scholarly journals The influence of quality of life on the level of adherence to therapeutic recommendations among elderly hypertensive patients

2018 ◽  
Vol Volume 12 ◽  
pp. 2593-2603 ◽  
Author(s):  
Bartosz Uchmanowicz ◽  
Anna Chudiak ◽  
Grzegorz Mazur
1995 ◽  
Vol 32 (6) ◽  
pp. 429-437
Author(s):  
Kazunori Kayaba ◽  
Katsuo Naito ◽  
Kiichi Nagashima ◽  
Iwao Kuwashima ◽  
Kizuku Kuramoto ◽  
...  

Hypertension ◽  
2012 ◽  
Vol 60 (suppl_1) ◽  
Author(s):  
Fábio T Montrezol ◽  
Alessandra Medeiros

The aging increases susceptibility to hypertension, and also promotes muscle wasting, thereby increasing the risk of falls within the elderly. In contrast, the resistance training (RT) is recommended for increasing or maintaining muscle strength levels in the elderly. However, there is still no consensus in the literature about its effectiveness for hypertension treatment. Therefore, the aim of this study was to verify the effect of RT on blood pressure, circulating levels of Interleukine-6 (IL-6), quality of life and functional capacities in elderly hypertensive patients. Methods 43 subjects were randomized in two groups: sedentary (S) and RT. The RT was practiced during 14 weeks in three non-consecutive days per week, with 50% of 1 maximal repetition of intensity. Before and after experiment period were evaluated blood pressure by ambulatory blood pressure monitoring (ABPM), IL-6 by ELISA kit, quality of life by questionnaire (SF-36) and functional capacities by battery of functional tests. Data were analyzed using ANOVA two-way (p≤0.05). Results The S group showed no statistical differences in ABPM, IL-6, SF-36 and functional testing, pre and post experiment. On the other hand, the RT group had significant reductions in systolic blood pressure within 24 hours (125 ± 2; 120±3 mmHg pre and post, respectively), day-time (127±2; 123±3 mmHg pre and post, respectively) and morning-time (125±4; 118±3 mmHg pre and post, respectively), diastolic blood pressure in 24-hours (69±1; 66±1 mmHg pre and post, respectively), night-time (64±1; 59±1 mmHg pre and post, respectively) and morning-time (69±2; 66±1 mmHg pre and post, respectively), mean blood pressure in 24-hours (91±1; 86±2 mmHg pre and post, respectively), day-time (93±1; 89±2 mmHg pre and post, respectively) and morning-time (87±2; 84±2 mmHg pre and post, respectively). In the SF-36, the RT group improved its results in all categories, which was also observed in the functional tests. The RT group showed a trend towards reduction in IL-6, which was not observed in the S group. Conclusion A period of resistance training lowered blood pressure and improved quality of life and functional capacity of elderly hypertensive patients. Acknowledgements: FAPESP 2011/23830-3


2020 ◽  

Objective: To study the effectiveness of prophylactic ephedrine to prevent hypotension caused by induction of anesthesia with propofol and sufentanil in elderly hypertensive patients. Methodology: 70 elderly ASA grade II-III hypertensive patients undergoing elective general anesthesia were randomized into two groups to receive either intravenous ephedrine,100 ug/kg in 5ml normal saline (Group B), or an equal volume of normal saline (Group A) before induction. Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Heart Rate (HR) were recorded at T0 (after entry to the operating room), T1 (1 min after induction), T2 (2 min after induction), T3 ( 3 min after induction), T4 (4 min after induction), T5 (when intubated), T6 (2 min after intubation), and T7 (at the start of the procedure), as well as the incidence of hypotension and bradycardia. Results: SBP, DBP and HR were not significantly different at T0 and were significantly different at T1 to T7 after anesthesia induction. There were statistically significant effect on hypotension and bradycardia between the two groups and group B have a lower risk of hypotension and bradycardia relative to group A. SBP and DBP decreased significantly after induction in both groups. HR decreased significantly in group A while increased in group B. Conclusion: Ephedrine pretreatment can minimize hypotension and bradycardia caused by propofol and sufentanil during the induction of general anesthesia in elderly patients with hypertension.


Sign in / Sign up

Export Citation Format

Share Document