The Journal of Clinical HypertensionThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Does "Hidden Undercuffing" Occur Among Obese Patients? Effect of Arm Sizes and Other Predictors of the Difference Between Wrist and Upper Arm Blood PressuresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). Arm size can affect the accuracy of blood pressure (BP) measurement, and "undercuffing" of large upper arms is likely to be a growing problem. Therefore, the authors investigated the relationship between upper arm and wrist readings. Upper arm and wrist circumferences and BP were measured in 261 consecutive patients. Upper arm auscultation and wrist BP was measured in triplicate, rotating measurements every 30 seconds between sites. Upper arm BP was 131.9±20.6/71.6±12.6 mm Hg in an obese population (body mass index, 30.6±6.6 kg/m2) with mean upper arm size of 30.7±5.1 cm. Wrist BP was high...
Source: The Journal of Clinical Hypertension - November 18, 2009 Category: Cardiology Authors: Hardik Doshi, Alan B. Weder, Robert L. Bard, Robert D. Brook Source Type: journals

Efficacy of an Olmesartan Medoxomil–Based Treatment Algorithm in Patients Stratified by Age, Race, or SexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). Demographic factors are known to influence the prevalence of hypertension, and evidence suggests that they may also influence the response of patients with hypertension to blood pressure (BP)[ndash]lowering therapies. To determine the effect of demographic factors on the efficacy and safety of an olmesartan medoxomil (OM)[ndash]based treatment regimen, we performed a prespecified subgroup analysis of a 12-week, randomized, placebo-controlled, titrate-to-goal study in patients with hypertension, stratifying patients into treatment groups according to age, sex, or race. After 12 weeks, OM[ndash]...
Source: The Journal of Clinical Hypertension - November 17, 2009 Category: Cardiology Authors: Suzanne Oparil, Eduardo Pimenta Source Type: journals

Compliance With Home Blood Pressure Monitoring Among Middle-Aged Korean Americans With HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). The primary objective of this study was to investigate the factors affecting the level of compliance of home blood pressure monitoring (HBPM) and its relation to blood pressure (BP) control among hypertensive adults in a community setting. A total of 377 middle-aged Korean Americans with high BP participated in this study. Along with structured behavioral education, the participants were instructed to measure their BP 3 times in a row upon waking and thrice again at bedtime, at least 2 or more times a week for 48 weeks. Using multivariate logistic regression, the authors examined the patterns ...
Source: The Journal of Clinical Hypertension - November 17, 2009 Category: Cardiology Authors: Jiyun Kim, Hae-Ra Han, Heejung Song, JongEun Lee, Kim B. Kim, Miyong T. Kim Source Type: journals

Health Care Services Provided During Physician Office Visits for Hypertension: Differences by SpecialtyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study is to compare differences by physician specialty in the provision of health care services during office visits for hypertension. The authors examined office visits for US physicians by using data from the National Ambulatory Medical Care Survey for 2003 to 2005. Of more than 274 million hypertension visits, 35.5%, 43.9%, 8.5%, and 12.1% visits were made to general practitioners/family physicians, internists, cardiologists, and other specialties, respectively. Visitors to cardiologists were more likely to have coronary heart disease and heart failure than visitors to other physicians. While presc...
Source: The Journal of Clinical Hypertension - November 17, 2009 Category: Cardiology Authors: Jing Fang, Nora L. Keenan, Carma Ayala Source Type: journals

Malignant Pheochromocytoma Presenting With Uncontrolled Hypertension After Kidney TransplantEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - November 17, 2009 Category: Cardiology Authors: Abdullah Hanna-Moussa, L. Romayne Kurukulasuriya, James R. Sowers Source Type: journals

Misleading Results of Randomized Trials: The Example of Renal Artery StentingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - November 10, 2009 Category: Cardiology Authors: Samuel J. Mann, Thomas A. Sos Source Type: journals

