Comments on the ESC/ESH Guidelines for the Management of Arterial Hypertension 2013. A Report of the Task Force of the Clinical Practice Guidelines Committee of the Spanish Society of Cardiology

Sánchez, M. Anguita

doi:10.1016/j.rec.2013.08.003

Cited by 8 publications

(2 citation statements)

References 15 publications

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“…Rapid decreases in blood pressure after adrenalectomy may cause cardiovascular and renal damage, particularly in older adults with APAs. The JNC-8 [40] and ESC/ESH2013 [41] guidelines indicated that the target blood pressure for older adults was 150/90 mm Hg, and the Japanese Guidelines for Hypertension 2014 indicated a target blood pressure of 140/90 mm Hg for patients aged 65 to 74 years old with CKD, 150/90 mm Hg for older adults, and 140/90 mm Hg if tolerated for older adults with CKD, which may improve the prognosis of CKD [42]. However, acute lowering or too low blood pressure may result in worse morbidity in older adults.…”

Section: Discussionmentioning

confidence: 99%

Age-Dependent Progression of Renal Dysfunction After Adrenalectomy for Aldosterone-Producing Adenomas in Japan

Yoshioka

Nakajima

Miyamoto

et al. 2018

Journal of the Endocrine Society

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ContextIn patients with aldosterone-producing adenomas (APAs), adrenalectomy causes a rapid decrease in blood pressure and increase in blood potassium levels; however, the effects of these intensive metabolic changes on kidney function with age have not yet been examined in Japan.ObjectiveTo investigate factors related to the progression of kidney dysfunction after adrenalectomy in different age groups.ParticipantsFifty Japanese patients with APAs and 27,572 health checkup patients as controls were examined.Main Outcome MeasuresWe investigated changes in estimated glomerular filtration rate (eGFR) after adrenalectomy and characterized patients who progressed to chronic kidney disease (CKD).ResultsThe postoperative cutoff age of CKD is 50 years and age is a unique factor for the progression of CKD after adrenalectomy. Among preoperative patients, CKD was 6% for those <50 years old and 40% for those ≥50 years old, indicating a higher prevalence of CKD with APAs than in control subjects. Median eGFR <50 mL/min/1.73 m2 did not significantly change after adrenalectomy but decreased from 67 to 42 mL/min/1.73 m2 in those with APAs ≥50 years old. Patients with APAs ≥50 years old who progressed to CKD showed higher preoperative aldosterone/renin ratios, lower potassium and chloride levels, lower body mass index, and a higher incidence of a history of cardiovascular events and KCNJ5 mutation rates.ConclusionAge is the most important predictor of the progression of kidney dysfunction after adrenalectomy in Japanese patients with APAs, particularly those with a history of cardiovascular events and positivity for KCNJ5 mutations.

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Section: Discussionmentioning

confidence: 99%

Age-Dependent Progression of Renal Dysfunction After Adrenalectomy for Aldosterone-Producing Adenomas in Japan

Yoshioka

Nakajima

Miyamoto

et al. 2018

Journal of the Endocrine Society

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“…Inclusion criteria [ 21 ]: (1) All patients were diagnosed with HF for more than six months, and the diagnosis of CHF was based on the European Society of Cardiology Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 [ 22 ]; (2) Patients with complete clinical data; (3) Patients who received HF treatment for 1 month or more after the beginning of the study; (4) Patients over 60 years of age. Exclusion criteria: (1) with acute coronary syndrome before admission; (2) with congenital heart disease, pulmonary heart disease, severe heart valvular disease; (3) with severe liver and kidney failure; (4) with incomplete examination data; (5) with malignant tumors.…”

Section: Methodsmentioning

confidence: 99%

Diagnostic value of echocardiography combined with serum C-reactive protein level in chronic heart failure

Zhang

2023

J Cardiothorac Surg

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Background Chronic heart failure (CHF) is regarded as common clinical heart disease. This study aims to investigate the clinical diagnostic value of echocardiography (Echo) and serum C-reactive protein (CRP) levels in patients with CHF. Methods A total of 75 patients with CHF (42 males, 33 females, age 62.72 ± 1.06 years) were enrolled as study subjects, with 70 non-CHF subjects (38 males, 32 females, age 62.44 ± 1.28 years) as controls. The left ventricular ejection fraction (LVEF), fraction shortening rate of the left ventricle (FS), and early to late diastolic filling (E/A) were determined by Echo, followed by an examination of the expression of serum CRP by ELISA. In addition, the Pearson method was used to analyze the correlation between echocardiographic quantitative parameters (EQPs) (LVEF, FS, and E/A) and serum CRP levels. Receiver operating characteristic (ROC) curve was adopted to evaluate the diagnostic efficacy of EQPs and serum CRP levels for CHF. The independent risk factors for CHF patients were measured by logistics regression analysis. Results The serum CRP level of CHF patients was elevated, the values of LVEF and FS decreased, and the E/A values increased. ROC curve revealed that the EQPs (LVEF, FS, and E/A) combined with serum CRP had high diagnostic values for CHF patients. Logistic regression analysis showed that the EQPs (LVEF, FS, and E/A) and serum CRP levels were independent risk factors for CHF patients. Conclusion Echo combined with serum CRP level has high clinical diagnostic values for CHF patients.

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Ascending aortic distensibility and target organ damage in primary hypertension without diabetes

Chen

Wang

Sun

et al. 2017

Int J Cardiovasc Imaging

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To investigate the relationship between ascending aortic distensibility (AAD) and hypertensive target organ damage (TOD) and its potential value in prediction. One hundred and sixty seven primary hypertension inpatients who underwent coronary CTA examination were enrolled into our study. Retrospective ECG-triggering scanning mode were applied and the images were reconstructed every 5% phase in the entire R-R interval. Maximum and minimum ascending aortic areas as well as the AAD value were calculated on the interested slice. AAD (P < 0.001) and brachial-ankle pulse wave velocity (baPWV, P < 0.05) were changed significantly as the deterioration of TOD. Multivariate logistic regression analysis between TOD and its possible influence factors indicated that AAD was the only independent risk factor for the presence and severity of TOD. One standard deviation decrease on AAD would increase the risk of TOD significantly: TOD1 (odds ratio 0.45, P < 0.05), TOD2 (odds ratio 0.23, P < 0.05), and TOD3 (odds ratio 0.01, P < 0.05). The odds ratio of TOD in the third tertile group was found 5.47 times higher than that in the second tertile group, and the second tertile group TOD odds ratio was 6.4 times higher than that in the first tertile group. Decline of AAD can be taken as the independent predict factor for TOD in primary hypertension patients, superior to baPWV method and other conventional predictors. Without additional contrast media consumption and radiation dose, AAD derived from coronary CTA may provide early detection for hypertensive TOD.

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Comments on the ESC/ESH Guidelines for the Management of Arterial Hypertension 2013. A Report of the Task Force of the Clinical Practice Guidelines Committee of the Spanish Society of Cardiology

Cited by 8 publications

References 15 publications

Age-Dependent Progression of Renal Dysfunction After Adrenalectomy for Aldosterone-Producing Adenomas in Japan

Age-Dependent Progression of Renal Dysfunction After Adrenalectomy for Aldosterone-Producing Adenomas in Japan

Diagnostic value of echocardiography combined with serum C-reactive protein level in chronic heart failure

Ascending aortic distensibility and target organ damage in primary hypertension without diabetes

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