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Tag Archives: blood pressure

October 2023 Br J Cardiol 2023;30:138 doi:10.5837/bjc.2023.033

Share The Pressure

Michaela Nuttall, Mark Cobain, Shaantanu Donde, Joanne Haws

Abstract

Introduction High blood pressure (BP) is a major risk factor for reduced healthy life-expectancy and unhealthy ageing. While it is fundamentally treatable, it is currently not optimally managed. To meet national public health targets, patients must play an active role in their decisions about how best to manage their own BP through lifestyle change and drug treatment.1,2 This paper summarises ‘Share The Pressure’ (STP), a project that developed and piloted a scalable model for engaging patients on the benefits of risk factor control for healthy ageing; training healthcare professionals (HCPs) in cardiovascular disease (CVD) risk communica

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August 2023 Br J Cardiol 2023;30:83–5 doi:10.5837/bjc.2023.023

The delusion of measuring blood pressure

Gloria Hong, Breanna Hansen, Martha Gulati

Abstract

Measurement Blood pressure measurement is a quintessential part of healthcare, and accurate measurement is paramount for proper diagnosis and treatment of hypertension. However, studies indicate that inaccuracies in blood pressure monitoring are prevalent, even among healthcare professionals.2–5 Flawed measurement techniques, such as relying on a single reading, insufficient time for measurement, and incorrect arm positioning contribute to misdiagnoses. Our prior work has highlighted the inadequate adherence to accurate blood pressure measurement protocols among healthcare professionals, including even cardiologists.2 Key factors contribut

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Controlled hypertension: a forgotten diagnosis

November 2017 Br J Cardiol 2017;24:127 doi:10.5837/bjc.2017.029

Controlled hypertension: a forgotten diagnosis

Aaron Koshy, Anet Gregory Toms, Sharon Koshy, Raj Mohindra

Abstract

Figure 1. Suggested model for hypertension Clinical significance Controlled hypertension is likely clinically significant. Patients often receive prognostication or treatment upon the basis of a diagnosis of systemic hypertension. This is built upon the assumption that the patient risk profile is determined by a once proven diagnosis of systemic hypertension. However, if patients are successfully treated for their systemic hypertension they may in fact move from a higher risk group towards a lower risk group. This could result in some patients ultimately receiving inappropriate treatments. For example, consider a relatively young male patie

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August 2017 Br J Cardiol 2017;24:87–8 doi:10.5837/bjc.2017.021

Self-monitoring blood pressure in pregnancy: is this the way forward?

Josephine Walshaw, Richard J McManus

Abstract

Current guidelines state that blood pressure should be monitored routinely at antenatal appointments, with increased frequency in high-risk pregnancy and if problems develop.4 Self-monitoring enables women to monitor their own blood pressure between routine appointments, potentially identifying hypertension earlier and aiding management once it is established.5 Self-monitoring is becoming increasingly popular among patients and healthcare professionals. One US study found that 60% of women with hypertension in pregnancy were self-monitoring.6 However, few studies have assessed its safety and effectiveness and whether it will have any effect o

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March 2017 Br J Cardiol 2017;24:11–12 doi:10.5837/bjc.2017.005

Optimising BP measurement and treatment before elective surgery: taking the pressure off

Simon G Anderson, Nigel Beckett, Adam C Pichel, Terry McCormack

Abstract

This publication in the British Journal of Cardiology is part of the need for coordinated publications to ensure that cardiologists are aware of the current consensus. The recommendations are limited to a specific scope – the period prior to planned surgery. Blood pressures that may cause an immediate risk to health are specified, rather than those that may cause risk over the long term. The best method of taking accurate blood pressure measurements is also examined. For the cardiologist who may be contacted to provide advice and management options for hospitalised patients with elevated blood pressure during the pre-operative period, this

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Midodrine is safe and effective in the treatment of reflex syncope

June 2016 Br J Cardiol 2016;23:73–7 doi:10.5837/bjc.2016.021

Midodrine is safe and effective in the treatment of reflex syncope

Amir S Anwar, Yawer Saeed, Aly Zaki, Sanjiv Petkar, Sarah Collitt, Nicola Rice, Pam Iddon, Adam P Fitzpatrick 

Abstract

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December 2012 Br J Cardiol 2013;20:14–5 Online First

News from the American Heart Association Scientific Sessions 2012

BJCardio Staff

Abstract

FREEDOM: CABG beats PCI in diabetes patients with multi-vessel disease Coronary artery by-pass graft (CABG) surgery was associated with better outcomes than percutaneous coronary intervention (PCI) in patients with diabetes with multi-vessel coronary artery disease in the FREEDOM (Future Revascularization Evaluation in Patients With Diabetes Mellitus: Optimal Management of Multi-vessel Disease) trial. Senior FREEDOM investigator, Dr Valentin Fuster (Mount Sinai School of Medicine, New York, USA), said the results (table 1) would change practice. He estimated that patients in this study represent about a quarter of patients undergoing PCI. In

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August 2012 Br J Cardiol 2012;19:107–10

Impressive results for polypill in new UK study 

BJCardio Staff

Abstract

The study, published on July 18 in PLoS One, was conducted by Dr David Wald (Wolfson Institute of Preventive Medicine, London) and colleagues. The polypill used contained three antihypertensive medications – the calcium antagonist, amlodipine 2.5 mg; the angiotensin-receptor blocker, losartan 25 mg; and the diuretic, hydrochlorothiazide 12.5 mg – in addition to the cholesterol-lowering agent simvastatin 40 mg. In the study, 86 individuals were randomised to the polypill or placebo for 12 weeks. They then crossed over and took the other treatment. Mean systolic blood pressure was reduced by 17.9 mmHg, diastolic pressure was reduced by 9.8

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March 2012 Br J Cardiol 2012;19:16

Cardiovascular disease – everyday management

Abstract

Every day practice This year’s meeting examined the importance of both pulse and blood pressure in everyday clinical practice. Professor Tom McDonald (University of Dundee), Vice President of the BHS, welcomed delegates to the symposium on blood pressure and vascular disease, held in conjunction with the BHS. Current interest in the subject results from the publication last year of National Institute for Health and Clinical Excellence (NICE) clinical guideline 127 on the clinical management of primary hypertension in adults, and its recommended approach to hypertension diagnosis and blood pressure management.1 The first speaker, Professor M

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October 2011 Br J Cardiol 2011;18:217

Correspondence

Drs Ewan J McKay, Tina Tian, Nick Gerning, Chris Sawh, Pankaj Garg, John Purvis, Sinead Hughes and Mark Noble

Abstract

When the dentist said: “Be still your beating heart!” Dear Sirs, We all often encounter a patient history and apparent presenting complaint that we can not precisely and cleverly explain. Our patient, Mr BW, a fit and active 53-year-old man, attended a routine appointment as an outpatient. He had done this many times previously as he was experiencing difficuties with heart rate control and troubling symptoms secondary to atrial fibrillation (AF). Coincidentally, he had also had amalgam dental fillings drilled some 18 months previously. Since then, his cardiac problems had escalated. There appeared no clear causality between the fillings a

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