Compliance With the Treatment of Hypertension: The Potential of Combination TherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). Patient adherence to antihypertensive medication is vital to ensure the successful treatment of hypertension. Low levels of adherence to and persistence with prescribed therapy are major factors leading to the current poor rates of blood pressure control among patients with hypertension. There are many reasons for nonadherence to therapy including patient-, physician-, and therapy-related factors. Poor tolerability has a detrimental effect on adherence, therefore reducing the apparent effectiveness of agents with dose-dependent side effects. Various effective combination therapies are recommen...
Source: The Journal of Clinical Hypertension - November 9, 2009 Category: Cardiology Authors: Serap Erdine Source Type: journals

The Effects of Resistance Training on Metabolic Health With Weight RegainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). To determine whether resistance training effectively maintains improvements in cardiometabolic syndrome risk factors during weight regain, 9 individuals lost 4% to 6% of their body weight during an 8- to 12-week diet- and aerobic exercise[ndash]induced weight loss phase followed by a controlled weight regain phase (8[ndash]12 weeks), during which they regained approximately 50% of the lost weight while participating in a supervised resistance training program. Following weight loss (6.0%±0.3%), body mass index, body fat percentage, waist circumference, all abdominal adipose tissue depots, tot...
Source: The Journal of Clinical Hypertension - October 29, 2009 Category: Cardiology Authors: Shana O. Warner, Melissa A. Linden, Ying Liu, Benjamin R. Harvey, John P. Thyfault, Adam T. Whaley-Connell, Anand Chockalingam, Pamela S. Hinton, Kevin C. Dellsperger, Tom R. Thomas Source Type: journals

Largest Meta-Analysis to Date Suggests That Patients at Risk for Cardiovascular Disease Events Derive Benefit from Antihypertensive Therapy Regardless of Baseline Blood Pressure and to Reduce Vascular Events, Lowering Blood Pressure is More Important than Choice of Antihypertensive Drug ClassEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - October 23, 2009 Category: Cardiology Authors: Michael J. Bloch, Jan N. Basile Source Type: journals

Obesity-Related Cardiorenal SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). The term obesity cardiomyopathy has previously been used to describe a clinical syndrome in obese patients typically consisting of eccentric left ventricular hypertrophy with preserved ejection fraction and diastolic dysfunction and is often associated with right ventricular dysfunction independent of the presence of the obstructive sleep apnea syndrome. Although several publications have described the early stages of this syndrome, little is known about the end stages of the disease. The authors conducted a retrospective study of a subset of edematous obese patients with multiple common medic...
Source: The Journal of Clinical Hypertension - October 15, 2009 Category: Cardiology Authors: Ryan Nelson, Illena Antonetti, John D. Bisognano, James Sloand Source Type: journals

Simple-Minded Antihypertensive Treatment: Of Assumptions, Potpourri, and SausagesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - October 14, 2009 Category: Cardiology Authors: Sripal Bangalore, Franz H. Messerli Source Type: journals

Knowledge, Attitude, Behavior, and Practice of Interns Toward Errors in Sphygmomanometer and Blood Pressure MeasurementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - October 14, 2009 Category: Cardiology Authors: Ramachandran Meenakshisundaram, Shah Sweni, Govindaraj Dhanalakshmi, Raju Sridevi, Ponniah Thirumalaikolundusubramanian Source Type: journals

Easily "Curable" Anxiety-Induced HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - October 12, 2009 Category: Cardiology Authors: Barry J. Materson Source Type: journals

Assessing the Validity of the Omron HEM-907XL Oscillometric Blood Pressure Measurement Device in a National Survey EnvironmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ***;**:**[ndash]**. Blood pressure (BP) readings taken by Omron HEM-907XL were compared with the results obtained using sphygmomanometer (HgS) in 509 individuals using 2002 Association for the Advancement of Medical Instrumentation (AAMI) criteria. With the exception of diastolic BP in youth ages 13 to 19 years (mean difference, [minus]1.77 mm Hg; standard deviation, 8.65), the Omron device met the criteria. Agreement for hypertension (BP [ge]140/90 mm Hg) was above chance ([kappa]=0.68) and, compared with HgS, Omron underestimated the prevalence of hypertension by 2.65%. The Omron and HgS mea...
Source: The Journal of Clinical Hypertension - October 5, 2009 Category: Cardiology Authors: Yechiam Ostchega, Tatiana Nwankwo, Paul D. Sorlie, Michael Wolz, George Zipf Source Type: journals

