Hypertension and the Vascular Patient

Samson, Russell H.

doi:10.1177/153857440403800202

Cited by 5 publications

(12 citation statements)

References 92 publications

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“…This is consistent with the evidence that blood pressure is poorly controlled in this population (Artinian et al 2001; Chobanian et al 2003). Although research indicates blood pressure can be controlled, only 50% of patients on anti-hypertensive medications have their blood pressures under control (Hill et al 1999; Samson 2004; Krousel-Wood et al 2005). In addition, only 25% of hypertensive African Americans have controlled blood pressure.…”

Section: Discussionmentioning

confidence: 99%

“…However, quality care for HBP management should follow JNC-7 guidelines for pharmacologic treatment of essential hypertension which include using a variety of different classes of medications to initiate therapy including: diuretics, beta blockers, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors, angiotensin-II receptor blockers (ARBs), and alpha-1-adrenergic blockers. JNC-7 guidelines recommends initiating therapy in uncomplicated hypertension with a thiazide diuretic and reserving the use of two drugs for patients whose blood pressure is greater than 20/10 mmHg above goal (Samson 2004; Rao et al 2007). It is imperative that hypertensive patients receive and take appropriate medications in order to achieve adequate control of their HBP.…”

Section: Discussionmentioning

confidence: 99%

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Adherence treatment factors in hypertensive African American women

Fongwa

Evangelista

Hays

et al. 2008

Vasc Health Risk Manag

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Background: Hypertension among African American women is of epidemic proportions. Nonadherence to treatment contributes to uncontrolled blood pressure in this population. Factors associated with adherence to treatment in African American women are unknown. The purpose of this study was to identify factors associated with adherence to hypertension treatment in African American women. Methods: Five audio-taped focus groups were conducted with hypertensive African American women, 35 years and older receiving treatment for hypertension from an inner-city free clinic. All transcripts from the tapes were analyzed for content describing adherence to treatment factors. Findings: Factors associated with adherence to treatment in hypertensive African American women were in three main categories including: beliefs about hypertension, facilitators of adherence to treatment, and barriers to adherence to treatment. Implications: The study supports the need for education on managing hypertension and medication side effects, early screening for depression in hypertensive African Americans, development of culturally sensitive hypertension educational material, and formation of support groups for promoting adherence to treatment among African American women with hypertension.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Adherence treatment factors in hypertensive African American women

Fongwa

Evangelista

Hays

et al. 2008

Vasc Health Risk Manag

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“…All patients, most of them in the Stage III hypertension category [6], were taking antihypertensive medications. Some reports shows that although blood pressure can be brought under control, only half of the patients being medically treated for hypertension are in control of their blood pressure [3,[7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Approach by Health Professionals to the Side Effects of Antihypertensive Therapy: Strategies for Improvement of Adherence

Guerra¹,

Lopes²,

Freitas³

et al. 2018

JPP

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The aim was to determine whether complaints about side effects made by stage III hypertensive patients undergoing antihypertensive therapy lead to adequate blood pressure control. Forty-eight patients were monitored by a nurse every 15 days over the course of 180 days. At baseline, both groups presented similar SBP (systolic blood pressure) (GA, 196 (5)) mm Hg and GB, 189 (6) mm Hg) and DBP (diastolic blood pressure) (GA, 122 (3) mm Hg and GB, 121 (4) mm Hg). On day 165, after a progressive decline in blood pressure levels, the two groups differed significantly from each other regarding SBP (GA,-16.9 (24) mm Hg and GB,-40.8 (31) mm Hg). At the final follow-up, the patients were allocated to two groups: without complaints (GA) and with (GB) complaints about side effects. Complaining about side effects was a decisive factor for immediate nursing intervention and improved control over BP.

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“…This fi nding correlates with the reported incidence found in hypertensive patient cohorts at tertiary referral centers. 1,11 Furthermore, this was classifi ed as 12% RRA and 9% LRA with hemodynamically signifi cant stenosis (>60% DS) or occlusion. The vast majority of the renal artery lesions were atherosclerotic as opposed to FMD in nature.…”

Section: Discussionmentioning

confidence: 99%

“…Hypertension (HTN) is endemic in the Western population, and its association with an increased incidence of cardiovascular incidents and mortality is well recognized. 1,2 Complications of HTN are reduced by interventions that lower blood pressure; most patients require drug therapy. However, drug therapy is not without side effects and complications.…”

Section: Introductionmentioning

confidence: 99%

The Findings of a Retrospective Audit of Clinical Indications and Outcomes Related to Renal Artery Duplex Ultrasounds Performed during a 2-Year Period

Pemble

Gibbs

2012

Journal for Vascular Ultrasound

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Introduction In this retrospective audit of renal artery duplex ultrasounds (RADU), performed on 791 patients during a 2-year period, we analyze the clinical indications for testing, the patient cohort characteristics, and RADU results and outcomes. Results We found RADU to be sensitive and specific for the detection of renal artery stenosis with limitations in some instances attributable to physical interactions between ultrasound and body tissues and the variable presence of accessory renal arteries, even when performed by qualified experienced vascular sonographers. The results show the wide range of clinical indications for the performance of the test and document the multiple co morbidities of the patient population. Results show the majority of renal artery lesions are atherosclerotic in nature and that few patients go on to have renal artery intervention. The interventions do result in improvement of blood pressure but no change in resistive index. Conclusion The future role of RADU will be determined by medical research that provides evidence-based outcomes of the natural history of renal artery stenosis in the context of hypertension, allowing algorithms to be developed that best identify the medical versus interventional therapies for individual patients attempting to optimize renal function and blood pressure control while modifying associated risk factors. This will then allow more selective use of this diagnostic tool to answer more specified clinical questions on a case-by-case basis.

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Hypertension and the Vascular Patient

Cited by 5 publications

References 92 publications

Adherence treatment factors in hypertensive African American women

Adherence treatment factors in hypertensive African American women

Approach by Health Professionals to the Side Effects of Antihypertensive Therapy: Strategies for Improvement of Adherence

The Findings of a Retrospective Audit of Clinical Indications and Outcomes Related to Renal Artery Duplex Ultrasounds Performed during a 2-Year Period

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