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Tag Archives: hypertension

December 2018 Br J Cardiol 2018;25:159–60 doi:10.5837/bjc.2018.033

Percutaneous endovascular repair of congenital interruption of the thoracic aorta

Richard Armstrong, Kevin Walsh, David Mulcahy

Abstract

Figure 1. Transthoracic echocardiogram showing cessation of flow in the descending aorta Figure 2. Three-dimensional reconstruction of computed tomography (CT) aortogram showing interruption of thoracic aorta Case An asymptomatic 28-year-old man with an incidental finding of hypertension at a routine visa renewal medical presented to outpatients for review and further investigation. Significant radiofemoral delay was found on palpation of pulses, and an ejection systolic murmur heard over the praecordium. Blood pressure was recorded as 190/70 mmHg, despite therapy including irbesartan 300 mg, amlodipine 5 mg and atenolol 50 mg. Transthoracic

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Optimising cardiovascular risk reduction in diabetes

September 2018 Br J Cardiol 2018;25(suppl 2):S19–S26 doi:10.5837/bjc.2018.s10

Optimising cardiovascular risk reduction in diabetes

W David Strain

Abstract

Introduction Throughout this supplement, there has been discussion of the epidemiology of cardiovascular disease within people with diabetes, and a focus on the management of glycaemia. Given that the majority of people with diabetes ultimately die a premature cardiovascular death, diabetes management has become synonymous with cardiovascular risk reduction. However, since the United Kingdom Prospective Diabetes Study (UKPDS),1 it has become increasingly clear that the multi-factorial nature of diabetes requires a multi-factorial approach. Initially, much of this was extrapolated from existing cardiovascular data, with diabetes just being re

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July 2018 Br J Cardiol 2018;25:111–4 doi:10.5837/bjc.2018.021 Online First

Hypertension in pregnancy as the most influential risk factor for PPCM

Hawani Sasmaya Prameswari, Triwedya Indra Dewi, Melawati Hasan, Erwan Martanto, Toni M Aprami

Abstract

Introduction Peri-partum cardiomyopathy (PPCM) is an idiopathic cardiomyopathy with symptoms and signs of heart failure, secondary to disorders of ventricular systolic function, in late pregnancy or postpartum, where no other cause of heart failure is found. PPCM is one of the main causes of maternal death worldwide. Data in the US show the incidence of PPCM reaches one in 2,500 to 4,000 pregnancies, while data on the incidence in Indonesia are still unknown. Data from the 2012 IDHS (Indonesian Demographic and Health Survey) showed heart failure, including PPCM, as the cause of a high maternal mortality rate in Indonesia reaching 228 per 100,

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June 2018 Br J Cardiol 2018;25:77–80 doi:10.5837/bjc.2018.017

‘Normal’ blood pressure: too good to be true? Case series on postural syncope and the ‘white-coat’ effect

Haqeel A Jamil, Noman Ali, Mohammad Waleed, Yvonne Blackburn, Caroline Moyles, Christopher Morley

Abstract

Introduction Essential or primary hypertension (HTN), defined as an office blood pressure (BP) ≥140/90 mmHg with no identifiable cause, is a well-documented risk factor for cardiovascular disease, and the most common cardiovascular condition to be seen in primary care.1 It also represents the strongest single modifiable risk factor with regards to future morbidity and mortality.2,3 As such, current guidelines advocate pharmacological treatment if lifestyle measures are insufficient. The National Institute for Health and Care Excellence (NICE) clinical guideline for the treatment of HTN recommends step 1 treatment with an angiotensin-convert

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November 2017 Br J Cardiol 2017;24:130

New series on insights from the Bradford Healthy Hearts project

BJC Staff

Abstract

The initiative was launched in February 2015 and in a relatively short period of time, the project achieved success in all three areas with measurable improvement in outcomes, including a reduction in hospitalisations. Over 24 months, there have been around 21,000 clinical interventions, with the emphasis being on delivering change at scale, whilst being fastidious about minimising any extra workload on primary care. In this period, 13,000 patients either started statins or had their statins changed, more than 1,000 patients with atrial fibrillation were anticoagulated, and more than 5,200 hypertensive patients reached a blood pressure targe

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August 2017 Br J Cardiol 2017;24:95–6

General news

BJCardio Staff

Abstract

Improvements in patient care mean hundreds more people are surviving heart failure, a new independent study has found. The latest report from the National Heart Failure Audit (April 2015– March 2016) (link below) has found that the mortality rate for people admitted to hospital with heart failure has dropped from 9.6% the previous year to 8.9%. The reduction in the mortality rate means that in the region of 500 lives have been saved in the past year compared to 2014–15. An assessment of patients admitted to hospital with heart failure at NHS Trusts also shows that more people are being provided with crucial medicines for heart disease as

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June 2017 Br J Cardiol 2017;24:61

In brief

BJCardio Staff

Abstract

Nanoparticles, inhaled from sources such as vehicle exhausts, have been shown to cross from the lungs into the blood stream. They can then accumulate in areas susceptible to heart problems, according to research part-funded by the British Heart Foundation.  Previous studies have identified a correlation but not a causal link between nanoparticles and strokes or cardiovascular disease. It is not currently possible to measure environmental nanoparticles in the blood. So, researchers from the University of Edinburgh, and the National Institute for Public Health and the Environment in the Netherlands, used a variety of specialist techniques to t

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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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Book review: Hypertension, 2nd edition

March 2016 Br J Cardiol 2016;23:15

Book review: Hypertension, 2nd edition

Terry McCormack

Abstract

Publisher: Oxford Cardiology Library, Oxford University Press, Oxford, 2015 ISBN: 9780198701972 Price: £19.99 I have always been fascinated by how primary care and secondary care look at hypertension in different lights. This pocket reference, written by cardiologists, demonstrates those differences and will mainly be of interest to their specialist colleagues. Examples of this are the inclusion of echocardiograms as basic investigations, whilst home blood pressure monitoring is never mentioned. Mostly written by Sunil Nadar, it is a collection of chapters that often repeat statements from previous chapters, particularly involving the epidem

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Statins and myalgia: fact or fiction?

October 2015 Br J Cardiol 2015;22:127–9 doi:10.5837/bjc.2015.033 Online First

Statins and myalgia: fact or fiction?

Peter Sever

Abstract

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