Secondary Hypertension in Overweight and Stage 1 Hypertensive Children: A Midwest Pediatric Nephrology Consortium ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study included children (5[ndash]18 years) with hypertension (defined and staged per task force recommendations) referred to 4 pediatric nephrology centers in the Midwest region. Of the 246 referred patients, 166 patients with primary hypertension (PH) and SH were included for body mass index and hypertension stage analysis. The study revealed no significant differences in the mean age at diagnosis (PH, 13.1±3.1 years; SH, 12.4±3.8 years), distribution of overweight (PH, 89.4% BMI >85th percentile; SH, 80% BMI >85th percentile), and stage 1 (PH, 45%; SH, 40%) or 2 hypertensive (PH,55%; SH, 60%) children between PH v...
Source: The Journal of Clinical Hypertension - October 4, 2009 Category: Cardiology Authors: Gaurav Kapur, Maheen Ahmed, Cynthia Pan, Mark Mitsnefes, Myra Chiang, Tej K. Mattoo Source Type: journals

Treatment of Hypertension in the Inpatient Setting: Use of Intravenous Labetalol and HydralazineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ****;**:**[ndash]**. Acute blood pressure elevations are commonly treated in hospitalized patients. There are no guidelines for appropriate practice and no evidence that such treatment is useful. The authors performed a retrospective review of medical and pharmacy records to determine how often intravenous hydralazine and labetalol are ordered and administered. During a 1-year study period, a total of 29,545 hospitalizations were recorded. The authors identified 2189 patients (7.4% of all patients) for whom 7242 orders were written for hydralazine as needed (10[ndash]20 mg per dose) and 5915 f...
Source: The Journal of Clinical Hypertension - October 4, 2009 Category: Cardiology Authors: Alan B. Weder, Steven Erickson Source Type: journals

Urinary Dopamine Excretion and Renal Responses to Fenoldopam Infusion in Blacks and WhitesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ****;**:**[ndash]**. Dopamine is an endogenous natriuretic amine that contributes to the maintenance of sodium homeostasis. Deficiencies in the renal production of dopamine and the action of dopamine on renal tubular receptors have been observed in human hypertension and may contribute to salt sensitivity of blood pressure. Ethnic differences in the sodium-to-dopamine relationship may contribute to the higher prevalence of salt sensitivity in blacks. The authors assessed dopaminergic activity in two studies. In the first, daytime and nighttime excretion of sodium and dopamine were compared in ...
Source: The Journal of Clinical Hypertension - October 4, 2009 Category: Cardiology Authors: Alan B. Weder, Lillian Gleiberman, Amit Sachdeva Source Type: journals

Nebivolol in High-Risk, Obese African Americans With Stage 1 Hypertension: Effects on Blood Pressure, Vascular Compliance, and Endothelial FunctionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ****;**:**[ndash]**. The authors sought to determine whether nebivolol treatment results in changes in blood pressure (BP), nitric oxide bioavailability, and vascular function in obese African Americans with recently diagnosed stage 1 hypertension. Forty-three obese, hypertensive African Americans (mean BP: systolic, 148.8±14.3 mm Hg; diastolic, 90.4±8.2 mm Hg) were treated with nebivolol (5[ndash]10 mg/d) for 8 weeks. Primary outcomes were change in systolic and diastolic BP and efficacy in reaching normotensive BP. Mean systolic BP decreased by 9.2±14 mm Hg (P (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - October 4, 2009 Category: Cardiology Authors: Nadya Merchant, Charles D. Searles, Anbu Pandian, Syed T. Rahman, Keith C. Ferdinand, Guillermo E. Umpierrez, Bobby V. Khan Source Type: journals

Health Care Reform Requires Renaissance of Flexnerian Academic Medical CentersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 30, 2009 Category: Cardiology Authors: Thomas D. Giles Source Type: journals

Do the Current Medical and Economic Times Dictate the Need for the "Polypill"?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 29, 2009 Category: Cardiology Authors: Luay Rifai, Bobby V. Khan Source Type: journals

