MedWorm: Hypertension

Cardiovascular disease: Heart failure/hypertension

Clinical Chemistry and Laboratory Medicine — Wed, 01 Jul 2009 18:41:13 +0100

Clinical Chemistry and Laboratory Medicine 47 (S1): S142-S153 (Source: Clinical Chemistry and Laboratory Medicine)

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Autonomic Arousals in Sleep Related Breathing Disorders: A Link Between Daytime Somnolence and Hypertension?

Sleep — Wed, 01 Jul 2009 18:37:16 +0100

(Source: Sleep)

Prevalent Hypertension and Stroke in the Sleep Heart Health Study: Association with an ECG-derived Spectrographic Marker of Cardiopulmonary Coupling

Sleep — Wed, 01 Jul 2009 18:37:16 +0100

Conclusions: An ECG-derived spectrographic marker related to low frequency cardiopulmonary coupling is associated with greater sleep apnea severity. Whether this biomarker is solely a sign of more severe disease or whether it reflects primary alterations in sleep apnea pathophysiology (which may either cause or result from sleep apnea) is unknown. This ECG-based spectral marker is associated with a higher prevalence of hypertension and stroke. Keywords: ECG, cardiopulmonary coupling, Sleep Heart Health Study, sleep spectrogram, hypertension stroke (Source: Sleep)

Physical Fitness and Carotid Atherosclerosis in Men

International Journal of Sports Medicine — Wed, 01 Jul 2009 17:36:48 +0100

Int J Sports MedDOI: 10.1055/s-0029-1224179AbstractWe investigated the association between cardiorespiratory fitness (CRF) and carotid atherosclerosis in 9 871 Korean men aged 40–81 years. We measured carotid intima-media thickness by using B-mode ultrasonography, and cardiorespiratory fitness was measured by a maximal treadmill exercise test using the Bruce protocol. Carotid atherosclerosis was defined as an intima-media wall thickness greater than 1.2 mm or stenosis >25% of carotid arteries, while CRF was classified as low fit (<20%), moderately fit (20-<60%), or high fit (≥60%) categories based on age-specific VO (ml/kg/min) percentiles. The presence of carotid atherosclerosis across CRF categories was 11.7% (low fit), 9.6%, and 7.7%, respectively....

Preface

Seminars in Pediatric Surgery — Wed, 01 Jul 2009 15:51:31 +0100

Although the overall health status of the pediatric population in the United States has improved, the last quarter century has witnessed a dramatic rise in the prevalence of childhood obesity and its associated comorbid conditions. Specifically, the medical community is witnessing a steady and alarming rise in the prevalence of chronic diseases among obese children, including diabetes, hypertension, obstructive sleep apnea, hyperlipidemia, and cardiovascular disease. (Source: Seminars in Pediatric Surgery)

Changes in physiology with increasing fat mass

Seminars in Pediatric Surgery — Wed, 01 Jul 2009 15:51:31 +0100

Obesity has reached epidemic proportions in the USA with a nearly fourfold rise in the prevalence of childhood obesity. There are many possible etiologies of obesity as the adipose tissue plays a significant, complex role in the physiology of fuel metabolism and hormone regulation. The development of obesity represents a pathophysiologic increase in fat mass in which multiple metabolic pathways are deranged. The consequences of these metabolic derangements, including insulin resistance and inflammation, are reflected in obesity-related comorbidities and can be seen in the setting of pediatric obesity. Obese adolescents demonstrate increased rates of early maturation, orthopedic growth abnormalities, diabetes mellitus, obstructive sleep apnea, hypertension, steatosis, and polycystic ovarian...

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Statins benefit low-risk patients

Nursing in Practice — Wed, 01 Jul 2009 15:39:52 +0100

Study finds statins should be given to people with cardiovascular risk factors such as high blood pressure and diabetes (Source: Nursing in Practice)

Original paper Syringoperitoneal shunt in the treatment of syringomyelia

Wed, 01 Jul 2009 14:35:07 +0100

Conclusions: Preliminary results suggest that SPS is a safe and efficient treatment method for patients with syringomyelia not related to structural anomalies at the cranio-vertebral junction. For treatment of syringomyelia secondary to C1M following failure of cranio-cervical decompression, another exploration of this area should be considered. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)

Original paper A new CT-based classification of spontaneous supratentorial intracerebral haematomas

