Search results for "Hypertension"
Less sleep may be associated with hypertension risk
A systematic review and meta-analysis found that patients who self-reported sleeping less than seven hours a night were more likely to develop hypertension, with a stronger correlation seen in women and those younger than age 60.
https://immattersacp.org/weekly/archives/2025/02/11/4.htm
11 Feb 2025
Improper arm position results in significantly higher blood pressure readings
Patients placing their arm on their lap or by their side during blood pressure measurement can result in overestimation of blood pressure readings by 4 to 10 mm Hg, according to a randomized crossover trial.
https://immattersacp.org/weekly/archives/2024/10/15/1.htm
15 Oct 2024
Hypertension patients on remote monitoring had lower mortality, fewer hospitalizations
Remote monitoring was associated with an increase in outpatient visits, which was likely due to reimbursement requirements, according to the authors of the retrospective study of Medicare patients with hypertension.
https://immattersacp.org/weekly/archives/2023/11/28/1.htm
28 Nov 2023
Intensive blood pressure control effective in older frail patients, study finds
Data from SPRINT indicated that frail patients were at higher risk for cardiovascular events than nonfrail patients and benefited similarly from a blood pressure target of less than 120 mm Hg, with no significant increase in adverse events.
https://immattersacp.org/weekly/archives/2023/07/11/2.htm
11 Jul 2023
Patients may respond differently to different hypertension drug classes
The authors of a randomized, double-blind, repeated crossover trial in Sweden estimated that personalized antihypertensive therapy could yield an average reduction in systolic blood pressure of 4.4 mm Hg compared to fixed-choice therapy.
https://immattersacp.org/weekly/archives/2023/04/18/1.htm
18 Apr 2023
New trials provide data to improve medication management in hypertension
A U.K. study compared morning versus evening dosing of antihypertensive drugs, a U.S. study looked at optimal dosing in patients with proteinuria, and a trial in Spain tested self-titration in patients with poorly controlled hypertension.
https://immattersacp.org/weekly/archives/2022/10/18/6.htm
18 Oct 2022
App-enabled device no better than standard device for self-measuring blood pressure
A smartphone app did not provide any additional reduction in blood pressure, and patients with hypertension would recommend a standard device as much as they would the app-connected device, a study concluded.
https://immattersacp.org/weekly/archives/2022/08/23/2.htm
23 Aug 2022
EHR alerts from remote BP monitoring often led to med adjustments, appointments in a single-center study
However, about a third of the electronic health record (EHR) alerts indicating multiple elevated blood pressure (BP) readings in patients with hypertension did not lead to changes in care plans.
https://immattersacp.org/weekly/archives/2022/01/25/4.htm
25 Jan 2022
Adding an antihypertensive to existing regimens associated with greater BP reduction than maximizing dose, with some caveats in adherence
A retrospective study of older veterans with hypertension found that while adding a medication reduced systolic blood pressure by an extra point, patients who received a dose increase instead of a new drug were more likely to maintain the regimen.
https://immattersacp.org/weekly/archives/2021/10/05/4.htm
5 Oct 2021
ARBs appear to have fewer side effects, same effectiveness compared to ACE inhibitors
Researchers used large international databases to compare outcomes among patients who initiated hypertension therapy with angiotensin-converting enzyme (ACE) inhibitors versus angiotensin receptor blockers (ARBs) and concluded that ARBs should be preferred.
https://immattersacp.org/weekly/archives/2021/08/03/2.htm
3 Aug 2021
SPRINT issues final report finding fewer cardiovascular events with intensive blood pressure control
Patients treated to a systolic blood pressure target less than 120 mm Hg instead of less than 140 mm Hg had lower rates of cardiovascular events but more incidence of some adverse events, according to new follow-up data.
https://immattersacp.org/weekly/archives/2021/05/25/5.htm
25 May 2021
Intensive hypertension treatment associated with lower risk for orthostatic hypotension
Orthostatic hypotension should not be viewed as a reason to avoid or de-escalate hypertension treatments, according to the authors of a new systematic review of hypertension treatment trials.
https://immattersacp.org/weekly/archives/2020/09/15/2.htm
15 Sep 2020
Cardiovascular events similar, adverse effects worse with chlorthalidone compared to hydrochlorothiazide
Chlorthalidone was associated with a significantly higher risk of hypokalemia, hyponatremia, acute renal failure, chronic kidney disease, type 2 diabetes, and abnormal weight gain.
https://immattersacp.org/weekly/archives/2020/02/25/2.htm
25 Feb 2020
Diuretics may be superior to ACE inhibitors for initial hypertension monotherapy
Angiotensin-converting enzyme (ACE) inhibitors appeared only modestly less effective than thiazide or thiazide-like diuretics, but the effect of initial monotherapy with the latter across the whole population could be substantial, the study authors concluded.
https://immattersacp.org/weekly/archives/2019/11/05/2.htm
5 Nov 2019
Systolic, diastolic blood pressures show independent effects on MI, stroke risk
Although systolic blood pressure was the more significant factor, the finding that both measures independently predict adverse outcomes suggests that diastolic pressure should not be ignored, study authors said.
https://immattersacp.org/weekly/archives/2019/07/23/2.htm
23 Jul 2019
Untreated white-coat hypertension associated with increased cardiovascular and mortality risk
An accompanying editorial suggested that out-of-office blood pressure monitoring be used to distinguish between white-coat hypertension and sustained hypertension in patients with high blood pressure measurements in the office.
https://immattersacp.org/weekly/archives/2019/06/11/1.htm
11 Jun 2019
AHA issues updated statement on measurement of blood pressure
A validated automated device that can be programmed to take an average of at least three readings should be considered the preferred approach for evaluating blood pressure in the office, according to the statement from the American Heart Association (AHA).
https://immattersacp.org/weekly/archives/2019/03/12/4.htm
12 Mar 2019
Automated office blood pressure readings may avoid ‘white coat effect’
Physicians may be reluctant to adopt automated readings because of uncertainty about their advantages, study authors noted.
https://immattersacp.org/weekly/archives/2019/02/12/1.htm
12 Feb 2019
No association between antihypertensive treatment and mortality, CVD in mild, low-risk hypertension, but some association with increased adverse events
Physicians following guidelines that generalize findings from hypertension trials conducted in high-risk individuals to those at lower risk should use caution, the study authors noted.
https://immattersacp.org/weekly/archives/2018/11/06/5.htm
6 Nov 2018
Multifactorial management advised for resistant hypertension
It is important to optimally manage lifestyle factors, such as weight, dietary sodium, alcohol, and physical inactivity, and management should also include long-acting thiazide-like diuretics and addition of a mineralocorticoid receptor antagonist, the statement said.
https://immattersacp.org/weekly/archives/2018/09/18/1.htm
18 Sep 2018