Patients With Hypertension and the Cardiometabolic Syndrome: The Potential Impact of Inflammatory BiomarkersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 29, 2009 Category: Cardiology Authors: Alanna Morris, Keith C. Ferdinand Source Type: journals

Dysglycemia Predicts Cardiovascular and Kidney Disease in the Kidney Early Evaluation ProgramEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The cardiometabolic syndrome has been associated with both chronic kidney disease (CKD) and cardiovascular disease (CVD). Using data from the National Kidney Foundation-Kidney Early Evaluation Program, the authors sought to investigate this association in a targeted CKD cohort. A total of 26,992 patients met eligibility criteria including age 18 years and older, diabetes, hypertension, or family history of CKD, diabetes, or hypertension and excluded those taking renal replacement therapy. Individuals were identified by Third Report of the National Cholesterol Ed...
Source: The Journal of Clinical Hypertension - September 29, 2009 Category: Cardiology Authors: Adam Whaley-Connell, Brian S. Pavey, Peter A. McCullough, Georges Saab, Suying Li, Samy I. McFarlane, Shu-Cheng Chen, Joseph A. Vassalotti, Allan J. Collins, George Bakris, James R. Sowers Source Type: journals

The Metabolic Syndrome: A Modern Plague Spread by Modern TechnologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. Malnutrition and infectious disease represent the most common health threats facing the developing world. However, increasing technological developments and the expansion of western culture have contributed to the increasing prevalence of the metabolic syndrome. The epidemiologic significance and potential costs to governmental health care systems of an increasing incidence of metabolic syndrome could become high. The role of environmental influences that lead to the development of the metabolic syndrome needs to be explored. Because the metabolic syndrome becom...
Source: The Journal of Clinical Hypertension - September 29, 2009 Category: Cardiology Authors: Aaron Spalding, Joseph Kernan, Warren Lockette Source Type: journals

What Price For Blood Pressure Control?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 29, 2009 Category: Cardiology Authors: Stephen C. Textor Source Type: journals

Underutilization of Angiotensin-Converting Enzyme Inhibitors in High-Risk Blacks: A Case of Missed OpportunitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 10, 2009 Category: Cardiology Authors: Keith C. Ferdinand Source Type: journals

Comparison of Office, Ambulatory, and Home Blood Pressure Antihypertensive Response to Atenolol and HydrochlorthiazideEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). Office, home, and ambulatory blood pressure (BP) demonstrate variable associations with outcomes. The authors sought to compare office BP (OBP), home BP (HBP), and ambulatory BP (ABP) for measuring responses to hydrochlorothiazide (HCTZ), atenolol, and their combination. After completing washout, eligible patients were randomized to atenolol 50 mg or HCTZ 12.5 mg daily. Doses were doubled after 3 weeks and the alternate drug was added after 6 weeks if BP was >120/70 mm Hg (chosen to allow maximum opportunity to assess genetic associations with dual BP therapy in the parent study). OBP (in trip...
Source: The Journal of Clinical Hypertension - September 9, 2009 Category: Cardiology Authors: Amber L. Beitelshees, Yan Gong, Kent R. Bailey, Stephen T. Turner, Arlene B. Chapman, Gary L. Schwartz, John G. Gums, Eric Boerwinkle, Julie A. Johnson Source Type: journals

Hypertension in the Postpartum Woman: Clinical Update for the Hypertension SpecialistEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). Hypertension can persist from pregnancy or present de novo in the postpartum period and continue to pose a risk to maternal well-being. These risks are magnified as many patients present after hospital discharge and go unrecognized because of decreased medical surveillance after delivery. Guidelines for the management of postpartum hypertension are lacking, often resulting in imprecise diagnoses and incorrect treatment strategies. As hypertension specialists are called upon to provide advice to obstetricians regarding the management of hypertension in the postpartum period, it becomes importan...
Source: The Journal of Clinical Hypertension - September 9, 2009 Category: Cardiology Authors: Nimrta Ghuman, Jacqueline Rheiner, Beatriz E. Tendler, William B. White Source Type: journals