Wed, 01 Jul 2009 14:34:54 +0100

Conclusions: Our clinical experience shows that the proposed classification appears to be closely associated with angiographic findings. Its clinical application with consideration of other factors such as age and arterial hypertension may help clinicians to identify high-risk ICH patients for angiographic evaluation and further specific treatment to prevent rebleeding. (Source: Articles of Polish Journal of Neurology and Neurosurgery - TERMEDIA publishing house)

Researchers Show New Antioxidant Could Help Treat Cardiovascular Disease

Health News from Medical News Today — Wed, 01 Jul 2009 09:00:00 +0100

Researchers at the University of Glasgow believe they have found a potential new treatment for cardiovascular disease which reduces blood pressure. Scientists at the British Heart Foundation Glasgow Cardiovascular Research Centre (BHF GCRC) used a recently-developed antioxidant called MitoQ10 to prevent damage to the mitochondria of cells in an experimental model of hypertension and stroke. (Source: Health News from Medical News Today)

Biomarker of breathing control abnormality associated with hypertension and stroke

EurekAlert! - Medicine and Health — Wed, 01 Jul 2009 04:00:00 +0100

(American Academy of Sleep Medicine) A study in the July 1 issue of the journal SLEEP identified a distinct ECG-derived spectrographic phenotype, designated as narrow-band elevated low frequency coupling (e-LFCNB), that is associated with prevalent hypertension, stroke, greater severity of sleep disordered breathing and sleep fragmentation in patients suffering from obstructive sleep apnea. (Source: EurekAlert! - Medicine and Health)

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Surgical treatment of cardiac pheochromocytoma: a case report.

The Annals of Thoracic Surgery — Tue, 30 Jun 2009 23:00:00 +0100

We report a 15-year-old girl who was presented with paroxysmal hypertension. An iodine-131 metaiodobenzylguanidine scintigraphy scanning showed a pheochromocytoma in her right atrial and ventricular wall. The tumor was subsequently confirmed by magnetic resonance imaging and coronary angiogram. This patient underwent a successful surgical resection of the tumor, a reconstruction of the atrial ventricular wall and right coronary artery bypass grafting. Her blood pressure remained normal thereafter. A follow-up coronary angiogram revealed a patent saphenous vein graft 4 months after the operation. PMID: 19559246 [PubMed - in process] (Source: The Annals of Thoracic Surgery)

Operative strategies for pulmonary artery occlusion secondary to mediastinal fibrosis.

The Annals of Thoracic Surgery — Tue, 30 Jun 2009 23:00:00 +0100

CONCLUSIONS: Treatment of pulmonary artery occlusion attributable to mediastinal fibrosis can be challenging. Successful operative strategies include both creation of a double-outlet right ventricle and complete reconstruction of the pulmonary artery confluence. Hybrid techniques of both conduit placement and stenting should also be considered for patients with occluded pulmonary arteries. PMID: 19559232 [PubMed - in process] (Source: The Annals of Thoracic Surgery)

Middle aortic syndrome, severe hypertension, and endovascular repair

European Heart Journal — Tue, 30 Jun 2009 23:00:00 +0100

(Source: European Heart Journal)

Terbinafine (250 mg/day): an effective and safe treatment of cutaneous sporotrichosis

Journal of the European Academy of Dermatology and Venereology — Tue, 30 Jun 2009 23:00:00 +0100

Conclusions This study suggests that 250 mg/day terbinafine is an effective and well-tolerated alternative to drug therapy of cutaneous sporotrichosis in a population in which itraconazole use is not possible. None declared. (Source: Journal of the European Academy of Dermatology and Venereology)

A Pregnant Woman with Edema: Conclusion

Air Medical Journal — Tue, 30 Jun 2009 23:00:00 +0100

A mobile intensive care unit was dispatched to a suburban hospital for a 26-year-old woman who was 26 weeks pregnant and had been diagnosed with preeclampsia. The report from the referring facility indicated that the patient was stable without complaints but needed transported for further evaluation to a tertiary care center that specializes in high-risk obstetrics. The referring facility asked the transport crew to bring a fetal heart monitor because the fetus had demonstrated sporadic episodes of bradycardia. The history obtained indicated this patient was a gravida 1 para 0 who had developed some very mild elevations in her blood pressure (BP) accompanied by swelling of her face, feet, and hands beginning at 18 weeks' gestation She had been admitted to the obstetric unit 24 hours before...

