houve contato por motivos operacionais de telefonia. Dentre os contatados, observou-se predominância feminina (70%) e 63% (33) com idade ≥ 60 anos. Com relação aos relatos destaca-se sentimentos, intercorrências clínicas, dois prováveis casos de contaminação pelo vírus, aspectos de dificuldade em manter o distanciamento social devido necessidade socioeconômica e a importância no reforço de vacinação contra gripe para hipertensos. Considerações Finais: a teleorientação usada pela enfermagem fez-se como estratégia e uma ação inovadora direcionada a hipertensos em isolamento social durante a pandemia da COVID-19, e aponta para um valioso momento de contato, de aproximação, no qual se compartilha informações, sentimentos e expectativas.Descritores: Enfermagem; Teleorientação; Hipertensão; Coronavírus; Pandemia.RESISTANT HYPERTENSIVE TELEORIENTATION DURING THE COVID-19 PANDEMIC: AN INNOVATIVE ACTION IN NURSINGObjective: to report on the use of teleorientation by nursing as a strategy directed to hypertensive patients in social isolation under the care of a specialized outpatient clinic. Methodology: this is an experience report about teleorientation with 110 hypertensive patients, from April 02 to 07, 2020 by nurses and nursing students, using a spreadsheet and a “guide text”, aiming at active listening , composed of questions about health condition monitoring and self-care in the COVID-19 pandemic. Results: of the 110 hypertensive patients, 53 (48.2%) were contacted, while 57 (51.8%) had no contact for operational reasons of telephony. Among those contacted, there was a predominance of women (70%) and 63% (33) aged ≥ 60 years. Regarding the reports, feelings, clinical complications, two probable cases of contamination by the virus, aspects of difficulty in maintaining social distance due to socioeconomic need and the importance of reinforcing flu vaccination for hypertensive patients stand out. Final Considerations: the teleorientation used by nursing became a strategy and an innovative action directed at hypertensive people in social isolation during the COVID-19 pandemic, and points to a valuable moment of contact, of approach, in which information, feelings are shared and expectations.Descriptors: Nursing; Teleorientation; Hypertension; Coronavirus; Pandemic.  TELEORIENTACIÓN HIPERTENSIVA RESISTENTE DURANTE LA PANDEMIA COVID-19: UNA ACCIÓN INNOVADORA EN ENFERMERÍA Objetivo: informar sobre el uso de la teleorientación por enfermería como una estrategia dirigida a pacientes hipertensos en aislamiento social bajo el cuidado de una clínica ambulatoria especializada. Metodología: este es un informe de experiencia sobre teleorientación con 110 pacientes hipertensos, del 2 al 7 de abril de 2020 por enfermeras y estudiantes de enfermería, utilizando una hoja de cálculo y un "texto guía", con el objetivo de escuchar activamente , compuesto de preguntas sobre el monitoreo del estado de salud y el autocuidado en la pandemia de COVID-19. Resultados: de los 110 pacientes hipertensos, 53 (48,2%) fueron contactados, mientras que 57 (51,8%) no tuvieron contacto por razones operativas de telefonía. Entre los contactados, hubo un predominio de mujeres (70%) y 63% (33) de edad ≥ 60 años. Con respecto a los informes, destacan los sentimientos, las complicaciones clínicas, dos casos probables de contaminación por el virus, los aspectos de dificultad para mantener la distancia social debido a la necesidad socioeconómica y la importancia de reforzar la vacunación contra la gripe para pacientes hipertensos. Consideraciones finales: la teleorientación utilizada por la enfermería se convirtió en una estrategia y una acción innovadora dirigida a personas hipertensas en aislamiento social durante la pandemia COVID-19, y señala un valioso momento de contacto, de enfoque, en el que se comparte información, sentimientos y expectativasDescriptores: Enfermería; Teleorientación; Hipertensión; Coronavirus; Pandemia.

Integrating pharmacogenetic testing via medication therapy management in an outpatient family medicine clinic

2021 ◽  
Author(s):  
Jacob T Brown ◽  
Danielle MacDonald ◽  
Ann Yapel ◽  
Tiana Luczak ◽  
Anna Hanson ◽  
...  
Keyword(s):  
Family Medicine ◽  
Prospective Study ◽  
Outpatient Clinic ◽  
Turnaround Time ◽  
Medication Therapy Management ◽  
Therapy Management ◽  
Medication Therapy ◽  
Patient Diagnosis ◽  
Included Patient ◽  
A Prospective Study

Introduction: Pharmacogenetic (PGx) implementation has lagged behind the development of drug/gene pair guidelines. Materials & methods: This was a prospective study assessing the integration of PGx through medication therapy management in an outpatient clinic. Variables collected included patient diagnosis, current medications, failed or discontinued medications, PGx results/recommendations, turnaround time and pre/post clinical ratings. Results: A total of 91 participants completed study procedures with an average enrollment of approximately one consult per week. Participants were referred for testing primarily for guidance for current and future medications. The average number of recommendations per participant was 0.93. Conclusion: Integrating PGx testing into medication therapy management is feasible with PGx results available in under a week resulting in clinical recommendations in over half of patients tested.