Cost-Effectiveness of Treating Resistant Hypertension With an Implantable Carotid Body StimulatorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The purposes of this study are to investigate the cost-effectiveness of an implantable carotid body stimulator (Rheos; CVRx, Inc, Minneapolis, MN) for treating resistant hypertension and determine the range of starting systolic blood pressure (SBP) values where the device remains cost-effective. A Markov model compared a 20-mm Hg drop in SBP from an initial level of 180 mm Hg with Rheos to failed medical management in a hypothetical 50-year-old cohort. Direct costs (2007$), utilities, and event rates for future myocardial infarction, stroke, heart failure, and e...
Source: The Journal of Clinical Hypertension - September 8, 2009 Category: Cardiology Authors: Kate C. Young, J. C. Teeters, Curtis G. Benesch, John D. Bisognano, Karl A. Illig Source Type: journals

Diuretic-Induced Potassium Depletion and Glucose Intolerance Are Not Related to Hyperactivity of the Renin-Angiotensin-Aldosterone System in Hypertensive Patients With the Metabolic SyndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The metabolic syndrome (MS) has been associated with hyperactivity of the renin-angiotensin-aldosterone system (RAAS). To assess the hypothesis that diuretic therapy in MS patients through further stimulation of RAAS would elicit greater potassium (K) depletion, two groups of hypertensive patients with (MS group [MSG]; n=20) and without (control group [CG]; n=19) MS were studied. Plasma renin activity (PRA), aldosterone (PA), and K levels were determined and an oral glucose tolerance test with plasma insulin determinations for calculation of homeostasis model as...
Source: The Journal of Clinical Hypertension - September 8, 2009 Category: Cardiology Authors: Douglas E. Barbieri, Fernando F. Ribeiro-Filho, Artur B. Ribeiro, Maria T. Zanella Source Type: journals

Primary Health Care for Hypertension by Nurses in Rural and Urban Sub-Saharan AfricaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ©2009 Wiley Periodicals, Inc. To implement a nurse-led protocol for the care of hypertension, 5 clinics were established in Yaounde (urban) and Bafut (rural) in Cameroon. International guidelines were adapted and 10 nurses were trained. The initial cohort of patients was referred from a field survey. The program proceeded for 26 months and 454 patients (45% urban) were registered in the clinics. Relative to urban participants, rural participants were more often women (59% vs 45%, P=.002) and less likely to have diabetes (7.2% vs 41.2%, P (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 8, 2009 Category: Cardiology Authors: Andre P. Kengne, Paschal K. Awah, Leopold L. Fezeu, Eugene Sobngwi, Jean-Claude Mbanya Source Type: journals

Impact of Baseline Renal Function on Outcomes of Renal Artery Stenting in Hypertensive PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. Renal artery stenting may improve blood pressure (BP) and renal function in resistant hypertension patients; however, benefit may differ depending on the degree of renal dysfunction. The authors analyzed 67 consecutive patients receiving stenting for obstructive renal artery disease between 2002 and 2005. Patients were categorized as normal or mildly impaired according to estimated glomerular filtration rate (eGFR) ([ge]60 mL/min/1.73 m2), moderately impaired (eGFR 30 to 59 mL/min/1.73 m2), and severely impaired (eGFR (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - September 8, 2009 Category: Cardiology Authors: Gregory M. Singer, Michael S. Remetz, Jeptha P. Curtis, John F. Setaro Source Type: journals

Safety and Feasibility of Achieving Lower Systolic Blood Pressure Goals in Persons With Type 2 Diabetes: The SANDS TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ****;**:**[ndash]**. ©2009 Wiley Periodicals, Inc. The Stop Atherosclerosis in Native Diabetics Study (SANDS) was a randomized open-label clinical trial in type 2 diabetics designed to examine the effects of intensive reduction of blood pressure, aggressive vs standard goals ([le]115/75 mm Hg vs [le]130/80 mm Hg), and low-density lipoprotein (LDL) cholesterol on the composite outcome of change in carotid intimal-medial thickness and cardiovascular events. The study demonstrated that in conjunction with a lower LDL cholesterol target of 70 mg/dL, aggressive systolic blood pressure[ndash]loweri...
Source: The Journal of Clinical Hypertension - September 8, 2009 Category: Cardiology Authors: Matthew R. Weir, Fawn Yeh, Angela Silverman, Richard B. Devereux, James M. Galloway, Jeffrey A. Henderson, William J. Howard, Marie Russell, Charlton Wilson, Robert Ratner, John Sorkin, Jason G. Umans, Jerome L. Fleg, Mario Stylianou, Elisa Lee, Barbara V Source Type: journals