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A Prospective, Randomized, Investigator-masked Evaluation of the Monocular Trial in Ocular Hypertension or Open-angle Glaucoma

Ophthalmology — Tue, 30 Jun 2009 23:00:00 +0100

Purpose: To evaluate the clinical value of the monocular therapeutic drug trial in predicting long-term intraocular pressure (IOP) reduction.Design: Prospective, randomized, investigator-masked trial.Participants: Twenty-six subjects with ocular hypertension or open-angle glaucoma.Methods: Subjects attended 5 study visits: 2 on no IOP-lowering therapy, 1 on monocular therapy with latanoprost, and 2 on bilateral therapy. The monocular trial eye was randomly selected, and study personnel making IOP measurements were masked to randomization. The following parameters were calculated: the unadjusted IOP change (IOP in the randomized eye at the first on-treatment visit minus IOP in the same eye at the initiation of the monocular trial); the adjusted IOP change (the unadjusted IOP change minus th...

This Issue At A Glance

Ophthalmology — Tue, 30 Jun 2009 23:00:00 +0100

For decades, ophthalmologists have accepted the monocular drug trial as a viable glaucoma tool to provide a short-term estimate of long-term intraocular pressure (IOP) when initiating therapy with a topical IOP-lowering medication. However, a prospective, randomized, investigator-masked study by Tony Realini, MD, (p. 1237) questions the usefulness of this practice in predicting long-term IOP reduction. The investigator studied 26 patients with ocular hypertension or open-angle glaucoma who made 5 study visits: 2 on no IOP-lowering therapy, 1 on monocular therapy with latanoprost, and 2 on bilateral therapy. He found that the monocular therapeutic drug trial did not provide clinically relevant information regarding long-term IOP reduction after starting IOP-lowering medication. In fact, eve...

Insulin resistance among Brazilian schoolchildren: association with risk factors for cardiovascular diseases

Acta Paediatrica — Tue, 30 Jun 2009 23:00:00 +0100

Conclusion: Higher levels of HOMA (IR) were positively associated with risk factors for CVD among schoolchildren. (Source: Acta Paediatrica)

Journal of Pediatric Surgery — Tue, 30 Jun 2009 23:00:00 +0100

Prostaglandin-E1 (PGE1) is used at most centers for treating pulmonary hypertension (PH) in congenital diaphragmatic hernia (CDH) because it has been regarded as effective. The aim of this study was to investigate the role of PGE1 for treating PH in CDH. Forty-nine CDH cases were reviewed with echocardiography-proven PH. PH was treated with PGE1 and nitric oxide (NO) and high-frequency oscillatory ventilation (HFOV) from 1997 to 2001 (PG + NO; n = 19) and with NO and HFOV from 2002 to 2007 (NO; n = 30). Subject demographics, severity of PH, and presence of other anomalies were not significantly different between the 2 groups. In the PG + NO group, 12/19 (63.2%) survived (PG + NO-s) and 7/19 (36.8%) died (PG + NO-d). In the NO group, 21/30 (70.0%) survived (NO-s) and 9/30 (30.0%) died (NO-d...

Postoperative pulmonary hypertension: etiology and treatment of a dangerous complication.

Respiratory Care — Tue, 30 Jun 2009 17:18:11 +0100

Authors: Hill NS, Roberts KR, Preston IR Postoperative pulmonary hypertension is a challenging and feared complication of many types of surgery, including lung and heart transplantation, pulmonary thromboendarterectomy, congenital-heart-disease repair, and others. The most severe manifestation is acute right heart syndrome, characterized by right heart failure and cardiovascular collapse-a daunting therapeutic challenge associated with a high mortality. Patients with postoperative pulmonary hypertension must be carefully evaluated to identify reversible contributing factors such as fluid and metabolic imbalance, hypoxemia, and right heart ischemia. A pulmonary arterial catheter and echocardiogram are recommended for evaluation, although their value has not been established in carefully...