Effects of antihypertensive agents on the quality of life in diabetic hypertensive patients: A prospective study

2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
RajKumar Bhardwaj ◽  
HL Kazal ◽  
Kamlesh Kohli ◽  
Rajnish Raj ◽  
Nagma Bansal ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prospective Study ◽  
Antihypertensive Agents ◽  
Hypertensive Patients ◽  
A Prospective Study

Prospective Study on Captopril Renography in Hypertensive Patients

1992 ◽  
Vol 12 (6) ◽  
pp. 406-411 ◽  
Author(s):  
Dario Roccatello ◽  
Giuseppe Picciotto ◽  
Claudio Rabbia ◽  
Marco Pozzato ◽  
Pier Giuseppe De Filippi ◽  
...  
Keyword(s):  
Prospective Study ◽  
Hypertensive Patients ◽  
Captopril Renography

scholarly journals Aldosterone to Renin Ratio as Screening Tool in Primary Aldosteronism

2018 ◽  
Vol 127 (02/03) ◽  
pp. 84-92
Author(s):  
Katharina Schilbach ◽  
Riia Junnila ◽  
Martin Bidlingmaier
Keyword(s):  
Primary Aldosteronism ◽  
Screening Test ◽  
Screening Tool ◽  
Secondary Hypertension ◽  
Hypertensive Patients ◽  
Assay Methods ◽  
Aldosterone To Renin Ratio

AbstractPrimary aldosteronism (PA) is a severe and often underdiagnosed form of secondary hypertension. Determining the aldosterone to renin ratio (ARR) in hypertensive patients has been shown to be a valuable screening test for identification of patients suffering from PA. Since the introduction of a more widespread ARR screening the number of PA patients significantly increased worldwide. Interpretation of ARR might be challenging: Several factors from posture to interfering drugs affect the ARR and need to be taken into account when collecting samples. In addition, the wide variety of available assay methods and lack of well-established cut-offs present a challenge to the clinician. This review discusses the usefulness and possible difficulties of ARR screening.

Intracellular Na+ and Ca2+ Activities in Essential Hypertension

1982 ◽  
Vol 63 (s8) ◽  
pp. 41s-43s ◽  
Author(s):  
W. Zidek ◽  
H. Vetter ◽  
K.-G. Dorst ◽  
H. Zumkley ◽  
H. Losse
Keyword(s):  
Essential Hypertension ◽  
Family History ◽  
Secondary Hypertension ◽  
Genetic Trait ◽  
Hypertensive Patients ◽  
Intracellular Na Activity ◽  
History Of ◽  
Family History Of Hypertension ◽  
Normotensive Subjects

1. The intracellular Na+ and Ca2+ activity and Na+ concentration were measured in erythrocytes of normotensive subjects, with and without a familial disposition to hypertension, in essential hypertensive patients with and without a family history of hypertension, and in patients with secondary hypertension. 2. In normotensive subjects without a genetic trait of hypertension intracellular Na+ activity and concentration were 7.00 ± 1.38 mmol/l and 5.67 ± 0.95 mmol/l respectively. The intracellular Ca2+ activity was 4.82 ± 4.49 μmol/l. In normotensive subjects with a familial hypertensive disposition intracellular Na+ activity and concentration were 9.74 ± 1.43 mmol/l (P < 0.01) and 6.63 ± 0.88 mmol/l (P < 0.05). Intracellular Ca2+ was 9.59 ± 9.71 μmol/l (P < 0.05). 3. Essential hypertensive patients without a familial genetic trait had an elevated intracellular Na+ activity (8.35 ± 2.08 mmol/l, P < 0.05). Intracellular Na+ concentration was 6.64 ± 0.79 mmol/l (P < 0.05). The intracellular Ca2+ activity was markedly elevated to 25.33 ± 19.03 μmol/l (P < 0.01). The essential hypertensive patients with a familial disposition had an elevated intracellular Na+ activity (17.19 ± 4.37 mmol/l, P < 0.001) and Ca2+ activity (32.8 ± 32.51 μmol/l, P < 0.01). The intracellular Na+ concentration was 6.25 ± 1.23 mmol/l. 4. The results indicate that in essential hypertension intracellular Na+ activity is increased, particularly in patients with a familial disposition for hypertension. Intracellular Ca2+ is increased in essential hypertension whether or not there was a family disposition to hypertension.

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