Pathogenesis and Treatment of Microalbuminuria in Patients With Diabetes: The Road AheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The incidence of type 2 diabetes is increasing in the United States, which is expected to result in an increased prevalence of microalbuminuria and higher cardiovascular risk. Microalbuminuria is an indication that a low-level inflammatory process is ongoing. In patients with hypertension, with or without diabetes, increasing urinary albumin excretion (UAE) is associated with elevated levels of inflammatory markers, endothelial dysfunction, and platelet activation. Microalbuminuria is associated with an increased incidence of cardiovascular disease (CVD) morbidi...
Source: The Journal of Clinical Hypertension - August 31, 2009 Category: Cardiology Authors: Rigas Kalaitzidis, George Bakris Source Type: journals

Serum Cystatin C in the Estimation of Glomerular Filtration on Chronic Angiotensin-Converting Enzyme Inhibitor Therapy: An Illustrative Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Peter A. McCullough, Muneer Khan, Joseph James Source Type: journals

Hypertension patients with multiple comorbidities are more likely to have their bp controlled within the va healthcare system: unfounded concerns about pay-for-performanceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Michael J. Bloch, Jan N. Basile Source Type: journals

Impaired Glucose Metabolism and the Exaggerated Blood Pressure Response to Exercise Treadmill Testing in Normotensive PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The authors aimed to investigate the association between glucose metabolism measures and the exaggerated blood pressure response (EXBPR) to exercise testing in normotensive nondiabetic patients. One hundred and forty-two consecutive patients underwent office blood pressure (BP) measurements, 24-hour BP monitoring, echocardiography, and treadmill exercise test according to the Bruce protocol. The population was divided into 2 groups according to EXBPR at a submaximal workload level. Furthermore, blood samples were obtained for fasting glucose (FG), fasting insuli...
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Maria V. Papavasileiou, Costas Thomopoulos, Ilias Antoniou, Georgios Papadimitriou, Maria Seferou, Thomas K. Makris Source Type: journals

Images in Cardiology: Postpartum Intramural Hematoma—Evaluation by Computed Tomographic AngiographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Georgina Haden, Sotir Polenta, Vladimir Jelnin, Daniel Soffer, Harvey Hecht Source Type: journals

Protective Effects of Angiotensin-Converting Enzyme Inhibitors in High-Risk African American Men With Coronary Heart DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study the authors assessed the effect of ACE inhibitors on total and cardiovascular mortality in high-risk AA patients with angiographically proven coronary artery disease (CAD). This was a retrospective analysis of 810 AA men who underwent diagnostic coronary angiography between 1995 and 2003. All patients had demonstrable CAD and had undergone a complete ischemic workup. Follow-up was from 3 to 10 years. ACE inhibitors were administered to 237 patients, while the remaining 537 patients were not taking ACE inhibitors. Patients taking ACE inhibitors had significantly more comorbidities (hypertension, diabetes, left...
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Vasilios Papademetriou, Christodoulos Kaoutzanis, Michael Dumas, Andreas Pittaras, Charles Faselis, Peter Kokkinos, Ross D. Fletcher Source Type: journals

The Relationship Between Flow-Mediated Dilatation of the Brachial Artery and Intima-Media Thickness of the Carotid Artery to Framingham Risk Scores in Older African AmericansEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this study was to investigate the relationship of flow-mediated dilatation and intima-media thickness (IMT) with coronary risk in African Americans (AAs). Endothelial dysfunction and IMT of carotid arteries are considered early steps in atherosclerotic disease process and have been used as surrogate markers of subclinical atherosclerosis. Data were collected on 106 AAs with a mean age of 64.0±6.6 years. Carotid artery IMT was measured with B-mode ultrasonography, as was brachial artery diameter at rest, during reactive hyperemia, and after nitroglycerin. Percent change in flow-mediated dilatation (%FMD) w...
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: John Kwagyan, Saifudin Hussein, Shichen Xu, Muluemebet Ketete, Abid R. Maqbool, Robert H. Schneider, Otelio S. Randall Source Type: journals