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Ramipril at Night Improves Blood Pressure Control During Sleep

Medscape Medical News Headlines — Tue, 30 Jun 2009 16:37:57 +0100

Bedtime dosing of the angiotensin-converting enzyme inhibitor ramipril increases the antihypertensive effect of the agent during sleep, Spanish researchers report in the July issue of Hypertension. Reuters Health Information (Source: Medscape Medical News Headlines)

Oral Therapies for the Treatment of Pulmonary Arterial Hypertension: A Population-Based Cost-Minimization Analysis.

Applied Health Economics and Health Policy — Tue, 30 Jun 2009 16:18:45 +0100

Page: 43DOI: 10.2165/00148365-200907010-00005Authors: Dranitsaris, George 1; Mehta, Sanjay 2 (Source: Applied Health Economics and Health Policy)

Diabetic retinopathy, visual impairment and ocular status among patients with diabetes mellitus in Yemen: A hospital-based study

Indian Journal of Ophthalmology — Tue, 30 Jun 2009 15:46:45 +0100

Conclusions</b> : DR was of public health magnitude among our patients. An organized approach is recommended to address DR in the study area. (Source: Indian Journal of Ophthalmology)

Vertical lid split approach for optic nerve sheath decompression

Indian Journal of Ophthalmology — Tue, 30 Jun 2009 15:46:45 +0100

We describe a vertical lid split orbitotomy approach to perform optic nerve sheath fenestration which was done in a patient with idiopathic intracranial hypertension. A vertical lid split incision was used to enter the superomedial orbit and approach the optic nerve sheath. This approach resulted in a successful nerve sheath fenestration, with improvement in the patient's symptoms. The vertical lid split incision provides access to the optic nerve sheath with minimal morbidity and may be an option for optic nerve sheath decompression. (Source: Indian Journal of Ophthalmology)

KARDIOCHIRURGIA DOROSŁYCH Impact of selected factors on changes of perioperative blood lactate concentration, in patients undergoing on-pump coronary bypass surgery

Tue, 30 Jun 2009 13:44:30 +0100

Conclusion: The above data confirm the usefulness of measuring blood lactate concentration as an important diagnostic factor for postoperative complications. (Source: Articles of Polish Journal of Cardio-Thoracic Surgery - TERMEDIA publishing house)

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Health News of the Day

Clinical Cases and Images — Tue, 30 Jun 2009 11:31:00 +0100

is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.White-Coat Hypertension Not Benign: Doubles Risk for Sustained High Blood Pressure http://bit.ly/RPdh5Why the Copy and Paste Function of EMR Can be Hazardous http://bit.ly/se2pT -- EMRs degrade the quality of clinical documentation? Dr. RW has "yet to encounter an EMR generated note that effectively tells a patient’s story." http://bit.ly/2IyM0 - Not my experience.Rhinotillexomania: Nose picking frequency greater than 20/d in 7.6%, 17% considered they had serious nose-picking problem http://is.gd/1iy2I"People feel that placebo painkiller costing $2.50 provides better relief than if they�...

Rat Model Of Hepatic Encephalopathy And Prehepatic Portal Hypertension

GastroIntestinal News From Medical News Today — Tue, 30 Jun 2009 08:00:00 +0100

A research article published in the World Journal of Gastroenterology refers. The research team lead by Dr. Gabriela Beatriz Acosta, observed that the activity of GS was increased in the hippocampus in PH rats. There was a significant decrease in glutamate uptake in both brain areas, which was more marked in the hippocampus. The decrease in glutamate uptake might be caused by deficient transport function and persistent glutamate activity, which is not metabolized. (Source: GastroIntestinal News From Medical News Today)

Kidney Stones

MedicineNet High Blood Pressure General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Kidney StonesCategory: Diseases and ConditionsCreated: 12/31/1997Last Editorial Review: 6/30/2009 (Source: MedicineNet High Blood Pressure General)

Disease Prevention in Women

MedicineNet High Blood Pressure General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Disease Prevention in WomenCategory: Diseases and ConditionsCreated: 3/22/2001 7:23:00 AMLast Editorial Review: 6/30/2009 (Source: MedicineNet High Blood Pressure General)

Sporadic Spikes in Blood Pressure Hike Chances of Hypertension

MedicineNet High Blood Pressure General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Sporadic Spikes in Blood Pressure Hike Chances of HypertensionCategory: Health NewsCreated: 6/30/2009 7:00:00 AMLast Editorial Review: 6/30/2009 (Source: MedicineNet High Blood Pressure General)

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White-Coat Hypertension Not Benign

MedicineNet High Blood Pressure General — Tue, 30 Jun 2009 07:00:00 +0100

Title: White-Coat Hypertension Not BenignCategory: Health NewsCreated: 6/30/2009Last Editorial Review: 6/30/2009 (Source: MedicineNet High Blood Pressure General)

Sporadic Spikes in Blood Pressure Hike Chances of Hypertension

MedicineNet Heart General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Sporadic Spikes in Blood Pressure Hike Chances of HypertensionCategory: Health NewsCreated: 6/30/2009 7:00:00 AMLast Editorial Review: 6/30/2009 (Source: MedicineNet Heart General)

White-Coat Hypertension Not Benign

MedicineNet Heart General — Tue, 30 Jun 2009 07:00:00 +0100

Title: White-Coat Hypertension Not BenignCategory: Health NewsCreated: 6/30/2009Last Editorial Review: 6/30/2009 (Source: MedicineNet Heart General)

Sporadic Spikes in Blood Pressure Hike Chances of Hypertension

MedicineNet Cholesterol General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Sporadic Spikes in Blood Pressure Hike Chances of HypertensionCategory: Health NewsCreated: 6/30/2009 7:00:00 AMLast Editorial Review: 6/30/2009 (Source: MedicineNet Cholesterol General)

White-Coat Hypertension Not Benign

MedicineNet Cholesterol General — Tue, 30 Jun 2009 07:00:00 +0100

Title: White-Coat Hypertension Not BenignCategory: Health NewsCreated: 6/30/2009Last Editorial Review: 6/30/2009 (Source: MedicineNet Cholesterol General)

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Sporadic Spikes in Blood Pressure Hike Chances of Hypertension

MedicineNet Senior Health General — Tue, 30 Jun 2009 07:00:00 +0100

Title: Sporadic Spikes in Blood Pressure Hike Chances of HypertensionCategory: Health NewsCreated: 6/30/2009 7:00:00 AMLast Editorial Review: 6/30/2009 (Source: MedicineNet Senior Health General)

White-Coat Hypertension Not Benign

MedicineNet Senior Health General — Tue, 30 Jun 2009 07:00:00 +0100

Title: White-Coat Hypertension Not BenignCategory: Health NewsCreated: 6/30/2009Last Editorial Review: 6/30/2009 (Source: MedicineNet Senior Health General)

White-Coat Hypertension Not Benign

eMedicineHealth.com — Tue, 30 Jun 2009 07:00:00 +0100

(Source: eMedicineHealth.com)

White-Coat Hypertension Not Benign

MedicineNet Feet and Fitness General — Tue, 30 Jun 2009 07:00:00 +0100

Title: White-Coat Hypertension Not BenignCategory: Health NewsCreated: 6/30/2009Last Editorial Review: 6/30/2009 (Source: MedicineNet Feet and Fitness General)

Individuals on HAART Likely to Have Arterial Stiffness

Mon, 29 Jun 2009 23:00:00 +0100

"HIV patients receiving highly active anti-retroviral therapy (HAART) are more likely to have a level of arterial stiffness similar to that in healthy patients with high blood pressure, a new study finds.... The study provides new insight into the link between HIV infection, HAART use and the premature development of cardiovascular disease in HIV-infected patients, even when they have normal blood pressure. However, the effects may not be severe enough to halt treatment, and the study didn't establish that HAART causes the stiffness, noted the researchers, from the University of Athens in Greece. " Read the full story Read the study abstract (Source: AIDSinfo At-a-Glance: Offering Information on HIV/AIDS Treatment, Prevention, and Research, A Service of the U.S. Department of Health...

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Age-related associations of hypertension and diabetes mellitus with chronic kidney disease

BMC Nephrology — Mon, 29 Jun 2009 23:00:00 +0100

Background: Studies suggest end-stage renal disease incidence and all-cause mortality rates among patients with chronic kidney disease (CKD) differ by age. The association of diabetes mellitus and hypertension with CKD across the adult lifespan is not well established. Methods: Data from NHANES 1999-2004 were used to determine the association of risk factors for stage 3 or 4 CKD (n=12,518) and albuminuria (n=12,778) by age grouping (20 to 49, 50 to 69, and >=70 years). Stage 3 or 4 CKD was defined as an estimated glomerular filtration rate of 15 to 59 ml/min/1.73m2 and albuminuria as an albumin to creatinine ratio >=30 mg/g.Result: For adults 20 to 49, 50 to 69 and >=70 years of age, the prevalence ratios (95% confidence interval) of stage 3 or 4 CKD associated with hypertension were 1.94 ...