Definition and Classification of Hypertension: An UpdateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. Since the publication of a paper by the American Society of Hypertension, Inc. Writing Group in 2003, some refinements have occurred in the definition of hypertension. Blood pressure is now recognized as a biomarker for hypertension, and a distinction is made between the various stages of hypertension and global cardiovascular risk. This paper discusses the logic underlying the refinements in the definition of hypertension. (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Thomas D. Giles, Barry J. Materson, Jay N. Cohn, John B. Kostis Source Type: journals

Does Cigarette Use Modify Blood Pressure Measurement or the Effectiveness of Blood Pressure Medications?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Debbie L. Cohen, Raymond R. Townsend Source Type: journals

Lithium and Antihypertensive Medication: A Potentially Dangerous InteractionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Joel Handler Source Type: journals

Left Ventricular Thrombus and Embolic Stroke Caused by a Functional ParagangliomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Neil A. Buchbinder, Run Yu, Barry E. Rosenbloom, C. T. Sherman, Allan W. Silberman Source Type: journals

Blood Pressure–Lowering Treatment Should Be Offered to All Patients Regardless of Blood PressureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - August 30, 2009 Category: Cardiology Authors: Richard J. McManus, Jonathan Mant Source Type: journals

Efficacy and Safety of Long-Term Treatment With the Combination of Amlodipine Besylate and Olmesartan Medoxomil in Patients With HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). © 2009 Wiley Periodicals, Inc. The authors report on the 44-week open-label extension of the 8-week, double-blind Combination of Olmesartan Medoxomil and Amlodipine Besylate in Controlling High Blood Pressure (COACH) trial in 1684 patients. Initial therapy was amlodipine (AML) plus olmesartan medoxomil (OM) 5+40 mg/d, up-titrated to AML+OM 10+40 mg/d plus hydrochlorothiazide (HCTZ) 12.5 mg then 25 mg if patients did not achieve blood pressure (BP) goal ( (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - July 28, 2009 Category: Cardiology Authors: Steven G. Chrysant, Suzanne Oparil, Michael Melino, Sulekha Karki, James Lee, Reinilde Heyrman Source Type: journals

A Case Report: Can Altitude Change Blood Pressure that Much?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - July 27, 2009 Category: Cardiology Authors: Rami N. Khouzam, Ramy K. Aziz Source Type: journals

Prior incarceration is associated with an increased risk for developing hypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - July 26, 2009 Category: Cardiology Authors: Michael J. Bloch, Jan N. Basile Source Type: journals

A Dramatic Addition to The Journal of Clinical HypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - July 26, 2009 Category: Cardiology Authors: Michael A. Weber Source Type: journals

The Clinical Spectrum of Labile Hypertension: A Management DilemmaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
J Clin Hypertens (Greenwich). ©2009 Wiley Periodicals, Inc. Although the management of the labile component of blood pressure elevation is a problem often encountered by clinicians, there is a paucity of information available to guide therapeutic decisions. This review discusses the clinical relevance of blood pressure lability, the limitations of current knowledge, and possible directions for future research and clinical management. (Source: The Journal of Clinical Hypertension)
Source: The Journal of Clinical Hypertension - July 26, 2009 Category: Cardiology Authors: Samuel J. Mann Source Type: journals

JNC 8: Expectations, Challenges, and Wishes—A Primary Care PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC) reports have dramatically shaped the treatment of hypertension in this country and beyond. The JNC recommendations have been the cornerstone in the detection, evaluation, and treatment of high blood pressure (BP) in this country since inception. Their periodic revisions have evolved with the publications of well-designed outcome studies. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7), as part of the evolutionary patterns of its p...
Source: The Journal of Clinical Hypertension - July 26, 2009 Category: Cardiology Authors: F. Wilford Germino Source Type: journals