Increased Risk of Stroke and Transient Ischemic Attack in 5-Year Survivors of Hodgkin Lymphoma

JNCI — Mon, 29 Jun 2009 23:00:00 +0100

Conclusions Patients treated for Hodgkin lymphoma experience a substantially increased risk of stroke and TIA, associated with radiation to the neck and mediastinum. Physicians should consider appropriate risk-reducing strategies. (Source: JNCI)

White-Coat, Masked Hypertension Are Risk Factors

Modern Medicine — Mon, 29 Jun 2009 23:00:00 +0100

Patients with white-coat hypertension and masked hypertension may have a long-term risk of developing sustained hypertension, according to a study published online June 29 in Hypertension. (Source: Modern Medicine)

Wide Variation in Clinicians' Assessment of New York Heart Association/World Health Organization Functional Class in Patients With Pulmonary Arterial Hypertension

Mayo Clinic Proceedings — Mon, 29 Jun 2009 23:00:00 +0100

CONCLUSION: Despite the wide use of the New York Heart Association/World Health Organization functional class in clinical care and as a research tool, interrater agreement may be inadequate. Efforts to promote a uniform approach to evaluating functional class might help to standardize PAH care and research. (Source: Mayo Clinic Proceedings)

A new model of chronic intermittent hypoxia in humans: effect on ventilation, sleep, and blood pressure

Journal of Applied Physiology — Mon, 29 Jun 2009 23:00:00 +0100

Obstructive sleep apnea is characterized by repetitive nocturnal upper airway obstructions that are associated with sleep disruption and cyclic intermittent hypoxia (CIH) The cyclic oscillations in O2 saturation are thought to contribute to cardiovascular and other morbidity, but animal and patient studies of the pathogenic link between CIH and these diseases have been complicated by species differences and by the effects of confounding factors such as obesity, hypertension, and impaired glucose metabolism. To minimize these limitations, we set up a model of nocturnal CIH in healthy humans. We delivered O2 for 15 s every 2 min during sleep while subjects breathed 13% O2 in a hypoxic tent to create 30 cycles/h of cyclic desaturation-reoxygenation [saturation of peripheral O2 (SpO2) range: 9...

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[Original articles] Late magnetic resonance surveillance of repaired coarctation of the aorta

European Journal of Cardio-Thoracic Surgery — Mon, 29 Jun 2009 23:00:00 +0100

Conclusions: We demonstrate that many years after early repair of coarctation of the aorta, MR surveillance detects significant rates of re-coarctation. These findings were independent of whether or not there was a clinical indication for imaging. Those patients with BAV disease had larger ascending aortic dimensions and may require more frequent non-invasive surveillance. (Source: European Journal of Cardio-Thoracic Surgery)

[Original articles] Seventeen years of adult congenital heart surgery: a single centre experience

European Journal of Cardio-Thoracic Surgery — Mon, 29 Jun 2009 23:00:00 +0100

Conclusions: Surgery in adult CHD patients can be performed with low operative mortality and good clinical outcome. EuroSCORE is not a good model for risk assessment in this group of patients. (Source: European Journal of Cardio-Thoracic Surgery)

[REVIEW ARTICLES] Prenatal risk factors for autism: comprehensive meta-analysis

The British Journal of Psychiatry — Mon, 29 Jun 2009 23:00:00 +0100

Conclusions There is insufficient evidence to implicate any one prenatal factor in autism aetiology, although there is some evidence to suggest that exposure to pregnancy complications may increase the risk. (Source: The British Journal of Psychiatry)

Wolves in Sheep's Clothing: Don't Ignore White-Coat and Masked Hypertension

Medscape Today Headlines — Mon, 29 Jun 2009 21:56:05 +0100

White-coat hypertension and masked hypertension should not be regarded as benign, say the authors of a new 10-year study. The risk of developing sustained hypertension is higher in people with the above two conditions than in those who have normal blood pressure, they found. Heartwire (Source: Medscape Today Headlines)